Are elderly patients with obstructive airway disease being prematurely discharged?

American Journal of Respiratory and Critical Care Medicine

Volumn 161, Issue 5, 2000, Pages 1513-1517

  Sin, Don D ^a,b   Tu, Jack V ^a,b  

^a INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AGING; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COMORBIDITY; DRUG UTILIZATION; FEMALE; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; OBSTRUCTIVE AIRWAY DISEASE; PRIORITY JOURNAL;

EID: 0034126075     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.161.5.9907031     Document Type: Article

References (29)

1. 1. Barnett, R., and A. Shustack. 1994. Cost Containment: the Americas. Canada. New Horiz. 2:332-335.
2. 2. Lave, J. R., and R. G. Frank. 1990. Effect of the structure of hospital payment on length of stay. Health Serv. Res. 25:327-347.
3. 3. MacIntyre, C. R., C. W. Brook, E. Chandraraj, and A. J. Plant. 1997. Changes in bed resources and admission patterns in acute public hospitals in Victoria, 1987-1995. Med. J. Aust. 167:186-189.
4. 4. Keistinen, T., S. Vilkman, T. Tuuponen., and S. L. Kivela. 1996. Hospital admissions for chronic obstructive pulmonary disease in the population aged 55 years or over in Finland during 1972-1992. Public Health 110:257-259.
5. 5. Kosecoff, J., K. L. Kahn, W. H. Rogers, E. J. Reinisch, M. J. Sherwood, L. V. Rubenstein, D. Draper, C. P. Roth, C. Chew, and R. H. Brook. 1990. Prospective payment system and impairment at discharge: the "quicker-and-sicker" story revisited. J.A.M.A. 264:1980-1983.
6. 6. De Francisco, D., D. Anderson, R. Pantano, and F. Kline. 1980. The relationship between length of hospital stay and rapid-readmission rates. Hosp. Community Psychiatry 31:196-197.
7. 7. Manfreda, J., Y. Mao, and W. Litven. 1989. Morbidity and mortality from chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 140: S19-S26.
8. 8. Vital and Health Statistics. 1990. Current estimates from the National Health Interview Survey. NHS Publication No. (PHS) 91-1643.
9. 9. Rochon, P. A., J. N. Katz, L. A. Morrow, R. McGlinchey-Berroth, M. M. Ahlquist, M. Sarkarati, and K. L. Minaker. 1996. Comorbid illness is associated with survival and length of hospital stay in patients with chronic disability: a prospective comparison of three comorbidity indices. Med. Care 34:1093-1101.
10. 10. Cydulka, R. K., E. R. McFadden, Jr., C. L. Emerman, L. D. Sivinski, W. Pisanelli, and A. A. Rimm. 1997. Patterns of hospitalization in elderly patients with asthma and chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 156:1807-1812.
11. 11. Donahue, J. G., S. T. Weiss, J. M. Livingston, M. A. Goetsch, D. K. Greinder, and R. Platt. 1997. Inhaled steroids and the risk of hospitalization for asthma. J.A.M.A. 277:887-891.
12. 12. Ernst, P., W. O. Spitzer, S. Suissa, D. Cockroft, B. Habbick, R. I. Horwitz, J. F. Boivin, M. McNutt, and A. S. Buist. 1992. Risk of fatal and near-fatal asthma in relation to inhaled corticosteroid use. J.A.M.A. 268:3462-3464.
13. 13. Rawson, N. S., and E. Malcolm. 1995. Validity of the ischemic heat disease and chronic obstructive pulmonary disease in the Saskatchewan health care files. Stat. Med. 14:2627-2643.
14. 14. Tu, J. V., and H. Zhang. 1999. Congestive heart failure and outcomes in Ontario. In C. D. Naylor and P. M. Slaughter, editors. Cardiovascular and Health Services Atlas in Ontario: An ICES Atlas. Institute for Clinical Evaluative Sciences, Toronto. 111-122.
15. 15. Deyo, R. A., D. C. Cherkin, and M. A. Ciol. 1992. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J. Clin. Epidemiol. 45:613-619.
16. 16. Tu, J. V., E. L. Hannan, G. M. Anderson, K. Iron, K. Wu, K. Vranizan, A. J. Popp, and K. Grumbach. 1998. The fall and rise of carotid endarterectomy in the United States and Canada. N. Engl. J. Med. 339: 1441-1447.
17. 17. Liu, B., G. Anderson, N. Mittmann, T. To, T. Axcell, and N. Shear. 1998. Use of selective serotonin-reuptake inhibitors of tricyclic antidepressants and risk of hip fractures in elderly people. Lancet 351:1303-1307.
18. 18. Horn, S. D., P. D. Sharkey, J. M. Buckle, J. E. Backofen, R. F. Averill, and R. A. Horn. 1991. The relationship between severity of illness and hospital length of stay and mortality. Med. Care 29:305-317.
19. 19. Mushlin, A. I., E. R. Black, C. A. Connolly, K. M. Buonaccorso, and S.W. Eberly. 1991. The necessary length of stay in chronic pulmonary disease. J.A.M.A. 266:80-83.
20. 20. Rushworth, R. L., and M. I. Rob. 1995. Readmissions to hospital: the contribution of morbidity data to the evaluation of asthma management. Aust. J. Public Health 19:363-367.
21. 21. Harrison, M. L., L. A. Graft, N. P. Roos, and M. D. Brownell. 1995. Discharging patients earlier from Winnipeg hospitals: does it adversely affect quality of care? C.M.A.J. 153:745-751.
22. 22. Halm, E. A., M. J. Fine, T. J. Marrie, C. M. Coley, W. N. Kapoor, D. S. Obrosky, and D. E. Singer. 1998. Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelines. J.A.M.A. 279:1452-1457.
23. 23. Flamer, H. E., N. Christophidis, C. Margetts, A. Ugoni, and A. J. McLean. 1996. Extended hospital days with increasing age: the impact of an acute geriatric unit. Med. J. Aust. 164:10-13.
24. 24. Weingarten, S., M. S. Riedinger, M. Sandhu, C. Bowers, A. G. Ellrodt, C. Nunn, P. Hobson, and N. Greengold. 1998. Can practice guidelines safely reduce hospital lengths of stay? Results from a multicenter interventional study. Am. J. Med. 105:33-40.
25. 25. Williams, E. I., and F. Fitton. 1988. Factors affecting early unplanned readmission of elderly patients to hospital. B.M.J. 297:784-787.
26. 26. Epstein, A. M., J. Bogen, P. Dreyer, and K. E. Thorpe. Trends in length of stay and rates of readmission in Massachusetts: implications for monitoring quality of care. 1991. Inquiry 28:19-28.
27. 27. Ashton, C. M., D. H. Kuykendall, M. L. Johnson, N. P. Wray, and L. Wu. 1995. The association between the quality of inpatient care and early readmission. Ann. Intern. Med. 122:415-421.
28. 28. Tougaard, L., T. Krone, A. Sorknaes, and H. Ellegaard. 1992. Economic benefits of teaching patients with chronic obstructive pulmonary disease about their illness. The PASTMA Group. Lancet 339:1517-1520.
29. 29. Anderson, G. F. and E. P. Steinberg. 1984. Hospital readmissions in the Medicare population. N. Engl. J. Med. 311:1349-1353.