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:6/24/2017)... ... June 24, 2017 , ... Genes ... for medications in select Florida and Texas doctors' offices and clinics. This breakthrough ... application of genetic testing recognizes the role genes play in determining an individual's ...
(Date:6/24/2017)... , ... June 24, 2017 , ... Doorknobs are for ... security, such as getting a guard dog or having an alarm system installed. But ... secure against forced entry. Yair Frenkel, owner of TX Premier Locksmith in Killeen, TX ...
(Date:6/23/2017)... BOSTON, MA (PRWEB) , ... June 23, 2017 ... ... Better Care Reconciliation Act (BCRA), their proposed healthcare bill to repeal and replace ... in May, the Senate bill would make significant cuts to Medicaid, a public ...
(Date:6/23/2017)... CA (PRWEB) , ... June 23, 2017 , ... ... Belle, were recently denied entry to the JFK Virgin Atlantic lounge. , Bensko ... into a wheelchair six years ago, Bensko dedicated her life to supporting our wounded ...
(Date:6/23/2017)... ... June 23, 2017 , ... ... essential, and two new videos highlight the importance of correctly using a meat ... Ph.D., who has done extensive research on consumer food safety habits. Dr. Bruhn ...
Breaking Medicine News(10 mins):
(Date:6/7/2017)... June 7, 2017  Novavax, Inc., (Nasdaq: NVAX ... Phase 2 trials of its RSV F protein recombinant nanoparticle ... age have been published in the journal Vaccine ... shared in prior scientific conferences). The Company previously announced ... Novavax is developing the RSV F Vaccine with the goal ...
(Date:6/5/2017)... , June 5, 2017 Kohll,s Pharmacy ... the United States . The Raizer is ... a fallen person up to an almost-standing position ... and operated by one assistant and does not ... is simple enough that a child can operate it, ...
(Date:6/1/2017)... , June 1, 2017 Nutriceutical Holdings ... Veterinarian Recommended Solutions (VRS), and KD Pharma Group have ... Nutriceutical Holdings by KD Pharma Group. KD Pharma Group ... the option to acquire the entire company. ... KD. They are committed to growing the NH companies ...
Breaking Medicine Technology: