scholarly journals Effect of Site-Neutral Payment Policy on Long-Term Acute Care Hospital Use

2018 ◽  
Vol 66 (11) ◽  
pp. 2104-2111 ◽  
Author(s):  
Anil N. Makam ◽  
Oanh Kieu Nguyen ◽  
Benjamin Kirby ◽  
Michael E. Miller ◽  
Lei Xuan ◽  
...  
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Payment Policy ◽  
Hospital Use

Long-term Acute Care Hospital Use After Critical Illness: Incidence, Costs And Outcomes

2010 ◽  
Author(s):  
Nicole M. Benson ◽  
Dina H. Appleby ◽  
Shannon S. Carson ◽  
Theodore J. Iwashyna ◽  
Jeremy M. Kahn
Keyword(s):  
Critical Illness ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Use

scholarly journals Long-Term Acute Care Hospital Use of Non-Mechanically Ventilated Hospitalized Older Adults

2018 ◽  
Vol 66 (11) ◽  
pp. 2112-2119 ◽  
Author(s):  
Anil N. Makam ◽  
Oanh Kieu Nguyen ◽  
Lei Xuan ◽  
Michael E. Miller ◽  
Ethan A. Halm
Keyword(s):  
Older Adults ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Mechanically Ventilated ◽  
Hospitalized Older Adults ◽  
Hospital Use

scholarly journals Investigation of a Group A Streptococcal Outbreak Among Residents of a Long-term Acute Care Hospital

2011 ◽  
Vol 52 (8) ◽  
pp. 988-994 ◽  
Author(s):  
M. Deutscher ◽  
S. Schillie ◽  
C. Gould ◽  
J. Baumbach ◽  
M. Mueller ◽  
...  
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Group A

Chronic Comorbid Illnesses Predict the Clinical Course of 866 Patients Requiring Prolonged Mechanical Ventilation in a Long-Term, Acute-Care Hospital

2018 ◽  
Vol 35 (8) ◽  
pp. 745-754 ◽  
Author(s):  
J. Dermot Frengley ◽  
Giorgio R. Sansone ◽  
Robert J. Kaner
Keyword(s):  
Mechanical Ventilation ◽  
Acute Care ◽  
Clinical Course ◽  
Prolonged Mechanical Ventilation ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Term Survival ◽  
Group A ◽  
Chronically Critically Ill

Objective: To determine whether burdens of chronic comorbid illnesses can predict the clinical course of prolonged mechanical ventilation (PMV)patients in a long-term, acute-care hospital (LTACH). Methods: Retrospective study of 866 consecutive PMV patients whose burdens of chronic comorbid illnesses were quantified using the Cumulative Illness Rating Scale (CIRS). Based on increasing CIRS scores, 6 groups were formed and compared: group A (≤25; n = 97), group B (26-28; n = 105), group C (29-31; n = 181), group D (32-34; n = 208), group E (35-37; n = 173), and group F (>37; n = 102). Results: As CIRS scores increased from group A to group F, rates of weaning success, home discharges, and LTACH survival declined progressively from 74% to 17%, 48% to 0%, and 79% to 21%, respectively (all P < .001). Negative correlations between the mean score of each CIRS group and correspondent outcomes also supported patients’ group allocation and an accurate prediction of their clinical course (all P < .01). Long-term survival progressively declined from a median survival time of 38.9 months in group A to 3.2 months in group F ( P < .001). Compared to group A, risk of death was 75% greater in group F ( P = .03). Noteworthy, PMV patients with CIRS score <25 showed greater ability to recover and a low likelihood of becoming chronically critically ill. Diagnostic accuracy of CIRS to predict likelihood of weaning success, home discharges, both LTACH and long-term survival was good (area under the curves ≥0.71; all P <.001). Conclusions: The burden of chronic comorbid illnesses was a strong prognostic indicator of the clinical course of PMV patients. Patients with lower CIRS values showed greater ability to recover and were less likely to become chronically critically ill. Thus, CIRS can be used to help guide clinicians caring for PMV patients in transfer decisions to and from postacute care setting.

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