Navigation Links
Shorter Hospital Stays Don't Compromise Care, Study Finds
Date:12/18/2012

By Steven Reinberg
HealthDay Reporter

MONDAY, Dec. 17 (HealthDay News) -- Fears that patients are being forced out of hospitals dangerously early may be unfounded, researchers report.

Shorter hospital stays don't increase readmissions or lead to more deaths, according to a study of Veterans Administration hospitals.

Researchers from the Iowa City VA Medical Center looked at records for 129 VA hospitals across the United States, and found that lengths of stay decreased 27 percent over 14 years, or 2 percent annually. However, contrary to what they anticipated, readmission rates and death rates also dropped during that time.

"What we found was that they both went down simultaneously. We can improve efficiency and at the same time improve 30-day readmission rates," said lead researcher Dr. Peter Kaboli, a hospitalist.

"Over 14 years, the VA and other health care systems have been trying to improve efficiency, moving patients through the hospital quicker -- get them diagnosed; get them treated; get them home," Kaboli explained.

"It's costly to be in the hospital, and patients prefer to go home," he added.

The study, published in the Dec. 18 issue of the Annals of Internal Medicine, involved reviewing records for more than 4 million patients hospitalized between 1997 and 2010. The researchers paid special attention to patients with these five common health problems: heart failure, chronic obstructive pulmonary disease (COPD), heart attack, pneumonia and gastrointestinal bleeding.

The researchers looked at length of stay and rate of readmissions in the 30 days and 90 days after hospital discharge. They also looked at the death rate one month and three months after hospital discharge.

While lengths of stay decreased 27 percent, readmissions rates decreased 16 percent, Kaboli said.

Moreover, death rates at 30 and 90 days after leaving the hospital dropped about 3 percent.

When patients were released too soon, however, the risk for readmission rose 6 percent for each day they were released early, Kaboli's group found.

Kaboli believes the positive results reflect improved coordination between hospital and outpatient services, and a focus on quality care and patient safety.

In addition, the greater use of hospitalists -- doctors who provide care only in the hospital -- is associated with higher quality care, he said.

Whether these same results are seen in private hospitals, where length of stay has also declined, isn't known, Kaboli said.

The authors of a commentary accompanying the study said the VA system has made some noteworthy advances.

"VA management has achieved some of the things health care reform is trying to achieve," said Dr. Eugene Oddone, co-author of the accompanying editorial who is with the Center for Health Services Research in Primary Care at the Durham Veterans Affairs Medical Center in North Carolina.

The VA system "can be used as a model for some aspects of health care reform," added Oddone, a professor of medicine at Duke University School of Medicine.

Specifically, he cited integration of care between the hospital and outpatient care, and improved quality of care.

More information

For more information on patient safety, visit the U.S. National Library of Medicine.

SOURCES: Peter Kaboli, M.D., hospitalist, Iowa City VA Medical Center; Eugene Oddone, M.D., Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center and Duke University School of Medicine, Durham, N.C.; Dec. 18, 2012, Annals of Internal Medicine


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Pesticides May Be Linked to Slightly Smaller Babies, Shorter Pregnancies
2. Sleepy Pro Athletes May Have Shorter Careers
3. Could Fertility Drugs Make Kids Shorter?
4. Shorter Arms May Explain Why Women Need Glasses Sooner Than Men
5. Children taking steroids for asthma are slightly shorter than peers
6. Postpartum Depression May Lead to Shorter Kids: Study
7. Higher-spending hospitals have fewer deaths for emergency patients
8. Predictors identified for rehospitalization among post-acute stroke patients
9. More Smog Might Mean More Hospitalizations
10. After Hospitalization, Men More Likely to Show Up in ER
11. Choosing the right hospital may save your babys life
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Shorter Hospital Stays Don't Compromise Care, Study Finds 
(Date:5/24/2016)... ... May 24, 2016 , ... As reported by MassGeneral.org, on May 8 ... in the United States . The 64-year-old patient who received the transplant had undergone ... restore not only a natural appearance, but also urinary and sexual function for the ...
(Date:5/24/2016)... ... May 24, 2016 , ... Local chiropractor ... on September 21, 2016. Dr. Gerard, who holds a Doctorate of Chiropractic and ... organization promoting health and wellness in Third World countries where resources are limited. ...
(Date:5/24/2016)... ... ... "ProText Layouts Vol. 3 is a plugin that will keep your audience ... ProText Layouts Vol. 3 is a set of 30 self-animating kinetic text layouts created ... editors can create an lively typography video with incredible ease. Utilize intuitive controls to ...
(Date:5/24/2016)... ... May 24, 2016 , ... Since 1946, the doctors and ... From the moment a patient arrives at the office, the staff will make ... each and every patient to create a complete dental treatment plan that is unique ...
(Date:5/24/2016)... Phoenix, AZ (PRWEB) , ... May 24, 2016 , ... ... Surprise, Arizona next month. The new facility is licensed under Dignity Health Arizona ... President and CEO of Dignity Health in Arizona, said that the new facility will ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... Dutch surgeons have launched a ground-breaking medical app to help ... on a global scale. Medical professionals from Europe ... and the US have already signed up for the app, which ... secure environment. Education  "Imagine a doctor for ... surgeon at Harvard to treat a bomb victim via live streaming ...
(Date:5/23/2016)... , May 23, 2016 Diplomat Pharmacy, Inc. ... annual Fellowship and Internship programs. The hands-on learning experience ... The full-time, paid Fellowship and ... Michigan . Fellows and interns are provided optional ... Flint at the Riverfront Residence Hall ...
(Date:5/23/2016)... WASHINGTON , May 23, 2016 The World ... PrePex device to include adolescents aged 13 years, ... MedTech, can be offered for adult and adolescent males in ... Africa . PrePex was the first male circumcision device ... Circ MedTech,s CEO, Eddy Horowitz said: " The ...
Breaking Medicine Technology: