A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION最新文献

Incremental Rates of Imaging and Diagnostic Procedures Attributed to Lung Cancer Screening in Community Practice 社区实践中肺癌筛查的影像学和诊断程序的增量率

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1001

K. Rendle, C. Saia, A. Vachani, A. Burnett-Hartman, V. P. Doria-Rose, C. Neslund-Dudas, C. Oshiro, R. Kim, J. Lafata, S. Honda, J. Wainwright, N. Mitra, R. Greenlee

引用次数: 0

Timely Receipt of Guideline Recommended Annual Lung Cancer Screening Across Three Rounds Among US Veterans 及时收到指南建议的美国退伍军人每年三轮肺癌筛查

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1002

E. Núñez, T. Caverly, S. Zhang, M. Glickman, S. Qian, J. Boudreau, D. Miller, C. Slatore, R. Wiener

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Indicators of Neighborhood Health Disparities in Idiopathic Pulmonary Fibrosis 特发性肺纤维化的邻里健康差异指标

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1004

A. Dedent, H. Collard, N. Thakur

引用次数: 0

The Epidemiology of Sarcoidosis Among U.S. Veterans, 2000-2020 2000-2020年美国退伍军人结节病流行病学研究

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1003

M. Seedahmed, J. Chen, J. Potter, C. Mcculloch, M. Whooley, L. Koth, M. Arjomandi

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Fellows’ Experience and Perceptions of Airway Management Training Within Pulmonary and Critical Care Fellowship 研究员在肺部和重症监护奖学金中气道管理培训的经验和看法

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1009

C. Ghiathi, A. Lanfranco, M. Kreider, J. Heath

引用次数: 0

Hospital-Level Care at Home for Adults with Acute Respiratory Illness: A Descriptive Analysis 急性呼吸系统疾病成人的医院级家庭护理:描述性分析

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1005

C. Hernández, H. Mitchell, N. A. Rosario, D. Levine

{"title":"Hospital-Level Care at Home for Adults with Acute Respiratory Illness: A Descriptive Analysis","authors":"C. Hernández, H. Mitchell, N. A. Rosario, D. Levine","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1005","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1005","url":null,"abstract":"Rationale “Home hospital” is hospital-level substitutive care delivered at home for acutely ill patients who would traditionally be cared for in the hospital. Despite years of successful operations and evidence from randomized controlled trials, to our knowledge outcomes in the U.S. specifically for patients with respiratory disease have not been evaluated. Methods We performed a retrospective evaluation of all patients who were cared for in our home hospital program between 2016 and 2021. We compared patients requiring admission with respiratory disease (asthma exacerbation, COPD exacerbation, and any non-COVID pneumonia) to all other patients who received home hospital care (other general medical conditions such as heart failure and infectious processes). Patients entered the program either from the emergency department after it was determined they required admission or from the general medical ward after it was determined they required additional days of acute care. Patients were risk-stratified using peak flow (asthma), BAP-65 (COPD), and CURB- 65 (pneumonia), among other scores to prognosticate against the ICU. Upon admission at home, patients received 2 nurse/paramedic visits daily, 1 physician visit daily, IV medications, advanced respiratory therapies, continuous heart and respiratory rate monitoring, and other hospital-level treatments/diagnostics as needed. Results Among 1,166 admissions, 25% were for respiratory disease (38% COPD, 38% pneumonia, and 24% asthma) and 75% were for non-respiratory disease (48% infection, 27% heart failure). Both groups had similar sociodemographic characteristics: mean age 72 years (SD, 17), 63% female, 44% White, 39% partnered, 71% English-speaking, 52% Medicare beneficiary, and 58% retired. Groups differed by education, with less attainment in the respiratory group (34% high school vs 29%;p=0.034), smoking status (20% active smoker vs 9%;p<0.001), and more outpatient medications (median number, 10 vs 8;p<0.001). During home hospital, respiratory patients had less utilization: length of stay (mean days, 3.4 vs 4.8;p<0.001), laboratory orders (median, 0 vs 2;p<0.001), consultations (1% vs 7%;p=0.004), and physical/occupational therapy (2% vs 7%;p=0.032). Both groups had a similar escalation rate (i.e., requiring transfer back to the hospital) of 4% and no mortality during home hospital. Within 30-days of discharge, both groups were similar: 14% readmission, 9% ED presentation, and 4% mortality. Conclusions Home hospital care is safe and effective for patients with acute respiratory illness compared to other general medical conditions. If scaled, it can serve to generate significant high-value capacity creation for health systems and communities, with opportunities to advance the complexity of care delivered.","PeriodicalId":118386,"journal":{"name":"A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125271764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Fragmented Care Is Associated with Greater Mortality and Increased Costs Among Patients Hospitalized for Respiratory Failure 在因呼吸衰竭住院的患者中，分散的护理与更高的死亡率和增加的费用相关

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1007

A. Admon, S. Cohen-Mekelburg, J. Denson, H. Gershengorn, C. Cooke

引用次数: 0

Length of Rounds, Patient Census, and Patient Acuity Correlate with Increased Cognitive Load Amongst Multidisciplinary Providers in an ICU Learning Environment 在ICU学习环境中，查房时间、患者普查和患者视敏度与多学科提供者认知负荷增加相关

A13. IMPROVING CARE FOR PATIENTS WITH LUNG DISEASE OR CRITICAL ILLNESS THROUGH TRAINING AND EVALUATION Pub Date : 2022-05-01 DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1008

N. Held, A. Neumeier, T. Amass, R. Pomponio, R. Peterson, T. Huie, M. Moss

引用次数: 0