Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair
المؤلفون المشاركون
Rao, Ahsan
Aylin, Paul
Bottle, Alex
Bicknell, Collin
Darzi, Ara
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-03
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Introduction.
The aim of the study was to examine common sequences of causes of readmissions among those patients with multiple hospital admissions, high-impact users, after abdominal aortic aneurysm (AAA) repair and to focus on strategies to reduce long-term readmission rate.
Methods.
The patient cohort (2006–2009) included patients from Hospital Episodes Statistics, the national administrative data of all NHS English hospitals, and followed up for 5 years.
Group-based trajectory modelling and sequence analysis were performed on the data.
Results.
From a total of 16,973 elective AAA repair patients, 18% (n=3055) were high-impact users.
The high-impact users among ruptured abdominal aortic aneurysm (rAAA) repair constituted 17.3% of the patient population (n=4144).
There were 2 subtypes of high-impact users, short-term (7.2%) with initial high readmission rate following by rapid decline and chronic high-impact (10.1%) with persistently high readmission rate.
Common causes of readmissions following elective AAA repair were respiratory tract infection (7.3%), aortic graft complications (6.0%), unspecified chest pain (5.8%), and gastrointestinal haemorrhage (4.8%).
However, high-impact users included significantly increased number of patients with multiple readmissions and distinct sequences of readmissions mainly consisting of COPD (4.7%), respiratory tract infection (4.7%), and ischaemic heart disease (3.3%).
Conclusion.
A significant number of patients were high-impact users after AAA repair.
They had a common and distinct sequence of causes of readmissions following AAA repair, mainly consisting of cardiopulmonary conditions and aortic graft complications.
The common causes of long-term mortality were not related to AAA repair.
The quality of care can be improved by identifying these patients early and focusing on prevention of cardiopulmonary diseases in the community.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rao, Ahsan& Bottle, Alex& Bicknell, Collin& Darzi, Ara& Aylin, Paul. 2018. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rao, Ahsan…[et al.]. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rao, Ahsan& Bottle, Alex& Bicknell, Collin& Darzi, Ara& Aylin, Paul. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1214808
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر