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10.1097/CCM.0000000000000925 http://scihub22266oqcxt.onion/10.1097/CCM.0000000000000925 C4769869!4769869!25760660     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25760660.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Crit+Care+Med 2015 ; 43 (6): 1178-86 Nephropedia Template TP {{tp|p=25760660|t=2015. Hospitals with the Highest Intensive Care Utilization Provide Lower Quality Pneumonia Care to the Elderly |pdf=|usr=}}{{25760660}} gab.com Text Hospitals with the Highest Intensive Care Utilization Provide Lower Quality Pneumonia Care to the Elderly JO: Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=25760660 #FOAvip Objective: Quality of care for patients admitted with pneumonia varies across hospitals, but causes of this variation are poorly understood. Whether hospitals with high intensive care unit (ICU) utilization for pneumonia patients provide better quality care is unknown. We sought to investigate the relationship between a hospital?s ICU admission rate for elderly patients with pneumonia and the quality of care it provided to patients with pneumonia. Design, Setting, and Patients: Retrospective cohort study of 2,812 US hospitals caring for at least 25 elderly (age ? 65) fee-for-service Medicare beneficiaries with either a (1) principal diagnosis of pneumonia or (2) principal diagnosis of sepsis or respiratory failure and secondary diagnosis of pneumonia in 2008. Interventions: None. Measurements and Main Results: We grouped hospitals into quintiles based on ICU admission rates for pneumonia. We compared rates of failure to deliver pneumonia processes of care (calculated as 100 ? adherence rate), 30-day mortality, hospital readmissions, and Medicare spending across hospital quintile. After controlling for other hospital characteristics, hospitals in the highest quintile more often failed to deliver pneumonia process measures, including appropriate initial antibiotics (13.0% versus 10.7%, p < 0.001), and pneumococcal vaccination (15.0% versus 13.3%, p = 0.03) compared to hospitals in quintiles 1?4. Hospitals in the highest quintile of ICU admission rate for pneumonia also had higher 30-day mortality, 30-day hospital readmission rates, and hospital spending per patient than other hospitals Conclusion: Quality of care was lower among hospitals with the highest rates of ICU admission for elderly patients with pneumonia; such hospitals were less likely to deliver pneumonia processes of care and had worse outcomes for pneumonia patients. High pneumonia-specific ICU admission rates for elderly patients identify a group of hospitals that may deliver inefficient and poor quality pneumonia care, and may benefit from interventions to improve care delivery. Twit Text FOAVip Hospitals with the Highest Intensive Care Utilization Provide Lower Quality Pneumonia Care to the Elderly ????Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=25760660 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25760660 #FOAvip English Wikipedia <ref>{{Cite pmid|25760660}}</ref> Hospitals with the Highest Intensive Care Utilization Provide Lower Quality Pneumonia Care to the Elderly #MMPMID25760660 Sjoding MW; Prescott HC; Wunsch H; Iwashyna TJ; Cooke CR Crit Care Med 2015[Jun]; 43 (6): 1178-86 PMID25760660show ga Objective: Quality of care for patients admitted with pneumonia varies across hospitals, but causes of this variation are poorly understood. Whether hospitals with high intensive care unit (ICU) utilization for pneumonia patients provide better quality care is unknown. We sought to investigate the relationship between a hospital?s ICU admission rate for elderly patients with pneumonia and the quality of care it provided to patients with pneumonia. Design, Setting, and Patients: Retrospective cohort study of 2,812 US hospitals caring for at least 25 elderly (age ? 65) fee-for-service Medicare beneficiaries with either a (1) principal diagnosis of pneumonia or (2) principal diagnosis of sepsis or respiratory failure and secondary diagnosis of pneumonia in 2008. Interventions: None. Measurements and Main Results: We grouped hospitals into quintiles based on ICU admission rates for pneumonia. We compared rates of failure to deliver pneumonia processes of care (calculated as 100 ? adherence rate), 30-day mortality, hospital readmissions, and Medicare spending across hospital quintile. After controlling for other hospital characteristics, hospitals in the highest quintile more often failed to deliver pneumonia process measures, including appropriate initial antibiotics (13.0% versus 10.7%, p < 0.001), and pneumococcal vaccination (15.0% versus 13.3%, p = 0.03) compared to hospitals in quintiles 1?4. Hospitals in the highest quintile of ICU admission rate for pneumonia also had higher 30-day mortality, 30-day hospital readmission rates, and hospital spending per patient than other hospitals Conclusion: Quality of care was lower among hospitals with the highest rates of ICU admission for elderly patients with pneumonia; such hospitals were less likely to deliver pneumonia processes of care and had worse outcomes for pneumonia patients. High pneumonia-specific ICU admission rates for elderly patients identify a group of hospitals that may deliver inefficient and poor quality pneumonia care, and may benefit from interventions to improve care delivery. äHospitals with the Highest Intensive Care Utilization Provide Lower Qu(epmc).pdf DeepDyve Pubget Overpricing