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AHRQ Research Studies Date
Topics
- Children/Adolescents (1)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedShaffer R, Backhus L, Finnegan MA
Thirty-day unplanned postoperative inpatient and emergency department visits following thoracotomy.
This study examined thirty-day unplanned postoperative inpatient and emergency department visits following thoracotomy. The study concluded that following thoracotomy, postoperative emergency department visits and inpatient readmissions are common. Patients with public insurance were at high risk for readmission, while patients with underlying lung cancer diagnosis had a lower readmission risk. Emphasizing postoperative management in at-risk populations could improve health outcomes and reduce unplanned returns to care.
AHRQ-funded; HS024096.
Citation: Shaffer R, Backhus L, Finnegan MA .
Thirty-day unplanned postoperative inpatient and emergency department visits following thoracotomy.
J Surg Res 2018 Oct;230:117-24. doi: 10.1016/j.jss.2018.04.065..
Keywords: Emergency Department, Hospital Readmissions, Outcomes, Patient Safety, Surgery
Shy BD, Loo GT, Lowry T
Bouncing back elsewhere: multilevel analysis of return visits to the same or a different hospital after initial emergency department presentation.
In this study, the investigators use a health information exchange network to describe differences between emergency department (ED) visits resulting in 72-hour revisits to the same hospital and those resulting in revisits to a different site. Their analysis describes how ED encounters with early revisits to the same hospital differ from those with revisits to a second hospital.
AHRQ-funded; HS021261.
Citation: Shy BD, Loo GT, Lowry T .
Bouncing back elsewhere: multilevel analysis of return visits to the same or a different hospital after initial emergency department presentation.
Ann Emerg Med 2018 May;71(5):555-63.e1. doi: 10.1016/j.annemergmed.2017.08.023..
Keywords: Emergency Department, Health Information Exchange (HIE), Hospital Readmissions, Quality Improvement
Nuckols TK, Fingar KR, Barrett ML
AHRQ Author: Steiner CA, Stocks C, Owens PL
Returns to emergency department, observation, or inpatient care within 30 days after hospitalization in 4 states, 2009 and 2010 versus 2013 and 2014.
This study described trends in rates of 30-day, all-cause, unplanned returns to the hospital, including returns for observation stays and ED visits. Increases in observation and ED visits coincided with declines in readmissions for private insurance and Medicare. Return rates rose among patients with Medicaid and the uninsured.
AHRQ-authored.
Citation: Nuckols TK, Fingar KR, Barrett ML .
Returns to emergency department, observation, or inpatient care within 30 days after hospitalization in 4 states, 2009 and 2010 versus 2013 and 2014.
J Hosp Med 2018 May;13(5):296-303. doi: 10.12788/jhm.2883.
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Keywords: Emergency Department, Health Insurance, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Hospital Readmissions
Horwitz LI, Wang Y, Altaf FK
Hospital characteristics associated with postdischarge hospital readmission, observation, and emergency department utilization.
In this cross-sectional analysis, the authors found that including emergency department and observation stays in measures of postdischarge utilization produced similar results as measuring only readmissions, in that major teaching, urban and for-profit hospitals still perform disproportionately poorly versus nonteaching or public hospitals.
AHRQ-funded; HS022882.
Citation: Horwitz LI, Wang Y, Altaf FK .
Hospital characteristics associated with postdischarge hospital readmission, observation, and emergency department utilization.
Med Care 2018 Apr;56(4):281-89. doi: 10.1097/mlr.0000000000000882..
Keywords: Emergency Department, Hospital Readmissions, Hospitalization
Sills MR, Macy ML, Kocher KE
Return visit admissions may not indicate quality of emergency department care for children.
The goal of this retrospective analysis was to test the hypothesis that in-hospital outcomes are worse among children admitted during a return ED visit than among those admitted during an index visit. Children who were hospitalized in Florida and New York hospitals during a return visit within 7 days were classified as "ED return admissions" or "readmissions"; in-hospital outcomes for ED return admissions and readmissions were compared to "index admissions without return admission". The results indicate that children who are initially discharged from the ED and then have a return admission had lower severity but similar cost in comparison with children who experienced an index admission without a return admission. The authors conclude that this suggests that ED return visit admissions do not involve worse outcomes than index admissions.
AHRQ-funded; HS024160; HS016418.
Citation: Sills MR, Macy ML, Kocher KE .
Return visit admissions may not indicate quality of emergency department care for children.
Acad Emerg Med 2018 Mar;25(3):283-92. doi: 10.1111/acem.13324..
Keywords: Children/Adolescents, Emergency Department, Hospital Discharge, Hospital Readmissions, Hospitals, Quality of Care, Outcomes