National Healthcare Quality and Disparities Report
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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 6 of 6 Research Studies DisplayedHirayama A, Goto T, Shimada YJ
Acute exacerbation of chronic obstructive pulmonary disease and subsequent risk of emergency department visits and hospitalizations for atrial fibrillation.
Although emerging evidence has suggested the relationship of chronic obstructive pulmonary disease with atrial fibrillation (AF), little is known about whether acute exacerbation of chronic obstructive pulmonary disease (AECOPD) increases the risk of repeated AF-related healthcare utilization. The investigators found that among patients with existing AF, AECOPD was associated with a higher risk of AF-related ED visit or hospitalization in the first 90-day post-AECOPD period.
AHRQ-funded; HS023305.
Citation: Hirayama A, Goto T, Shimada YJ .
Acute exacerbation of chronic obstructive pulmonary disease and subsequent risk of emergency department visits and hospitalizations for atrial fibrillation.
Circ Arrhythm Electrophysiol 2018 Sep;11(9):e006322. doi: 10.1161/circep.118.006322..
Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Department, Respiratory Conditions, Heart Disease and Health, Cardiovascular Conditions, Chronic Conditions, Hospitalization, Risk, Healthcare Utilization
Stevens JP, Dechen T, Schwartzstein R
Prevalence of dyspnea among hospitalized patients at the time of admission.
Dyspnea is an uncomfortable and distressing sensation experienced by hospitalized patients. There is no large-scale study of the prevalence and intensity of patient-reported dyspnea at the time of admission to the hospital. In this study the investigators conducted a prospective cohort study among all consecutive hospitalized patients at a single tertiary care center in Boston, MA. The investigators concluded that dyspnea is a common symptom among all hospitalized patients and that routine documentation of dyspnea is feasible in a large tertiary care center.
AHRQ-funded; HS024288.
Citation: Stevens JP, Dechen T, Schwartzstein R .
Prevalence of dyspnea among hospitalized patients at the time of admission.
J Pain Symptom Manage 2018 Jul;56(1):15-22.e2. doi: 10.1016/j.jpainsymman.2018.02.013..
Keywords: Emergency Department, Hospitalization, Pain
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
Parast L, Bardach NS, Burkhart Q
Development of new quality measures for hospital-based care of suicidal youth.
This study researched the value of 4 new quality measures developed to assess hospital-based care for suicidal youth. The four quality measures focused on counseling caregivers about restricting access to lethal means of self-harm, and the benefits and risks of antidepressant medications. They were divided into measures for the emergency department (ED) and inpatient measures. Survey field tests were conducted with caregivers of youth who were admitted to the ED or inpatient care for suicidality at 1 of 2 children’s hospitals between July 2013 and June 2014. Most caregivers did receive counseling about restricting their child’s access to lethal means of self-harm and also reported higher rates of counseling of benefits on antidepressants both in the ED and in the inpatient setting than the risks.
AHRQ-funded; HS020506.
Citation: Parast L, Bardach NS, Burkhart Q .
Development of new quality measures for hospital-based care of suicidal youth.
Acad Pediatr 2018 Apr;18(3):248-55. doi: 10.1016/j.acap.2017.09.017..
Keywords: Caregiving, Children/Adolescents, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Education: Patient and Caregiver, Emergency Department, Hospitalization, Hospitals, Inpatient Care, Behavioral Health, Prevention, Quality of Care, Quality Measures
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
Cline DM, Silva S, Freiermuth CE
Emergency department (ED), ED observation, day hospital, and hospital admissions for adults with sickle cell disease.
In the context of a two-institution quality improvement project to implement best practices for management of patients with sickle cell disease (SCD) vaso-occlusive crisis (VOC), researchers prospectively compared acute care encounters for utilization of 1) emergency department (ED); 2) ED observation unit; 3) day hospital, and 4) hospital admission, of two different patient cohorts with SCD. They found that healthcare utilization varied dramatically between individual patients.
AHRQ-funded; HS019646.
Citation: Cline DM, Silva S, Freiermuth CE .
Emergency department (ED), ED observation, day hospital, and hospital admissions for adults with sickle cell disease.
West J Emerg Med 2018 Mar;19(2):311-18. doi: 10.5811/westjem.2017.9.35422.
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Keywords: Emergency Department, Healthcare Utilization, Hospitalization, Quality Improvement, Sickle Cell Disease