11,567 results match your criteria hospital charges


Hospital variability in modifiable factors driving coronary artery bypass charges.

J Thorac Cardiovasc Surg 2021 Mar 9. Epub 2021 Mar 9.

Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md; Adventist Healthcare White Oak Medical Center, Silver Spring, Md.

Objective: Coronary artery bypass grafting is associated with significant interhospital variability in charges. Drivers of hospital charge variability remain elusive. We identified modifiable factors associated with statewide interhospital variability in hospital charges for coronary artery bypass grafting. Read More

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Textbook Outcome: Definition and Analysis of a Novel Quality Measure in Lung Transplantation.

Ann Surg 2021 Apr 9. Epub 2021 Apr 9.

School of Medicine, Duke University, Durham, NC, USA Department of Surgery, Duke University Medical Center, Durham, NC, USA.

Objective: To define textbook outcome (TO) for lung transplantation (LTx) using a contemporary cohort from a high-volume institution.

Summary Background Data: TO is a standardized, composite quality measure based on multiple postoperative endpoints representing the ideal "textbook" hospitalization.

Methods: Adult patients who underwent LTx at our institution between 2016-2019 were included. Read More

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Epidemiology and Outcomes of Alcohol Use Hospitalizations in People With Gout, Rheumatoid Arthritis, Fibromyalgia, Osteoarthritis, or Low Back Pain: A National US Study.

J Clin Rheumatol 2021 Mar 25. Epub 2021 Mar 25.

From the Medicine Service, Birmingham Veterans Affairs (VA) Medical Center; and Department of Medicine at School of Medicine, and Division of Epidemiology at School of Public Health, University of Alabama at Birmingham, Birmingham, AL.

Objective: To examine the incidence, time trends, and outcomes of alcohol use disorder (AUD) hospitalizations in people with gout, rheumatoid arthritis (RA), fibromyalgia, osteoarthritis, or low back pain (LBP).

Methods: We used the US National Inpatient Sample data from 1998 to 2016. We examined the rates of AUD hospitalizations in musculoskeletal diseases (MSDs), based on the presence of diagnostic codes for AUD in the primary and MSDs in a secondary position. Read More

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Preoperative Education for Total Joint Arthroplasty: Does Reimbursement Reduction Threaten Improved Outcomes?

J Arthroplasty 2021 Mar 10. Epub 2021 Mar 10.

Luminis Health Orthopedics, Anne Arundel Medical Center, Annapolis, MD.

Background: Nurse navigation programs have been previously shown to reduce cost and improve outcomes after total joint arthroplasty (TJA). Medicare has proposed a 13.7% reduction in professional fee reimbursement for TJA procedures that may adversely impact providers' and health systems' ability to fund ancillary support resources such as nurse navigators. Read More

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Clinical Impact of a Diagnostic Gastrointestinal Panel in Children.

Pediatrics 2021 Apr 9. Epub 2021 Apr 9.

Children's Hospital Colorado, Aurora, Colorado.

Objectives: Many hospitals have transitioned from conventional stool diagnostics to rapid multiplex polymerase chain reaction gastrointestinal panels (GIP). The clinical impact of this testing has not been evaluated in children. In this study, we compare use, results, and patient outcomes between conventional diagnostics and GIP testing. Read More

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The Value of Managing Acute Pancreatitis With Standardized Order Sets to Achieve "Perfect Care".

Pancreas 2021 Mar;50(3):293-299

Clinical Research Institute, Methodist Health System, Dallas, TX.

Objectives: We aimed to define perfect care index (PCI) metrics and to evaluate whether implementation of standardized order sets would improve outcomes without increasing hospital-based charges in patients with acute pancreatitis (AP).

Methods: This is a retrospective, pre-post, observational study measuring clinical quality, processes of care, and hospital-based charges at a single tertiary care center. The first data set included AP patients from August 2011 to December 2014 (n = 219) before the implementation of a standardized order set (Methodist Acute Pancreatitis Protocol [MAPP]) and AP patients after MAPP implementation from January 2015 to September 2018 (n = 417). Read More

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Unsupervised random forests.

Stat Anal Data Min 2021 Apr 5;14(2):144-167. Epub 2021 Feb 5.

Division of Biostatistics, University of Miami, Miami, Florida, USA.

sidClustering is a new random forests unsupervised machine learning algorithm. The first step in sidClustering involves what is called sidification of the features: staggering the features to have mutually exclusive ranges (called the staggered interaction data [SID] main features) and then forming all pairwise interactions (called the SID interaction features). Then a multivariate random forest (able to handle both continuous and categorical variables) is used to predict the SID main features. Read More

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Evaluating the Effects of Enhanced Recovery Pathways in Craniosynostosis: National Trends in Hospitalization Charges and Length of Stay in Craniosynostosis Surgery.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Case Western Reserve University School of Medicine, Cleveland, OH Division of Plastic and Reconstructive Surgery, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH.

Background: Enhanced Recovery After Surgery (ERAS) pathways are multimodal approaches aimed at minimizing postoperative surgical stress, reducing hospitalization time, and lowering hospitalization charges. Enhanced Recovery After Surgery is broadly and increasingly implemented in hospitals across the country. Early reports have shown ERAS to reduce length of stay (LOS) after commonly performed pediatric surgeries. Read More

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Trends in Emergency Department Utilization Among Women With Leiomyomas in the United States.

Obstet Gynecol 2021 Apr 8. Epub 2021 Apr 8.

Division of Reproductive Endocrinology and Infertility and the Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, and the Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan.

Objective: To describe trends in emergency department (ED) visits in the United States with a primary diagnosis of leiomyomas, subsequent admissions, and associated charges.

Methods: The Healthcare Cost and Utilization Project Nationwide Emergency Department Sample database was used to retrospectively identify all ED visits from 2006 to 2017 among women aged 18-55 years with a primary diagnosis of leiomyomas as indicated by International Classification of Diseases (ICD) diagnosis codes. Trends in ED visits and subsequent admissions were analyzed and stratified by patient and hospital characteristics. Read More

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Impact of Clostridium difficile infection on pediatric appendicitis.

Pediatr Surg Int 2021 Apr 8. Epub 2021 Apr 8.

Oakland University William Beaumont School of Medicine, Rochester, MI, US.

Introduction: Clostridium difficile is an important cause of nosocomial infection in the pediatric population. The purpose of this study is to estimate the impact of Clostridium difficile infection complicating pediatric acute appendicitis.

Methods: This study utilizes the combined 2009 and 2012 Kids' Inpatient Database. Read More

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Rapid and unamplified identification of COVID-19 with morpholino-modified graphene field-effect transistor nanosensor.

Biosens Bioelectron 2021 Mar 30;183:113206. Epub 2021 Mar 30.

School of Laboratory Medicine, Hubei University of Chinese Medicine, 16 Huangjia Lake West Road, Wuhan, 430065, PR China. Electronic address:

SARS-CoV-2 RNA is identified as a pivotal player to bolster energizing zones of COVID-19 detection. Herein, we develop a rapid and unamplified nanosensing platform for detection of SARS-CoV-2 RNA in human throat swab specimens. A gold nanoparticle (AuNP)-decorated graphene field-effect transistor (G-FET) sensor was fabricated, after which complementary phosphorodiamidate morpholino oligos (PMO) probe was immobilized on the AuNP surface. Read More

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A Nationwide Study Examining Deafness Among Hospitalized Adults.

Am J Audiol 2021 Apr 6:1-6. Epub 2021 Apr 6.

Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD.

Background It is unknown whether hospital outcomes differ among nonspeaking deaf patients compared to those without this disability. Objective This article aims to compare clinical outcomes and utilization data among patients with and without deafness. Design This study used a retrospective cohort study. Read More

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Hospitalization Cost and In-hospital Outcomes Following Type B Thoracic Aortic Dissection Repair.

Ann Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

University of California San Diego, Department of Surgery, CA, USA. Electronic address:

Background: Several studies have reported lower mortality and morbidity after thoracic endovascular aortic repair (TEVAR) when compared to open surgical repair (OSR) in the treatment of type B aortic dissection (TbAD). However, there are few studies in the literature on the cost of both treatment options. Thus, the aim of this study is to focus on in-hospital outcomes and cost associated with TbAD repair procedures in a national database in the United States. Read More

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Does Racial Disparity Exist Among Inpatient Admissions for Heart Attacks in Wisconsin?

Authors:
Charles A Gusho

WMJ 2021 Mar;120(S1):S48-S53

Medical College of Wisconsin-Green Bay, De Pere, Wisconsin,

Objective: Acute myocardial infarction (AMI), or heart attack, carries a high inpatient death risk. Few national studies suggest race affects the outcomes of inpatients with AMI. In Wisconsin, an assessment of racial disparity among admissions for AMI is lacking. Read More

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Antihypertensive treatment in a general uncontrolled hypertensive population in Belgium and Luxembourg in primary care: Therapeutic inertia and treatment simplification. The SIMPLIFY study.

PLoS One 2021 5;16(4):e0248471. Epub 2021 Apr 5.

Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.

Background: Despite effective treatments, blood pressure (BP) control remains suboptimal.

Objective: The SIMPLIFY study aimed at identifying key factors related to therapeutic inertia in Belgium and Luxembourg, and evaluating how uncontrolled treated hypertension is managed in primary care.

Methods: In a 2017 cross-sectional survey, 245 general practitioners (GP) collected routine clinical data from 1,852 consecutive uncontrolled (Office SBP/DBP ≥ 140/90 mmHg) hypertensive adult patients taking at least one antihypertensive drug. Read More

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Impact of Hospital Volume on Outcome After Surgical Treatment for Hydrocephalus: A U.S. Population Study From the National Inpatient Sample.

Cureus 2021 Feb 28;13(2):e13617. Epub 2021 Feb 28.

Department of Neurosurgery, University of Utah, Salt Lake City, USA.

Introduction Hydrocephalus remains a common condition with significant patient morbidity; however, accurate accounting of the incidence of this disease as well as of the impact of hospital volume on outcome remains limited. Methods The National Inpatient Sample was used to evaluate patients who underwent surgical treatment of hydrocephalus from 2009-2013. Patient demographics (e. Read More

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February 2021

A description of children dependent on long term ventilation via tracheostomy and their hospital resource use.

J Pediatr Nurs 2021 Apr 1;61:96-101. Epub 2021 Apr 1.

Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States of America; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States of America. Electronic address:

Purpose: To describe the proportion of children with an index hospitalization in 2014 who had established long-term invasive ventilator dependence (LTVD), and determine regional variation in hospital length of stay, charges, and readmissions.

Design And Methods: Multicenter, longitudinal, retrospective cohort study using a recently established algorithm to identify children with LTVD from the Pediatric Health Information System database with an index hospitalization at least once during 2014, excluding normal newborn care or chemotherapy, and the subset with established LTVD. Hospitals were grouped by geographic regions. Read More

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Capture-free deactivation of CTCs in the bloodstream; a metastasis suppression method by electrostatic stimulation of the peripheral blood.

Biosens Bioelectron 2021 Mar 26;183:113194. Epub 2021 Mar 26.

Nano Electronic Center of Excellence, Nano Bio Electronic Devices Lab, School of Electrical and Computer Engineering, University of Tehran, Tehran, Iran, P.O. Box 14395/515; Cancer Institute, Imam-Khomeini Hospital, Tehran University of Medical Sciences, P.O. BOX 13145-158, Tehran, Iran; UT&TUMS Cancer Electrotechnique Research Center, YAS Hospital, P.O. Box 1598718311, Tehran, Iran. Electronic address:

While limited investigations have been reported on CTC elimination and its profits, recently, some new works were reported on detection followed by the destruction of CTCs. Limitations and complications of CTC capturing procedures have highly reduced the chance of selective destruction of CTCs in the bloodstream in the therapeutic guidelines of the patients. Here, we selectively deactivated the invasive function of CTCs during their circulation in the bloodstream by exposing the whole blood to pure positive electrostatic charge stimulation (PPECS). Read More

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Twin-to-Twin Transfusion Syndrome: Diagnostic Imaging and Its Role in Staving Off Malpractice Charges and Litigation.

Diagnostics (Basel) 2021 Mar 4;11(3). Epub 2021 Mar 4.

Department of Anatomical, Histological, Forensic, and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy.

The study aims to expound upon the imaging-based diagnostic methodologies aimed at identifying twin-to-twin transfusion syndrome (TTTS), a serious, somewhat rare prenatal condition that takes place in pregnancies where identical twins, or other multiples, share a placenta (monochorionic placenta), highlighting how medico-legal outcomes can be affected by provable compliance with consolidated diagnostic guidelines or best practices. It is of utmost importance to produce a prompt identification of TTTS instances; an early diagnosis is in fact critical in order to effectively treat and manage TTTS. By virtue of TTTS being a highly progressive condition, a delay in diagnosis can result in disastrous outcomes; just a few weeks delay in the diagnosis of TTTS can turn out fatal for one or both twins. Read More

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Ambulatory Surgery vs Overnight Observation for Total Thyroidectomy: Cost Analysis and Outcomes.

OTO Open 2021 Jan-Mar;5(1):2473974X21995104. Epub 2021 Mar 10.

Department of Otolaryngology Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Objective: To compare financial impact between patients undergoing ambulatory (same-day discharge) vs overnight admission after total thyroidectomy while showing associated surgical outcomes.

Study Design: Retrospective review.

Setting: University of Alabama at Birmingham Medical Center from October 2011 and July 2017. Read More

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Hospitalization rates for complications due to systemic therapy in the United States.

Sci Rep 2021 Apr 1;11(1):7385. Epub 2021 Apr 1.

Florida International University, Miami, FL, USA.

The aim of this study was to estimate the trends and burdens associated with systemic therapy-related hospitalizations, using nationally representative data. National Inpatient Sample data from 2005 to 2016 was used to identify systemic therapy-related complications using ICD-9 and ICD-10 external causes-of-injury codes. The primary outcome was hospitalization rates, while secondary outcomes were cost and in-hospital mortality. Read More

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Continuous versus routine EEG in critically ill adults: reimbursement analysis of a randomised trial.

Swiss Med Wkly 2021 Mar 16;151:w20477. Epub 2021 Mar 16.

Department of Neurology, Lausanne University Hospital and University of Lausanne, Switzerland.

Background: Continuous EEG (cEEG) is increasingly used in critically ill patients, but it is more resource-intensive than routine EEG (rEEG). In the US, cEEG generates increased hospitalisation charges. This study analysed hospital-related reimbursement for participants in a Swiss multicentre randomised controlled trial that assessed the relationship of cEEG versus repeated rEEG with outcome. Read More

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Prevalence and patterns of illicit drug use in people with human immunodeficiency virus infection in Korea.

PLoS One 2021 1;16(4):e0249361. Epub 2021 Apr 1.

Division of Infectious Disease, Department of Internal Medicine, Inje University College of Medicine, Inje University Busan Paik Hospital, Busan, Korea.

Background: Data on illicit drug use by Korean people infected with HIV are lacking. Here, we examined the prevalence and patterns of illicit drug use among people infected with HIV in Korea.

Material And Methods: In this cross-sectional study, we included all patients infected with HIV who visited a tertiary care hospital in Korea from January 1990 to May 2020. Read More

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One-stage versus two-stage management for acute cholecystitis associated with common bile duct stones: a retrospective cohort study.

Surg Endosc 2021 Mar 31. Epub 2021 Mar 31.

Department of General Surgery, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou, 510220, China.

Background: Both one-stage [laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE)] and two-stage [endoscopic retrograde cholangiopancreatography (ERCP) followed by sequential LC] approaches are effective treatment for concomitant common bile duct (CBD) stones and gallstone. Although many studies compared one-stage with two-stage surgical approach for cholecysto-choledocholithiasis, there are very few studies compared the two management strategies for acute cholecystitis (AC) associated with CBD stones.

Methods: Between January 2014 and December 2019, patients with concomitant AC and CBD stones proposed to early surgery were retrospectively studied. Read More

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Impact of coexisting pneumonia in the patients admitted with infection: a retrospective study from a national inpatient database.

J Investig Med 2021 Mar 30. Epub 2021 Mar 30.

Department of Internal Medicine, John H Stroger Hospital of Cook County, Chicago, Illinois, USA.

is a gram-positive anaerobic spore forming bacillus that can cause infection in a setting of antibiotic use. Pneumonia is a major cause of morbidity and mortality in an inpatient setting and is frequently associated with significant antibiotic administration. This study aims to compare the outcomes of infection (CDI) with and without pneumonia to determine the impact of pneumonia in hospitalized patients with CDI. Read More

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Robotic LINX Placement: Is It Worth It?

J Laparoendosc Adv Surg Tech A 2021 Mar 30. Epub 2021 Mar 30.

Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA.

Laparoscopic Nissen fundoplication is considered the current gold standard of surgical treatment of gastroesophageal reflux disease. Magnetic sphincter augmentation with the LINX device was developed as a less technically challenging alternative that has proven to be a safe and effective surgical antireflux procedure. Despite rapid adoption of the robotic platform in many areas of general surgery, no studies have compared laparoscopic and robotic approaches to placement of the LINX device. Read More

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Out-of-Network Facility Charges for Patients Undergoing Outpatient Total Joint Arthroplasty.

J Arthroplasty 2021 Mar 5. Epub 2021 Mar 5.

Department of Orthopaedic Surgery, New England Baptist Hospital, Boston, MA.

Background: The utilization of outpatient (OP) total joint arthroplasty (TJA) is increasing. Although many arthroplasty surgeons and hospitals have longstanding agreements with insurance companies, it may take time for ambulatory surgery centers (ASCs) to establish in-network agreements. The purposes of this study are to investigate trends in out-of-network facility charges for OP-TJA, as well as compare rates of out-of-network facilities between ASC and hospital outpatient department (HOPD) OP-TJA. Read More

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United States trends in healthcare charges for pediatric firearm injuries.

Am J Emerg Med 2021 Mar 20;47:58-65. Epub 2021 Mar 20.

Division of Emergency Medicine and Trauma Services, Children's National Health System and George Washington University, Washington, DC, United States of America. Electronic address:

Background: From 2009 to 2016, >21,000 children died and an estimated 118,000 suffered non-fatal injuries from firearms in the United States. Limited data is available on resource utilization by injury intent. We use hospital charges as a proxy for resource use and sought to: 1) estimate mean charges for initial ED and inpatient care for acute firearm injuries among children in the U. Read More

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Comparison of in-hospital outcomes of patients undergoing catheter ablation for typical versus atypical atrial flutter.

J Interv Card Electrophysiol 2021 Mar 26. Epub 2021 Mar 26.

Cardiovascular Division, Jackson Memorial Hospital, Miami, FL, USA.

Background: Catheter ablation (CA) is indicated as definitive therapy for patients with either typical or atypical atrial flutter (TAFlutter and AAFlutter, respectively) which is unresponsive to medical therapy. There is a paucity of data regarding in-hospital outcomes of patients undergoing CA.

Methods: Retrospective study using the NIS to identify patients ≥18 years who underwent CA between 2015 and 2017. Read More

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