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Journal ArticleDOI

Identifying Increased Risk of Readmission and In-hospital Mortality Using Hospital Administrative Data: The AHRQ Elixhauser Comorbidity Index.

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TLDR
These indices are effective methods to incorporate the influence of comorbid conditions in models designed to assess the risk of in-hospital mortality and readmission using administrative data with limited clinical information, especially when small samples sizes are an issue.
Abstract
Objective:We extend the literature on comorbidity measurement by developing 2 indices, based on the Elixhauser Comorbidity measures, designed to predict 2 frequently reported health outcomes: in-hospital mortality and 30-day readmission in administrative data. The Elixhauser measures are commonly us

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Citations
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Comparison of Sepsis Definitions as Automated Criteria

TL;DR: In this article, the impact of heterogeneity among established sepsis criteria (Sepsis-1, Sepsis-3, Centers for Disease Control and Prevention Adult Sepsis Event, and Centers for Medicare and Medicaid severe Sepsis core measure 1) through the comparison of corresponding septis cohorts was assessed.
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Systemic immune-inflammation index as a promising predictor of mortality in patients with acute coronary syndrome: a real-world study.

TL;DR: In this paper, the authors used the systemic immune-inflammation index (SII) as a prognostic indicator for acute coronary syndrome (ACS) and identified high-risk patients.
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Association of Hospital Surgical Aortic Valve Replacement Quality With 30-Day and 1-Year Mortality After Transcatheter Aortic Valve Replacement.

TL;DR: Quality of cardiac surgical care may be associated with a hospital’s performance with new structural heart disease programs, and hospitals with higher SAVR mortality rates also had higher short-term and long-term T AVR mortality after initiating TAVR programs.
Journal ArticleDOI

Lack of insurance as a barrier to care in sepsis: A retrospective cohort study.

TL;DR: The association between lack of insurance and organ dysfunction on admission in community‐onset sepsis suggests that lack of health insurance may impede timely care for patients with community-onset infections.
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Readmissions after thoracic endovascular aortic repair.

TL;DR: A large portion of patients treated with TEVAR were readmitted most commonly for heart‐ related reasons at 30 days and aorta‐related reasons at 90 and 180 days, and Urgent/emergent TEVar was independently associated with an index readmission at 90and 180 days.
References
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Journal ArticleDOI

A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆

TL;DR: The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
Journal ArticleDOI

Applied Logistic Regression.

TL;DR: Applied Logistic Regression, Third Edition provides an easily accessible introduction to the logistic regression model and highlights the power of this model by examining the relationship between a dichotomous outcome and a set of covariables.
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Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases

TL;DR: It is concluded that the adapted comorbidity index will be useful in studies of disease outcome and resource use employing administrative databases.
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Comorbidity measures for use with administrative data.

TL;DR: The present method addresses some of the limitations of previous measures and produces an expanded set of comorbidities that easily is applied without further refinement to administrative data for a wide range of diseases.
Journal ArticleDOI

A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data.

TL;DR: The Elixhauser comorbidity system can be condensed to a single numeric score that summarizes disease burden and is adequately discriminative for death in hospital when analyzing administrative data.
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