Predicting excess cost for older inpatients with clinical complexity: A retrospective cohort study examining cognition, comorbidities and complications

PloS One
Kasia BailJohn Goss

Abstract

Hospital-acquired complications increase length of stay and contribute to poorer patient outcomes. Older adults are known to be at risk for four key hospital-acquired complications (pressure injuries, pneumonia, urinary tract infections and delirium). These complications have been identified as sensitive to nursing characteristics such as staffing levels and level of education. The cost of these complications compared to the cost of admission severity, dementia, other comorbidities or age has not been established. To investigate costs associated with nurse-sensitive hospital-acquired complications in an older patient population 157,178 overnight public hospital episodes for all patients over age 50 from one Australian state, 2006/07 were examined. A retrospective cohort study design with linear regression analysis provided modelling of length-of-stay costs. Explanatory variables included patient age, sex, comorbidities, admission severity, dementia status, surgical status and four complications. Extra costs were based on above-average length-of-stay for each patient's Diagnosis Related Group from hospital discharge data. For adults over 50 who have length of stay longer than average for their diagnostic condition, comorbid deme...Continue Reading

References

Aug 17, 2000·Journal of the American College of Surgeons·P A TaheriL J Greenfield
Sep 27, 2003·Archives of Gerontology and Geriatrics·Hülya EllidokuzHakan Abacioğlu
Dec 23, 2003·Journal of the American Geriatrics Society·Kenneth H ChuangC Seth Landefeld
Mar 20, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Linda P FriedGerard Anderson
Dec 25, 2004·Journal of Clinical Epidemiology·Vijaya SundararajanWilliam A Ghali
Apr 19, 2006·The Medical Journal of Australia·Janine CalverKieran A McCaul
Feb 1, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Nicholas GravesDavid Lairson
Feb 28, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Nicholas GravesMichael Whitby
Jun 28, 2007·Critical Care : the Official Journal of the Critical Care Forum·Onnen MoererHilmar Burchardi
Jan 22, 2008·Journal of the American Geriatrics Society·Alison M MudgeAlison J Cutler
May 13, 2008·The Journal of Nursing Administration·Sharon Holcombe Pappas
Aug 12, 2009·Healthcare Quarterly·Stacy Ackroyd-StolarzGeorge Kovacs
May 26, 2010·Journal of Safety Research·Danielle M Olds, Sean P Clarke
Jul 2, 2011·Journal of Health Services Research & Policy·Terri JacksonJohn Wakefield
Sep 15, 2011·Journal of Clinical Nursing·Lynn MartinPatty Montague
Oct 28, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·James M NaessensRichard Culbertson
Jan 6, 2012·The Journal of Bone and Joint Surgery. American Volume·Lucas E NikkelChristopher S Hollenbeak
Mar 10, 2012·Geriatric Nursing·Marie BoltzMichelle Secic
Apr 27, 2012·World Journal of Surgery·Chaur-Jong HuTa-Liang Chen
Jul 25, 2012·Nursing Outlook·Beatrice J Kalisch, Kyung Hee Lee
Jul 27, 2012·Journal of Orthopaedic Trauma·Anna E GarciaManish K Sethi
Oct 23, 2012·International Journal of Nursing Studies·Maria SchubertSabina De Geest
Feb 6, 2013·BMC Health Services Research·Catharina J van OostveenDirk T Ubbink
Mar 6, 2013·Zeitschrift für Gerontologie und Geriatrie·W Hofmann
Jun 14, 2013·Journal of the Royal Society of Medicine·Jim GeorgeCharles Vincent
Jul 20, 2013·Journal of Nursing Management·Nora WarshawskyRana Rahman
Aug 9, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Susannah Jane LongCharles Vincent
Oct 22, 2013·The Medical Journal of Australia·Kevin M TrentinoFrank F S Daly
Dec 4, 2013·Research in Gerontological Nursing·Deirdre K ThornlowRuth Anderson
Sep 6, 2014·Clinical Orthopaedics and Related Research·Andrew J PugelyJohn J Callaghan

❮ Previous
Next ❯

Citations

May 7, 2020·Journal of Medical Economics·Fernando Fuertes-Guiró, Eduardo Viteri Velasco
Nov 16, 2019·Current Colorectal Cancer Reports·Sooyeon KimCourtney J Balentine
Jun 27, 2020·Nursing Open·Christina Louise LindhardtJesper Ryg
May 21, 2021·The International Journal of Artificial Organs·Marykay A PavolJoshua Z Willey
Jun 10, 2021·Scandinavian Journal of Caring Sciences·Susana GasparMargarida Gaspar de Matos

❮ Previous
Next ❯

Software Mentioned

SAS EG

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.