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[Untitled]
- 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.
- Subjects :
- COPD
medicine.medical_specialty
Joint replacement
business.industry
medicine.medical_treatment
Medicine (miscellaneous)
Health Informatics
medicine.disease
Pneumonia
Health Information Management
Intensive care
Acute care
Cellulitis
Emergency medicine
medicine
Level of care
Medical diagnosis
Intensive care medicine
business
Information Systems
Subjects
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