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 usread more
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Transcatheter vs Surgical Aortic Valve Replacement in Pure Native Aortic Regurgitation.
Amgad Mentias,Marwan Saad,Venu Menon,Grant K Reed,Zoran P Popovic,Douglas R. Johnston,L. Leonardo Rodriguez,Marc Gillinov,Brian P. Griffin,Hani Jneid,Sidakpal S. Panaich,Samir R. Kapadia,Lars G. Svensson,Milind Y. Desai +13 more
TL;DR: In this paper , the authors examined midterm outcomes with transcatheter aortic valve replacement (TAVR) compared with surgical AVR (SAVR) in a contemporary cohort of Medicare beneficiaries who underwent elective TAVR or SAVR for pure AR from 2016 to 2019.
Journal ArticleDOI
Characteristics of hospital admissions associated with implantable cardioverter defibrillator placement among adults with congenital heart disease
Shankar Baskar,Gruschen R. Veldtman,Philip R. Khoury,Alexander R. Opotowsky,Alexander R. Opotowsky,Ari M. Cedars +5 more
TL;DR: Compared to a matched non-CHD population, ACHD patients had greater healthcare utilization and had more frequent complications, and the reasons underlying this difference bear investigation.
Journal ArticleDOI
Transcatheter and Endoscopic Treatment of Gastric and Duodenal Bleeding: Population-Based Analysis of National Inpatient Trends and Outcomes in the United States.
TL;DR: Though endoscopy remains the mainstream of treatment of upper GI bleeding, embolization is associated with comparable mortality and length of stay after accounting for disease severity and the need for additional procedures.
Journal ArticleDOI
Patients Undergoing Elective Inpatient Major Therapeutic Procedures in Florida Had No Significant Change in Hospital Mortality or Mortality-Related Comorbidities Between 2007 and 2019
TL;DR: In this article , the authors evaluated the trends for decreased mortality, changes in the prevalence of Medicare Severity Diagnosis Related Groups (MS-DRG) with complications or comorbidities (CC) or major complications or major comorbiities (MCC), and changes in van Walraven index (vWI) associated with increased inpatient mortality, and found no reliable evidence that patients undergoing elective inpatient surgical procedures were any worse in 2019 than in 2007.
Journal ArticleDOI
Readmissions After Biliary Acute Pancreatitis: Analysis of the Nationwide Readmissions Database
H. Laswi,Bashar M. Attar,R. Kwei,Michelle Ishaya,Pius E Ojemolon,Bashar Natour,Mohammad Darweesh,Hafeez Shaka +7 more
TL;DR: Undergoing both ERCP and cholecystectomy for BAP resulted in significantly higher hospital charges with no additional mortality benefit, however, it decreased the readmission risk significantly.
References
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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.