Alternative #Strategies to Inpatient Hospitalization for #Acute Medical Conditions
A Systematic Review
http://archinte.jamanetwork.com/mobile/article.aspx?articleid=2560377
Conclusions and Relevance For low-risk patients with a range of acute medical conditions, evidence suggests that alternative management strategies to inpatient care can achieve comparable clinical outcomes and patient satisfaction at lower costs. Further study and application of such opportunities for health system redesign is warranted.
A Systematic Review
http://archinte.jamanetwork.com/mobile/article.aspx?articleid=2560377
Conclusions and Relevance For low-risk patients with a range of acute medical conditions, evidence suggests that alternative management strategies to inpatient care can achieve comparable clinical outcomes and patient satisfaction at lower costs. Further study and application of such opportunities for health system redesign is warranted.
Jamanetwork
Alternative Strategies to Inpatient Hospitalization
This systematic review examines the effectiveness, safety, and cost of treating acute medical conditions in settings outside of a hospital inpatient unit.
Trends in Hospitalizations for #Acute #Kidney Injury — United States, 2000–2014
https://www.cdc.gov/mmwr/volumes/67/wr/mm6710a2.htm
Clinicians increasingly recognize acute kidney injury as an in-hospital complication of sepsis, heart conditions, and surgery. It is associated with higher likelihood of long-term care, increased incidence of chronic kidney disease, increased hospital mortality, and higher health care costs. A number of U.S. studies have indicated an increasing incidence of dialysis-treated acute kidney injury since the late 1990s.
Analysis of data from the 2000–2014 National Inpatient Sample and the National Health Interview Surveys indicates a significant absolute and relative increase in hospitalization rates for acute kidney injury among men and women in the United States. Hospitalization for acute kidney injury among persons with diabetes accounted for approximately 40% of all such hospitalizations; absolute increases in hospitalization rates among persons with diabetes were larger than those among persons without diabetes.
Diabetes is a known risk factor for acute kidney injury. The increasing number of persons living with diabetes is likely to also increase the number of persons with acute kidney injury. Improved awareness by health care providers that diabetes, hypertension, and advanced age are important risk factors for acute kidney injury might reduce its occurrence and improve management of the underlying diseases in an aging population
https://www.cdc.gov/mmwr/volumes/67/wr/mm6710a2.htm
Clinicians increasingly recognize acute kidney injury as an in-hospital complication of sepsis, heart conditions, and surgery. It is associated with higher likelihood of long-term care, increased incidence of chronic kidney disease, increased hospital mortality, and higher health care costs. A number of U.S. studies have indicated an increasing incidence of dialysis-treated acute kidney injury since the late 1990s.
Analysis of data from the 2000–2014 National Inpatient Sample and the National Health Interview Surveys indicates a significant absolute and relative increase in hospitalization rates for acute kidney injury among men and women in the United States. Hospitalization for acute kidney injury among persons with diabetes accounted for approximately 40% of all such hospitalizations; absolute increases in hospitalization rates among persons with diabetes were larger than those among persons without diabetes.
Diabetes is a known risk factor for acute kidney injury. The increasing number of persons living with diabetes is likely to also increase the number of persons with acute kidney injury. Improved awareness by health care providers that diabetes, hypertension, and advanced age are important risk factors for acute kidney injury might reduce its occurrence and improve management of the underlying diseases in an aging population
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#Acute Illness Associated With #Cannabis Use, by Route of Exposure: An Observational Study
https://annals.org/aim/article-abstract/2729208/acute-illness-associated-cannabis-use-route-exposure-observational-study
There were 9973 visits with an ICD-9-CM or ICD-10-CM code for cannabis use. Of these, 2567 (25.7%) visits were at least partially attributable to cannabis, and 238 of those (9.3%) were related to edible cannabis. Visits attributable to inhaled cannabis were more likely to be for cannabinoid hyperemesis syndrome (18.0% vs. 8.4%), and visits attributable to edible cannabis were more likely to be due to acute psychiatric symptoms (18.0% vs. 10.9%), intoxication (48% vs. 28%), and cardiovascular symptoms (8.0% vs. 3.1%). Edible products accounted for 10.7% of cannabis-attributable visits between 2014 and 2016 but represented only 0.32% of total cannabis sales in Colorado (in kilograms of tetrahydrocannabinol) in that period.
Visits attributable to inhaled cannabis are more frequent than those attributable to edible cannabis, although the latter is associated with more acute psychiatric visits and more ED visits than expected.
#Acute Illness Associated With #Cannabis Use, by Route of Exposure: An Observational Study
https://annals.org/aim/article-abstract/2729208/acute-illness-associated-cannabis-use-route-exposure-observational-study
There were 9973 visits with an ICD-9-CM or ICD-10-CM code for cannabis use. Of these, 2567 (25.7%) visits were at least partially attributable to cannabis, and 238 of those (9.3%) were related to edible cannabis. Visits attributable to inhaled cannabis were more likely to be for cannabinoid hyperemesis syndrome (18.0% vs. 8.4%), and visits attributable to edible cannabis were more likely to be due to acute psychiatric symptoms (18.0% vs. 10.9%), intoxication (48% vs. 28%), and cardiovascular symptoms (8.0% vs. 3.1%). Edible products accounted for 10.7% of cannabis-attributable visits between 2014 and 2016 but represented only 0.32% of total cannabis sales in Colorado (in kilograms of tetrahydrocannabinol) in that period.
Visits attributable to inhaled cannabis are more frequent than those attributable to edible cannabis, although the latter is associated with more acute psychiatric visits and more ED visits than expected.