Back to Search Start Over

[Untitled]

Authors :
Denise M. Hynes
Gayle R. Byck
John G. Demakis
Kendon J. Conrad
Frances M. Weaver
Marylou Guihan
Source :
Journal of Medical Systems. 22:161-172
Publication Year :
1998
Publisher :
Springer Science and Business Media LLC, 1998.

Abstract

Subacute care is a transitional level of care for medically stable patients who no longer require daily diagnostic/invasive care but require more intensive care than is typical in a skilled care facility. A Congressionally mandated study was undertaken to determine the number of VA patients with subacute needs being cared for in acute care. InterQual, Inc. subacute care criteria were retrospectively applied to 858 medical and surgical admissions from 43 VA hospitals. Over one-third contained at least one subacute days with an average length of stay (LOS) of 12.7 days (SD e 12.4)s of which 6.8 days were subacute. Patients with these admissions had significantly longer LOSs, were older, and were more likely to die or to be discharged to a nursing home. Diagnoses with subacute days included COPD, pneumonia, joint replacement, and cellulitis. Future studies should develop clinical pathways to prospectively manage admissions with subacute needs and then evaluate their effectiveness.

Details

ISSN :
01485598
Volume :
22
Database :
OpenAIRE
Journal :
Journal of Medical Systems
Accession number :
edsair.doi...........fc320b3bc3dbd5f3a636e0437774ba52
Full Text :
https://doi.org/10.1023/a:1022663700045