The burden of chronic disorders on hospital admissions prompts the need for new modalities of care: A cross-sectional analysis in a tertiary hospital

Abstract

The study shows a high impact of cancer on planned hospitalizations whereas cardiovascular diseases and COPD generates a high percentage of unscheduled admissions. We conclude that integrated care services including patient-oriented guidelines are strongly needed to enhance both health and managerial outcomes.

Effect of Standardized Electronic Discharge Instructions on Post-Discharge Hospital Utilization

“…1 Severity of illness has been well documented to affect the likelihood of hospital readmission. 13,14 In this study, we used the All Patient Refined Diagnostic Related Groups (APR-DRG) weight that has been used in previous studies as a measure of severity of illness and predicts readmission risk. 15 For the purpose of our analyses the APR-DRG weight was categorized in deciles.…”

Inflammatory bowel diseases, chronic liver diseases and the lung

“…A longitudinal study about the spectrum and prevalence of multimorbidities in a population of >1600 patients with chronic obstructive pulmonary disease (COPD) over 4 years reported both gastro-oesophageal reflux disease (GORD) (18% and 20% in survivors and nonsurvivors, respectively) and liver cirrhosis (<2% each) alone [1]. A study of ∼20 000 patients aimed at assessing the impact of chronic conditions on tertiary hospital admissions revealed that the prevalence of liver cirrhosis in the COPD population was <5%, a figure close to the prevalence of COPD observed in the hepatic cirrhotic cohort [2]. A third, more modest, study of 215 patients admitted to hospital (28% diagnosed with COPD) observed no differences in the number of multimorbidities between patients with and without COPD.…”

The Healthcare Burden Imposed by Liver Disease in Aging Baby Boomers

“…The number of Americans over age 65 years will double in the first 30 years of this century [1]. Medicine has changed dramatically as well and now deals increasingly with complications of chronic diseases that often result from lifestyle choices including coronary artery disease, chronic obstructive pulmonary disease, diabetes, degenerative arthritis, and asthma [2]. The care of these and other diseases will dominate healthcare during this generation's retirement years.…”

“…The care of these and other diseases will dominate healthcare during this generation's retirement years. Today, almost half of all Americans and 75% of elderly Americans have at least one chronic health problem [2][3][4]. About 70% of those with one chronic problem have at least two chronic illnesses [2,3].…”

“…Today, almost half of all Americans and 75% of elderly Americans have at least one chronic health problem [2][3][4]. About 70% of those with one chronic problem have at least two chronic illnesses [2,3]. Chronic diseases account for 70% of all deaths and about 80% of US healthcare costs [3].…”