Hospital Admission

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Haidong Kan - One of the best experts on this subject based on the ideXlab platform.

  • Impact of extreme temperature on Hospital Admission in Shanghai, China
    The Science of the total environment, 2011
    Co-Authors: Li Peng, Haidong Kan
    Abstract:

    No previous study exists in China examining the impact of extreme temperature on morbidity outcomes. In this study, we investigated the impact of heat waves and cold spells on Hospital Admission in Shanghai, China. Daily Hospital Admission data between January 1, 2005 and December 31, 2008 were collected from the Shanghai Health Insurance Bureau. The heat wave was defined as a period of at least 7 consecutive days with daily maximum temperature above 35.0 °C and daily average temperatures above the 97th percentile during the study period. The cold spell was defined as a period of at least 7 consecutive days with daily maximum temperature and daily average temperatures below the 3rd percentile during the study period. We calculated excess cases of Hospitalization and rate ratios (RRs) to estimate the impacts of both heat wave and cold spell on Hospital Admission. We identified one heat wave period (from 24 July to 2 August, 2007) and one cold spell period (from 28 January to 3 February, 2008) between 2005 and 2008. The heat wave was associated with 2% (95% CI: 1%-4%), 8% (95%CI: 5%-11%), and 6% (95%CI: 0%-11%) increase of total, cardiovascular and respiratory Hospital Admission. The cold spell was associated with 38% (95%CI: 35%, 40%), 33% (95%CI: 28%, 37%) and 32% (95%CI: 24%, 40%) increase of total, cardiovascular and respiratory Hospital Admission. The differences between heat wave and cold spell-related Hospital Admission were statistically significant for all causes and cardiovascular causes, but not for respiratory causes. In conclusion, both heat wave and cold spell were associated with increased risk of Hospital Admissions in Shanghai. Cold spell seemed to have a larger impact on Hospital Admission than heat wave. Public health programs should be tailored to prevent extreme temperature-related health problems in the city.

  • Daily visibility and Hospital Admission in Shanghai, China.
    Biomedical and environmental sciences : BES, 2011
    Co-Authors: Renjie Chen, Weimin Song, Haidong Kan
    Abstract:

    Objective The study is to investigate the associations between visibility, major air pollutants and daily counts of Hospital Admission in Shanghai, China.

D. Warde - One of the best experts on this subject based on the ideXlab platform.

Stuart J Wolf - One of the best experts on this subject based on the ideXlab platform.

  • immediate unplanned Hospital Admission after outpatient ureteroscopy for stone disease
    The Journal of Urology, 2011
    Co-Authors: Seth Strope, Chang He, William W Roberts, Gary J Faerber, Stuart J Wolf
    Abstract:

    Purpose: Medicare recently changed reimbursement for ureteroscopy, encouraging migration to ambulatory surgical centers. To our knowledge the risk of immediate unplanned Hospital Admission, which may discourage ureteroscopy at ambulatory surgical centers, is unknown. We determined the rate of immediate unplanned Hospital Admission, identified factors associated with Admission and developed a risk stratification tool to assist with location selection for outpatient ureteroscopy.Materials and Methods: We retrospectively reviewed the records of 1,798 consecutive outpatient ureteroscopic procedures for urolithiasis performed from 1998 to 2008 at our institution. Patients requiring immediate Hospital Admission were matched 1 to 3 by provider, gender and date with controls who did not require Admission. Patient demographics, comorbid conditions, stone history and burden, and operative technique were assessed for impact on Admission by bivariate and multivariate logistic regression. A scoring system was develope...

Javier Ariza - One of the best experts on this subject based on the ideXlab platform.

  • Predictive factors of meticillin resistance among patients with Staphylococcus aureus bloodstream infections at Hospital Admission.
    The Journal of hospital infection, 2007
    Co-Authors: Adriana Manzur, M. Vidal, Miquel Pujol, M. Cisnal, Ana Hornero, C. Masuet, Carmen Peña, Francisco Gudiol, Javier Ariza
    Abstract:

    Summary Meticillin-resistant Staphylococcus aureus (MRSA) is prevalent throughout the healthcare system in Spain, particularly in long-term care facilities (LTCF) and the incidence of MRSA bloodstream infection (MRSA-BSI) at Hospital Admission is increasing. This study aimed to determine factors that predict meticillin resistance among patients who require Hospitalization for S. aureus BSI. We performed a case–control study comparing patients with S. aureus at Hospital Admission from January 1991 to December 2003. Case patients with MRSA-BSI at Hospital Admission ( N =50) were compared with control patients with meticillin-susceptible S. aureus bloodstream infection (MSSA-BSI) at Hospital Admission ( N =98). The incidence of MRSA-BSI at Hospital Admission increased significantly from 0.08 cases/1000 Hospital Admissions in 1991 to 0.37 cases in 2003 ( P 60 years, female sex, prior MRSA isolation and healthcare-related BSI. No differences were found in underlying conditions such as diabetes, haemodialysis, immunosuppression, source of infection or mortality between the two groups. Multivariate analyses identified prior MRSA isolation [odds ratio (OR): 41; 95% confidence interval (CI): 4–350] and Admission from long-term care facilities (OR: 37; 95% CI: 4.5–316) as independent risk factors for MRSA-BSI.

Renjie Chen - One of the best experts on this subject based on the ideXlab platform.

  • Daily visibility and Hospital Admission in Shanghai, China.
    Biomedical and environmental sciences : BES, 2011
    Co-Authors: Renjie Chen, Weimin Song, Haidong Kan
    Abstract:

    Objective The study is to investigate the associations between visibility, major air pollutants and daily counts of Hospital Admission in Shanghai, China.

  • Ambient air pollution and Hospital Admission in Shanghai, China.
    Journal of hazardous materials, 2010
    Co-Authors: Renjie Chen, Chen Chu, Jianguo Tan, Junshan Cao, Weimin Song, Cheng Jiang, Chunxue Yang, Bingheng Chen
    Abstract:

    No prior studies exist in Mainland China examining the association of outdoor air pollution with Hospital Admissions. In this study, we conducted a time-series analysis to examine the association of outdoor air pollutants (PM(10), SO(2), and NO(2)) with both total and cause-specific Hospital Admission in Shanghai, using three years of daily data (2005-2007). Hospital Admission and air pollution data were collected from the Shanghai Health Insurance Bureau and Shanghai Environmental Monitoring Center. Natural spline model was used to analyze the data. We found outdoor air pollution was associated with increased risk of total and cardiovascular Hospital Admission in Shanghai. The effect estimates of air pollutants varied by lag (L) structures of pollutants' concentrations. For lag 5, a 10 microg/m(3) increase in concentration of PM(10), SO(2) and NO(2) corresponded to 0.18% (95% CI: -0.15%, 0.52%), 0.63% (95% CI: 0.03%, 1.23%), and 0.99% (95% CI: 0.10%, 1.88%) increase of total Hospital Admission; and 0.23% (95% CI: -0.03%, 0.48%), 0.65% (95% CI: 0.19%, 1.12%), and 0.80% (95% CI: 0.10%, 1.49%) increase of cardiovascular Hospital Admission. The associations appeared to be more evident in the cool season (from November to April) than in the warm season (from May to October). We found significant effects of gaseous pollutants (SO(2) and NO(2)) after adjustment for PM(10). Our analyses provide the first evidence in China that the current air pollution level has an effect on Hospital Admission and strengthen the rationale for further limiting air pollution levels in Shanghai.