Who Has an Unsuccessful Observation Care Stay?
AbstractBackground: With the recent increase use of observation care, it is important to understand the characteristics of patients that utilize this care and either have a prolonged observation care stay or require admission. Methods: We a conducted a retrospective cohort study utilizing 5% sample data from Medicare patients age ≥65 years that was nationally representative in the year 2013. We performed a generalized estimating equation (GEE) logistic regression analysis to evaluate the relationship between an unsuccessful observation stay (defined as either requiring an inpatient admission from observation or having a prolonged observation stay) compared to having successful observation care. Observation cut offs of “successful” vs. “unsuccessful” were based on the CMS 2 midnight rule. Results: Of 154,756 observation stays in 2013, 19 percent (n = 29,604) were admitted to the inpatient service and 34,275 (22.2%) had a prolonged observation stay. The two diagnoses most likely to have an unsuccessful observation stay were intestinal infections (OR 1.56, 95% CI 1.32–1.83) and pneumonia (OR 1.26, 95% CI 1.13–1.41). Conclusion: We found patients placed in observation care with intestinal infections and pneumonia to have the highest odds of either being admitted from observation or having a prolonged observation stay. View Full-Text
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Gabayan, G.Z.; Doyle, B.; Liang, L.-J.; Donkor, K.; Huang, D. .-C.; Sarkisian, C.A. Who Has an Unsuccessful Observation Care Stay? Healthcare 2018, 6, 138.
Gabayan GZ, Doyle B, Liang L-J, Donkor K, Huang D -C, Sarkisian CA. Who Has an Unsuccessful Observation Care Stay? Healthcare. 2018; 6(4):138.Chicago/Turabian Style
Gabayan, Gelareh Z.; Doyle, Brian; Liang, Li-Jung; Donkor, Kwame; Huang, David .-C.; Sarkisian, Catherine A. 2018. "Who Has an Unsuccessful Observation Care Stay?" Healthcare 6, no. 4: 138.
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