National Healthcare Quality and Disparities Report
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Search All Research Studies
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- Adverse Events (3)
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- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Cost and Utilization Project (HCUP) (3)
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- (-) Hospital Readmissions (9)
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- (-) Injuries and Wounds (9)
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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 9 of 9 Research Studies DisplayedDekeyser GJ, Martin BI, Marchand LS
Geriatric distal femur fractures treated with distal femoral replacement are associated with higher rates of readmissions and complications.
The objective of this study was to compare mortality and complications of distal femur fracture repair among elderly patients who received operative fixation versus distal femur replacement (DFR). Participants were Medicare beneficiaries aged 65 and older with distal femur fracture who were identified using Center for Medicare & Medicaid Services data. Most of the patients received operative fixation surgery. Results indicated that DFR was associated with significantly greater rates of infection, device-related complication, pulmonary embolism, deep vein thrombosis, costs, and readmission.
AHRQ-funded; HS024714.
Citation: Dekeyser GJ, Martin BI, Marchand LS .
Geriatric distal femur fractures treated with distal femoral replacement are associated with higher rates of readmissions and complications.
J Orthop Trauma 2023 Oct; 37(10):485-91. doi: 10.1097/bot.0000000000002638..
Keywords: Elderly, Injuries and Wounds, Hospital Readmissions, Adverse Events
Wahl TS, Graham LA, Morris MS
Association between preoperative proteinuria and postoperative acute kidney injury and readmission.
This retrospective cohort study investigated whether preoperative proteinuria is associated with surgical outcomes including postoperative acute kidney injury (AKI) and readmission. The cohort used were undergoing elective inpatient surgery at 119 Veterans Affairs facilities from October 2007 to September 2014. The data collected was for a 7-month period in 2016. A higher probability of 30-day unplanned readmission was associated with preoperative proteinuria and postoperative AKI.
AHRQ-funded; HS013852.
Citation: Wahl TS, Graham LA, Morris MS .
Association between preoperative proteinuria and postoperative acute kidney injury and readmission.
JAMA Surg 2018 Sep;153(9):e182009. doi: 10.1001/jamasurg.2018.2009..
Keywords: Kidney Disease and Health, Injuries and Wounds, Adverse Events, Surgery, Risk, Hospital Readmissions, Outcomes
Yarbrough CK, Bommarito KM, Gamble PG
Population-based approaches to treatment and readmission after spinal cord injury.
Recent studies in surgical and non-surgical specialties have suggested that patients admitted on the weekend may have worse outcomes. It is unclear whether this extends to patients with spinal cord injury (SCI). This study was designed to evaluate factors for readmission after index hospitalization for spinal cord injury. The study’s results suggested that the weekend effect, described previously in other patient populations, may not play as important a role in patients with SCI.
AHRQ-funded; HS019455.
Citation: Yarbrough CK, Bommarito KM, Gamble PG .
Population-based approaches to treatment and readmission after spinal cord injury.
J Neurosurg Sci 2018 Apr;62(2):107-15. doi: 10.23736/s0390-5616.16.03617-1..
Keywords: Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Outcomes, Injuries and Wounds
Wheeler KK, Shi J, Nordin AB
U.S. pediatric burn patient 30-day readmissions.
The objectives of the study were to determine unscheduled 30-day readmission rates for pediatric burn patients and to identify readmission reasons. The investigators used the 2013-2014 National Readmission Database to produce 30-day all-cause unscheduled readmission rates by patient and hospital characteristics.
AHRQ-funded; HS024263.
Citation: Wheeler KK, Shi J, Nordin AB .
U.S. pediatric burn patient 30-day readmissions.
J Burn Care Res 2018 Jan;39(1):73-81. doi: 10.1097/bcr.0000000000000596..
Keywords: Children/Adolescents, Healthcare Cost and Utilization Project (HCUP), Injuries and Wounds, Children/Adolescents, Hospital Readmissions
Pretz CR, Graham JE, Middleton A
Longitudinal investigation of rehospitalization patterns in spinal cord and traumatic brain injury among Medicare beneficiaries.
The researchers modeled 12-month rehospitalization risk among Medicare beneficiaries receiving inpatient rehabilitation for SCI or TBI in order to create two (SCI- and TBI-specific) interactive tools enabling users to generate monthly projected probabilities for rehospitalization . They found that monthly rehospitalization probabilities for the individual high-risk TBI and SCI cases declined from 33-15% and 41-18%, respectively, over time.
AHRQ-funded; HS022134.
Citation: Pretz CR, Graham JE, Middleton A .
Longitudinal investigation of rehospitalization patterns in spinal cord and traumatic brain injury among Medicare beneficiaries.
Arch Phys Med Rehabil 2017 May;98(5):997-1003. doi: 10.1016/j.apmr.2016.12.012.
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Keywords: Hospital Readmissions, Medicare, Brain Injury, Injuries and Wounds
McLeod L, Flynn J, Erickson M
Variation in 60-day readmission for surgical-site infections (SSIs) and reoperation following spinal fusion operations for neuromuscular scoliosis.
The purpose of this study was to examine variation in hospital performance based on risk-standardized 60-day readmission rates for surgical-site infection (SSIs) and reoperation across 39 US Children's Hospitals. It found that reoperations were associated with an SSI in 70 percent of cases. Across hospitals, SSI and reoperation rates ranged from 1 percent to 11 percent and 1 percent to 12 percent, respectively.
AHRQ-funded; HS022198.
Citation: McLeod L, Flynn J, Erickson M .
Variation in 60-day readmission for surgical-site infections (SSIs) and reoperation following spinal fusion operations for neuromuscular scoliosis.
J Pediatr Orthop 2016 Sep;36(6):634-9. doi: 10.1097/bpo.0000000000000495.
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Keywords: Children/Adolescents, Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Adverse Events, Hospital Readmissions, Hospitals, Risk
Leland NE, Gozalo P, Christian TJ
An examination of the first 30 days after patients are discharged to the community from hip fracture postacute care.
This study examined the percentage of PAC patients who remain in the community at least 30 days after discharge (i.e., successful community discharge) after hip fracture rehabilitation and described differences among PAC facilities based on this outcome. It found that between 1999 and 2007, 57 percent of patients achieved successful community discharge. Black were less likely than similar whites to achieve successful community discharge.
AHRQ-funded; HS000011.
Citation: Leland NE, Gozalo P, Christian TJ .
An examination of the first 30 days after patients are discharged to the community from hip fracture postacute care.
Med Care 2015 Oct;53(10):879-87. doi: 10.1097/mlr.0000000000000419..
Keywords: Rehabilitation, Injuries and Wounds, Hospital Discharge, Hospital Readmissions, Outcomes
Merkow RP, Ju MH, Chung JW
Underlying reasons associated with hospital readmission following surgery in the United States.
The objectives of this study were to characterize the reasons for and timing of readmissions and to examine factors associated with unplanned surgical readmissions. It found that readmissions after surgery were mostly associated with postdischarge complications related to the procedure and not with exacerbation of prior index admission complications.
AHRQ-funded; HS21857.
Citation: Merkow RP, Ju MH, Chung JW .
Underlying reasons associated with hospital readmission following surgery in the United States.
JAMA 2015 Feb 3;313(5):483-95. doi: 10.1001/jama.2014.18614..
Keywords: Surgery, Hospital Readmissions, Injuries and Wounds
Curtin CM, Hernandez-Boussard T
Readmissions after treatment of distal radius fractures.
The authors assessed the rates and associated diagnoses of readmissions for patients having received an intervention for treatment of distal radius fracture. Using AHRQ data sets, they found that many distal radius fracture patients return to the health care system for pain-related issues, and they recommended implementation of better pain management.
AHRQ-funded; HS018558.
Citation: Curtin CM, Hernandez-Boussard T .
Readmissions after treatment of distal radius fractures.
J Hand Surg Am 2014 Oct;39(10):1926-32. doi: 10.1016/j.jhsa.2014.07.041.
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Keywords: Injuries and Wounds, Quality of Care, Healthcare Cost and Utilization Project (HCUP), Pain, Hospital Readmissions