Length of stay and therapeutic intervention allow estimation of in-hospital resource use independent of site and inflation

Article Abstract:

A method for estimating hospital resource utilization has been developed. It is independent of site and inflation and not affected by hospital accounting artifacts. It measures hospital production cost directly, not measuring hospital revenue, making it a better method for assessing impact on total hosptial cost from a change in a medical care process. It is especially useful for multisite studies of severely ill patients. A prospective cohort study of prognoses, preferences, and outcomes for seriously ill hospitalized adults was carried out in five US teaching hospitals. Subjects, numbering 4301 in the derivation sample and 4804 in the validation sample, were enrolled in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT). Determining costs of alternative treatments or models of care is increasingly important.

Medical economics, Economic aspects, Finance, Hospitals, Therapeutics, Medical care, Cost of, Health care costs, Hospitalization, Hospital utilization, Hospital stays, Hospital care, Health care rationing

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Assessment of pain in cognitively impaired older adults: a comparison of pain assessment tools and their use by nonprofessional caregivers

Article Abstract:

A prospective observational cohort of cognitively impaired (CI) older adult patients of mean age 83 (83% females in 156 subjects) with dementia and the assessment of pain were studied relative to pain assessment tools and their use by nonprofessional caregivers. In 70 of the 104 subjects able to complete any tool, the caregiver and CI subject agreed about the level of pain.

Health aspects, Aging, Care and treatment, Aged, Elderly, Statistical Data Included, Usage, Practice, Caregivers, Community health services, Pain, Cognition, Medical records, Geriatrics, Nursing assessment, Frail elderly, Senile dementia, Analgesics, Home care

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