The burden of chronic disorders on hospital admissions prompts the need for new modalities of care: A cross-sectional analysis in a tertiary hospital

QJM: An International Journal of Medicine

Volumn 102, Issue 3, 2009, Pages 193-202

  Hernandez, C ^a   Jansa, M ^a   Vidal, M ^a   Nunez M ^a   Bertran, M J ^a   Garcia Aymerich, J ^b   Roca, J ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

^b HOSPITAL CLÍNIC   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CHRONIC DISEASE; COMORBIDITY; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; EMERGENCY CARE; FEMALE; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; MALIGNANT NEOPLASTIC DISEASE; MORBIDITY; MORTALITY; PREVALENCE; PRIMARY HEALTH CARE; PRIORITY JOURNAL; TERTIARY HEALTH CARE;

EID: 61649119905     PISSN: 14602725     EISSN: 14602393     Source Type: Journal    
DOI: 10.1093/qjmed/hcn172     Document Type: Article

References (39)

1. Epping-Jordan JE, Galea G, Tukuitonga C, Beaglehole R. Preventing chronic diseases: Taking stepwise action. Lancet 2005; 366 1667-71.
2. Horton R. The neglected epidemic of chronic disease. Lancet 2005; 366:1514.
3. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997; 349:1436-42.
4. World Health Organization. Innovative Care for Chronic Conditions: Building Blocks for Action Global Report, 2002.
5. Epping-Jordan JE, Pruitt SD, Bengoa R, Wagner EH. Improving the quality of health care for chronic conditions. Qual Saf Health Care 2004; 13:299-305.
6. van WC, Schellevis FG. Comorbidity and guidelines: Conflicting interests. Lancet 2006; 367:550-1.
7. Adams SG, Smith PK, Allan PF, Anzueto A, Pugh JA, Cornell JE. Systematic review of the chronic care model in chronic obstructive pulmonary disease prevention and management. Arch Intern Med 2007; 167 551-61.
8. Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernandez C, Alonso A, et al. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J 2006; 28:123-30.
9. Hernandez C, Casas A, Escarrabill J, Alonso J, Puig-Junoy J, Farrero E, et al. Home hospitalisation of exacerbated chronic obstructive pulmonary disease patients. Eur Respir J 2003; 21:58-67.
10. Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: Increased vulnerability with age. J Am Geriatr Soc 2003; 51:451-8.
11. Mittmann N, Kuramoto L, Seung SJ, Haddon JM, Bradley-Kennedy C, Fitzgerald JM. The cost of moderate and severe COPD exacerbations to the Canadian healthcare system. Respir Med 2008; 102:413-21.
12. Scott IA. Chronic disease management: A primer for physicians. Intern Med J 2008; 38:427-37.
13. Activitat assistencial de la xarxa sanitaria de Catalunya. Conjunt minim basic de dades (CMBD). Generalitat de Catalunya, Departament de Salut, 2001, http://www10.gencat.net/catsalut/archivos/publicacions/ estad_sanitaries/cmbd_2000/cmbd_ing.htm (last accessed 29 September 2007).
14. Cherkin DC, Deyo RA, Volinn E, Loeser JD. Use of the International Classification of Diseases (ICD-9-CM) to identify hospitalizations for mechanical low back problems in administrative databases. Spine 1992; 17:817-25.
15. Ayala S. Análisis de la auditoria del CMBD 1993 en los Hospitales del Insalud. Papeles Médicos 1995; 4:2007.
16. World Health Organization. Regional office for Europe. Copenhague. Therapeutic Patient Education-continuiting Education Programmes for Health Care Provides in the Field of Prevention of Chronic Diseases. Report of a WHO working group. 1998/2008, p. 73.
17. ICD9-CM. Medical Terminology Dictionary, 2007/2008, http://icd9.chrisendres.com/icd9cm/ (last accessed 29 September 2007).
18. ICD9-CM. Ministerio de Sanidad y Consumo. Instituto Nacional de Salud, 1997/2007/2008, http://www.msc.es/ecie9mc-2008/html/documentos.htm (last accessed 29 September 2007).
19. ICD9-CM. Chronic Disease and injures. Canadian Institute for Health Information. 2008, http:www.apheo.ca (last accessed 29 September 2007).
20. Fetter RB, Shin Y, Freeman JL, Averill RF, Thompson JD. Case mix definition by diagnosis-related groups. Med Care 1980; 18(2 Suppl):iIi1-53.
21. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987; 40:373-83.
22. Fabbri LM, Rabe KF. From COPD to chronic systemic inflammatory syndrome? Lancet 2007; 370:797-9.
23. Mannino DM, Watt G, Hole D, Gillis C, Hart C, McConnachie A, et al The natural history of chronic obstructive pulmonary disease. Eur Respir J 2006; 27:627-43.
24. Mascarenhas J, Lourenco P, Lopes R, Azevedo A, Bettencourt P. Chronic obstructive pulmonary disease in heart failure. Prevalence, therapeutic and prognostic implications. Am Heart J 2008; 155:521-5.
25. Rana JS, Mittleman MA, Sheikh J, Hu FB, Manson JE, Colditz GA, et al Chronic obstructive pulmonary disease, asthma, and risk of type 2 diabetes in women. Diabetes Care 2004; 27:2478-84.
26. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with post-discharge support for older patients with congestive heart failure: A meta-analysis. JAMA 2004; 291:1358-67.
27. Riegel B, Naylor M, Stewart S, McMurray JJ, Rich MW. Interventions to prevent readmission for congestive heart failure. JAMA 2004; 291:2816-7.
28. Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995; 333 1190-5.
29. Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with chronic congestive heart failure: A randomised controlled study. Lancet 1999; 354:1077-83.
30. Bourbeau J, Julien M, Maltais F, Rouleau M, Beaupre A, Begin R, et al Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: A disease-specific self-management intervention. Arch Intern Med 2003; 163:585-91.
31. Sadur CN, Moline N, Costa M, Michalik D, Mendlowitz D, Roller S, et al. Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. Diabetes Care 1999; 22:2011-7.
32. Wagner EH, Sandhu N, Newton KM, McCulloch DK, Ramsey SD, Grothaus LC. Effect of improved glycemic control on health care costs and utilization. JAMA 2001; 285:182-9.
33. Leff B, Burton L, Mader SL, Naughton B, Burl J, Inouye SK, et al. Hospital at home: Feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med 2005; 143:798-808.
34. Naylor MD, McCauley KM. The effects of a discharge planning and home follow-up intervention on elders hospitalized with common medical and surgical cardiac conditions. J Cardiovasc Nurs 1999; 14 44-54.
35. Ram FS, Wedzicha JA, Wright J, Greenstone M. Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: Systematic review of evidence. Br Med J 2004; 329 315.
36. Bodenheimer T, MacGregor K, Stothart N. Nurses as leaders in chronic care. Br Med J 2005; 330:612-3.
37. Hirsh DA, Ogur B, Thibault GE, Cox M. "Continuity" as an organizing principle for clinical education reform. N Engl J Med 2007; 356 858-66.
38. Saha S, Solotaroff R, Oster A, Bindman AB. Are preventable hospitalizations sensitive to changes in access to primary care? The case of the Oregon Health Plan. Med Care 2007; 45:712-9.
39. World Health Organization (WHO). Preparing a Health Care Work Force for the 21st Century. The Challenge of Chronic Conditions, 2005.