Long-term outcome of an AMAU-a decade's experience

QJM: An International Journal of Medicine

Volumn 107, Issue 1, 2014, Pages 43-49

  Conway, R ^a   O'riordan, D ^a   Silke, Bernard ^a  

^a ST JAMES S HOSPITAL   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE MEDICAL ADMISSION UNIT; ADULT; ARTICLE; BLOOD CULTURE; BLOOD TRANSFUSION; CHARLSON COMORBIDITY MANCHESTER TRIAGE CATEGORY; DATA BASE; DISEASE SEVERITY; EMERGENCY WARD; FEMALE; HEALTH CARE SYSTEM; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; OXYGEN SATURATION; PRIORITY JOURNAL; AGED; COMORBIDITY; EMERGENCY; EMERGENCY HEALTH SERVICE; FACTUAL DATABASE; HEALTH CARE DELIVERY; HEALTH SERVICES RESEARCH; HOSPITAL SUBDIVISIONS AND COMPONENTS; HOSPITALIZATION; IRELAND; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PROGNOSIS; SEVERITY OF ILLNESS INDEX; STANDARD; STATISTICS; TIME; TOTAL QUALITY MANAGEMENT; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; COMORBIDITY; DATABASES, FACTUAL; DELIVERY OF HEALTH CARE; EMERGENCIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES RESEARCH; HOSPITAL MORTALITY; HOSPITAL UNITS; HOSPITALIZATION; HUMANS; IRELAND; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT ADMISSION; PROGNOSIS; QUALITY IMPROVEMENT; SEVERITY OF ILLNESS INDEX; TIME FACTORS;

EID: 84899554206     PISSN: 14602725     EISSN: 14602393     Source Type: Journal    
DOI: 10.1093/qjmed/hct199     Document Type: Article

References (24)

1. Langlands A, Dowdle R, Elliott A, Gaddie J, Graham A, Johnson G, et al. RCPE UK Consensus Statement on Acute Medicine, November 2008. Br J Hosp Med (Lond) 2009; 70(1 Suppl. 1):S6-7.
2. Capewell S. The continuing rise in emergency admissions. BMJ 1996; 312:991-2.
3. Kingdom T. Census of Consultant Physicians in the UK: Data and Commentary. London: Royal College of Physicians, 2008.
4. Indredavik B, Bakke F, Solberg R, Rokseth R, Haaheim LL, Holme I. Benefit of a stroke unit: a randomized controlled trial. Stroke 1991; 22:1026-31.
5. Rogers AM, Ramanath VS, Grzybowski M, Riba AL, Jani SM, Mehta R, et al. The association between guideline-based treatment instructions at the point of discharge and lower 1-year mortality in Medicare patients after acute myocardial infarction: the American College of Cardiology's Guidelines Applied in Practice (GAP) initiative in Michigan. Am Heart J 2007; 154:461-9.
6. Scott I, Vaughan L, Bell D. Effectiveness of acute medical units in hospitals: a systematic review. Int J Qual Health Care 2009; 21:397-407.
7. Rooney T, Moloney ED, Bennett K, O'Riordan D, Silke B. Impact of an acute medical admission unit on hospital mortality: a 5-year prospective study. QJM 2008; 101:457-65.
8. O'Loughlin R, Allwright S, Barry J, Kelly A, Teljeur C. Using HIPE data as a research and planning tool: limitations and opportunities. Ir J Med Sci 2005; 174:40-5; discussion 52-7.
9. De Bleser L, Vlayen J, Vanhaecht K, Sermeus W. Classifying clinical pathways. Stud Health Technol Inform 2004; 110:9-14.
10. O'Sullivan E, Callely E, O'Riordan D, Bennett K, Silke B. Predicting outcomes in emergency medical admissions-role of laboratory data and co-morbidity. Acute Med 2012; 11:59-65.
11. Silke B, Kellett J, Rooney T, Bennett K, O'Riordan D. An improved medical admissions risk system using multivariable fractional polynomial logistic regression modelling. QJM 2010; 103:23-32.
12. 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.
13. Mackway-Jones K, Marsden J, Jwindle J. In: Group MT, ed. Emergency Triage. 2nd edn. London: Blackwell Publishing Ltd, 2006.
14. Conway R, O'Riordan D, Silke B. Consultant volume, as an outcome determinant, in emergency medical admissions. QJM 2013 106:831-7.
15. Casale PN, Jones JL, Wolf FE, Pei Y, Eby LM. Patients treated by cardiologists have a lower in-hospital mortality for acute myocardial infarction. J Am Coll Cardiol 1998; 32:885-9.
16. Kitahata MM, Koepsell TD, Deyo RA, Maxwell CL, Dodge WT, Wagner EH. Physicians' experience with the acquired immunodeficiency syndrome as a factor in patients' survival. N Engl J Med 1996; 334:701-6.
17. Moore S, Gemmell I, Almond S, Buchan I, Osman I, Glover A, et al. Impact of specialist care on clinical outcomes for medical emergencies. Clin Med 2006; 6:286-93.
18. Vork JC, Brabrand M, Folkestad L, Thomsen KK, Knudsen T, Christiansen C. A medical admission unit reduces duration of hospital stay and number of readmissions. Dan Med Bull 2011; 58:A4298.
19. Li JY, Yong TY, Bennett DM, O'Brien LT, Roberts S, Hakendorf P, et al. Outcomes of establishing an acute assessment unit in the general medical service of a tertiary teaching hospital. Med J Aust 2010; 192:384-7.
20. St Noble VJ, Davies G, Bell D. Improving continuity of care in an acute medical unit: initial outcomes. QJM 2008; 101:529-33.
21. Kellett J, Deane B. The diagnoses and co-morbidity encountered in the hospital practice of acute internal medicine. Eur J Intern Med 2007; 18:467-73.
22. Kellett J, Emmanuel A, Deane B. Who will be sicker in the morning? Changes in the Simple Clinical Score the day after admission and the subsequent outcomes of acutely ill unselected medical patients. Eur J Intern Med. 2011; 22:375-81.
23. John A, Breen DP, Ghafar A, Olphert T, Burke CM. Bed usage in a Dublin teaching hospital: a prospective audit. Ir J Med Sci 2004; 173:126-8.
24. Wang H, Dwyer-Lindgren L, Lofgren KT, Rajaratnam JK, Marcus JR, Levin-Rector A, et al. Age-specific and sexspecific mortality in 187 countries, 1970-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380:2071-94.