Articles: outcome-assessment-health-care.
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Multicenter Study
Time-of-day effects on surgical outcomes in the private sector: a retrospective cohort study.
Surgical care is delivered around the clock. Elective cases within the Veterans Affairs health system starting after 4 pm appear to have an elevated risk of morbidity, but not mortality, compared with earlier cases. The relationship between operation start time and patient outcomes is not described in private-sector patients or for emergency cases. ⋯ Surgical start times are associated with risk-adjusted patient outcomes. In terms of facility operations management and resource allocation, consideration should be given to the capacity to accommodate cases with differences in risk during different time periods.
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American heart journal · Oct 2009
Multicenter Study Comparative StudyPractice patterns, outcomes, and end-organ dysfunction for patients with acute severe hypertension: the Studying the Treatment of Acute hyperTension (STAT) registry.
Limited data are available on the care of patients with acute severe hypertension requiring hospitalization. We characterized contemporary practice patterns and outcomes for this population. ⋯ This study highlights heterogeneity in care, BP control, and outcomes of patients hospitalized with acute severe hypertension.
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Randomized Controlled Trial Multicenter Study
Structured re-assessment system at 6 months after a disabling stroke: a randomised controlled trial with resource use and cost study.
national policy recommends routine re-assessment of disabled patients and their carers at 6 months after stroke onset. The clinical and resource outcomes of this policy were investigated. ⋯ the structured, systematic re-assessment for patients and their carers was not associated with any clinically significant evidence of benefit at 12 months. Health and social care resource use and mean cost per patient were broadly similar in both groups.
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J. Thromb. Haemost. · Jun 2009
Multicenter StudyRisk stratification and outcomes in hemodynamically stable patients with acute pulmonary embolism: a prospective, multicentre, cohort study with three months of follow-up.
The role of risk stratification in normotensive patients with acute pulmonary embolism (PE) is still unclear. ⋯ We did not find prognostic markers useful as predictors of in-hospital PE-related adverse events. Clinical score, troponin I and hypoxemia predicted in-hospital all-cause mortality. Clinical score and troponin I independently predicted 3-month all-cause mortality.
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Multicenter Study Comparative Study
Level I versus Level II trauma centers: an outcomes-based assessment.
Trauma centers improve outcomes compared with nontrauma centers, although the relative benefit of different levels of major trauma centers (Level I vs. Level II hospitals) remains unclear. We sought to determine whether there was a difference in the patient outcome in trauma victims taken to Level I versus Level II trauma centers. ⋯ Patients taken to Level I centers had improved survival and better functional outcomes compared with injured persons taken to Level II hospitals.