3 research outputs found
Prevalence and predictors of direct discharge home following hospitalization of patients with serious adverse events managed by the rapid response system in Japan: a multicenter, retrospective, observational study
Get PDFAim: The rapid response system (RRS) is an in-hospital medical safety system. To date, not much is known about patient disposition after RRS activation, especially discharge home. This study aimed to investigate the prevalence, characteristics, and outcomes of patients with adverse events who required RRS activation.
Methods: Retrospective data from the In-Hospital Emergency Registry in Japan collected from April 2016 to November 2020 were eligible for our analysis. We divided patients into Home Discharge, Transfer, and Death groups. The primary outcome was the prevalence of direct discharge home, and independently associated factors were determined using multivariable logistic regression.
Results: We enrolled 2,043 patients who met the inclusion criteria. The prevalence of discharge home was 45.7%; 934 patients were included in the Home Discharge group. Age (adjusted odds ratio [AOR] 0.96; 95% confidence interval [CI], 0.95-0.97), malignancy (AOR 0.69; 95% CI, 0.48-0.99), oxygen administration before RRS (AOR 0.49; 95% CI, 0.36-0.66), cerebral performance category score on admission (AOR 0.38; 95% CI, 0.26-0.56), do not attempt resuscitation order before RRS (AOR 0.17; 95% CI, 0.10-0.29), RRS call for respiratory failure (AOR 0.50; 95% CI, 0.34-0.72), RRS call for stroke (AOR 0.12; 95% CI, 0.03-0.37), and intubation (AOR 0.20; 95% CI, 0.12-0.34) were independently negative, and RRS call for anaphylaxis (AOR 15.3; 95% CI, 2.72-86.3) was positively associated with discharge home.
Conclusion: Less than half of the in-hospital patients under RRS activation could discharge home. Patients' conditions before RRS activation, disorders requiring RRS activation, and intubation were factors that affected direct discharge home
Prevalence and predictors of direct discharge home following hospitalization of patients with serious adverse events managed by the rapid response system in Japan: a multicenter, retrospective, observational study
No full textA Bibliography on the Social and Economic Phases of Dentistry and Other Health Services**This bibliography is the result of a cooperative effort on the part of Dr. L. E. Kurth, Mrs. Josephine Hunt, Librarian of the American Dental Association, and Dr. H. E. Phillips, and is sponsored by the Economics Committee of the American Dental Association of which Dr. E. H. Bruening is chairman. Other members of the Committee are Drs. John T. Hanks, R. H. Miller, H. W. Oppice and Leland R. Packwood. The Committee recognizing the need of such a bibliography had arranged that the work be done in the American Dental Association Library. When it was learned that Doctors Kurth and Phillips had already started such a bibliography, a joint effort in completing the work was agreed on. Much of this material is available from the American Dental Association Library Bureau.Such topics as would be included under the subject headings voluntary insurance, compulsory insurance, state dentistry, state medicine and socialized medicine are included in the bibliography.
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