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10.5489/cuaj.4370 http://scihub22266oqcxt.onion/10.5489/cuaj.4370 C5698022!5698022!29072567     free     free     free Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Can+Urol+Assoc+J 2017 ; 11 (11): E431-6 Nephropedia Template TP {{tp|p=29072567|t=2017. Never events and hospital-acquired conditions after kidney transplant |pdf=|usr=}}{{29072567}} gab.com Text Never events and hospital-acquired conditions after kidney transplant JO: Can Urol Assoc J http://www.kidney.de/pget.php?&tw=1&pmid=29072567 #FOAvip Introduction: Never events (NE) and hospital-acquired conditions (HAC) after surgery have been designated as quality metrics in health-care by the Centres for Medicare and Medicaid Services (CMS). Methods: The Nationwide Inpatient Sample (NIS) database 2002?2012 was used to identify patientswho underwent kidney transplant. Multivariate analysis using logistic regression was used to identify outcomes and risk factors of HAC and NE after transplantation; however, we were limited by using a retrospective database missing some important variables specified for the kidney transplant, such as some operative factors, donor factors, and cold and warm ischemia times. Results: Among 35 058 patients who underwent kidney transplant, there were 11 NEs, all of which were due to retained foreign bodies. Among HAC after surgery, falling was the most common (44.9%), followed by poor glycemic control (21.7%), vascular catheter-associated infection (21%), and catheter-associated urinary tract infection (8%). HAC and NE after surgery lead to a significant increase in mortality (adjusted odds ratio [AOR] 2.49; p=0.04), hospitalization length (13 vs. 7 days; p<0.01), and total hospital charges ($231 801 vs. $146 717; p<0.01). A significantly higher risk of HAC or NE was seen for patients who had more loss of function before surgey (AOR 3.25; p<0.01) and patients expected to have higher postoperative mortality before operation (AOR 1.62; p=0.03). Conclusions: Despite the limitations of the study, we found HAC and NE significantly increase mortality, hospitalization length, and total hospital charges of kidney transplant patients. Quality improvement initiatives should target HAC and NE in order to successfully reduce or prevent these events. Twit Text FOAVip Never events and hospital-acquired conditions after kidney transplant ????Can Urol Assoc J http://www.kidney.de/pget.php?&tw=1&pmid=29072567 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29072567 #FOAvip English Wikipedia <ref>{{Cite pmid|29072567}}</ref> Never events and hospital-acquired conditions after kidney transplant #MMPMID29072567 Moghadamyeghaneh Z; Chen LJ; Alameddine M; Gupta AK; Burke GW; Ciancio G Can Urol Assoc J 2017[Nov]; 11 (11): E431-6 PMID29072567show ga Introduction: Never events (NE) and hospital-acquired conditions (HAC) after surgery have been designated as quality metrics in health-care by the Centres for Medicare and Medicaid Services (CMS). Methods: The Nationwide Inpatient Sample (NIS) database 2002?2012 was used to identify patientswho underwent kidney transplant. Multivariate analysis using logistic regression was used to identify outcomes and risk factors of HAC and NE after transplantation; however, we were limited by using a retrospective database missing some important variables specified for the kidney transplant, such as some operative factors, donor factors, and cold and warm ischemia times. Results: Among 35 058 patients who underwent kidney transplant, there were 11 NEs, all of which were due to retained foreign bodies. Among HAC after surgery, falling was the most common (44.9%), followed by poor glycemic control (21.7%), vascular catheter-associated infection (21%), and catheter-associated urinary tract infection (8%). HAC and NE after surgery lead to a significant increase in mortality (adjusted odds ratio [AOR] 2.49; p=0.04), hospitalization length (13 vs. 7 days; p<0.01), and total hospital charges ($231 801 vs. $146 717; p<0.01). A significantly higher risk of HAC or NE was seen for patients who had more loss of function before surgey (AOR 3.25; p<0.01) and patients expected to have higher postoperative mortality before operation (AOR 1.62; p=0.03). Conclusions: Despite the limitations of the study, we found HAC and NE significantly increase mortality, hospitalization length, and total hospital charges of kidney transplant patients. Quality improvement initiatives should target HAC and NE in order to successfully reduce or prevent these events. äNever events and hospital-acquired conditions after kidney transplant (epmc).pdf DeepDyve Pubget Overpricing