Disabling disease codes predict worse outcomes for acute medical admissions

Internal Medicine Journal

Volumn 44, Issue 6, 2014, Pages 546-553

  Chotirmall, S H ^a   Picardo, S ^a   Lyons, J ^a   D'Alton, M ^a   O'Riordan, D ^a   Silke, B ^a  

^a ST JAMES S HOSPITAL   (Ireland)

Author keywords

Comorbidity; Disability; Emergency; Mortality; Patient admission

Indexed keywords

ACUTE DISEASE; ADULT; AGED; ARTICLE; DISABILITY; DISEASE SEVERITY; FEMALE; HOSPITAL ADMISSION; HUMAN; IRELAND; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; PATIENT CODING; PREDICTION; PRIORITY JOURNAL; SCORING SYSTEM; SURVIVAL RATE; CLASSIFICATION; DIAGNOSIS RELATED GROUP; EMERGENCY; EMERGENCY HEALTH SERVICE; EPIDEMIOLOGY; HOSPITAL; INTERNATIONAL CLASSIFICATION OF DISEASES; LIFE EXPECTANCY; MIDDLE AGED; PROGNOSIS; PROSPECTIVE STUDY; RESIDENTIAL CARE; SEVERITY OF ILLNESS INDEX; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME; URBAN POPULATION; VERY ELDERLY;

ACUTE DISEASE; ADULT; AGED; AGED, 80 AND OVER; CATCHMENT AREA (HEALTH); DIAGNOSIS-RELATED GROUPS; DISABILITY EVALUATION; EMERGENCIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HOSPITALS, URBAN; HUMANS; INTERNATIONAL CLASSIFICATION OF DISEASES; IRELAND; LENGTH OF STAY; LIFE EXPECTANCY; MALE; MIDDLE AGED; PROGNOSIS; PROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; URBAN POPULATION;

EID: 84904655290     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/imj.12440     Document Type: Article

References (29)

1. Langlands A, Dowdle R, Elliott A, Gaddie J, Graham A, Johnson G etal. RCPE UK consensus statement on acute medicine, November 2008. Br J Hosp Med (Lond) 2009; 70: S6-7.
2. Rooney T, Bennett K, Silke B. Reduced mortality and length of stay in a teaching hospital after establishment of an acute medical admission unit (AMAU): a 5-year prospective study. Eur J Intern Med 2008; 19: E3.
3. 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: 457-465.
4. Moloney ED, Bennett K, Silke B. Effect of an acute medical admission unit on key quality indicators assessed by funnel plots. Postgrad Med J 2007; 83: 659-663.
5. Hirsch CH, Sommers L, Olsen A, Mullen L, Winograd CH. The natural history of functional morbidity in hospitalized older patients. J Am Geriatr Soc 1990; 38: 1296-1303.
6. Sager MA, Franke T, Inouye SK, Landefeld CS, Morgan TM, Rudberg MA etal. Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 1996; 156: 645-652.
7. Landefeld CS, Palmer RM, Kresevic DM, Fortinsky RH, Kowal J. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995; 332: 1338-1344.
8. Conway R, Galvin S, Coveney S, O'Riordan D, Silke B. Deprivation as an outcome determinant in emergency medical admissions. QJM 2013; 106: 245-251.
9. Lynch C, Holman CD, Moorin RE. Use of Western Australian linked hospital morbidity and mortality data to explore theories of compression, expansion and dynamic equilibrium. Aust Health Rev 2007; 31: 571-581.
10. Ozminkowski RJ, Smith MW, Coffey RM, Mark TL, Neslusan CA, Drabek J. Private payers serving individuals with disabilities and chronic conditions. Report prepared under contract #HHS-100-95-0044, U.S. Department of Health and Human Services, Office of Disability, Aging and Long-Term Care Policy. 2000. [cited 2013 Oct 12]. Available from URL: http://aspe.hhs.gov/daltcp/reports/privpay.htm
11. Zweifel P, Ferrari M. Is there a Sisyphus syndrome in health care? Dev Health Econ Public Policy 1992; 1: 311-330.
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: 373-383.
13. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care 1998; 36: 8-27.
14. Froom P, Shimoni Z. Prediction of hospital mortality rates by admission laboratory tests. Clin Chem 2006; 52: 325-328.
15. 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; 2: 59-65.
16. Prytherch DR, Sirl JS, Schmidt P, Featherstone PI, Weaver PC, Smith GB. The use of routine laboratory data to predict in-hospital death in medical admissions. Resuscitation 2005; 66: 203-207.
17. Mackway-Jones K, Marsden J, Windle J. Emergency Triage, 2nd edn. London: Blackwell Publishing Ltd; 2006.
18. Kalben BB. Why Men Die Younger: Causes of Mortality Differences by Sex. Schaumburg, IL: Society of Actuaries; 2002.
19. Crimmins ESY, Ingegneri D. Trends in disability free life expectancy in the United States. Popul Dev Rev 1997; 23: 555-572.
20. Marszalek J, De Villiers PJ. Morbidity profile of admissions to GF Jooste Hospital, Manenberg, Cape Town. S Afr Fam Pract 2006; 48: 15a-e.
21. Niewoehner DE, Lokhnygina Y, Rice K, Kuschner WG, Sharafkhaneh A, Sarosi GA etal. Risk indexes for exacerbations and hospitalizations due to COPD. Chest 2007; 131: 20-28.
22. Brameld KJ, Holman CD. Demographic factors as predictors for hospital admission in patients with chronic disease. Aust N Z J Public Health 2006; 30: 562-566.
23. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002; 162: 2269-2276.
24. Ahern MM, Hendryx M. Avoidable hospitalizations for diabetes: comorbidity risks. Dis Manag 2007; 10: 347-355.
25. O'Malley AS, Pham HH, Schrag D, Wu B, Bach PB. Potentially avoidable hospitalizations for COPD and pneumonia: the role of physician and practice characteristics. Med Care 2007; 45: 562-570.
26. Basu J, Friedman B, Burstin H. Primary care, HMO enrollment, and hospitalization for ambulatory care sensitive conditions: a new approach. Med Care 2002; 40: 1260-1269.
27. Morris RD, Munasinghe RL. Geographic variability in hospital admission rates for respiratory disease among the elderly in the United States. Chest 1994; 106: 1172-1181.
28. Rea H, McAuley S, Stewart A, Lamont C, Roseman P, Didsbury P. A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease. Intern Med J 2004; 34: 608-614.
29. Gadoury MA, Schwartzman K, Rouleau M, Maltais F, Julien M, Beaupre A etal. Self-management reduces both short- and long-term hospitalisation in COPD. Eur Respir J 2005; 26: 853-857.