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- W2790355499 endingPage "e0193319" @default.
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- W2790355499 abstract "Background Hospital-acquired complications increase length of stay and contribute to poorer patient outcomes. Older adults are known to be at risk for four key hospital-acquired complications (pressure injuries, pneumonia, urinary tract infections and delirium). These complications have been identified as sensitive to nursing characteristics such as staffing levels and level of education. The cost of these complications compared to the cost of admission severity, dementia, other comorbidities or age has not been established. Method To investigate costs associated with nurse-sensitive hospital-acquired complications in an older patient population 157,178 overnight public hospital episodes for all patients over age 50 from one Australian state, 2006/07 were examined. A retrospective cohort study design with linear regression analysis provided modelling of length-of-stay costs. Explanatory variables included patient age, sex, comorbidities, admission severity, dementia status, surgical status and four complications. Extra costs were based on above-average length-of-stay for each patient’s Diagnosis Related Group from hospital discharge data. Results For adults over 50 who have length of stay longer than average for their diagnostic condition, comorbid dementia predicts an extra cost of A$874, (US$1,247); any one of four key complications predicts A$812 (US$1,159); each increase in admission severity score predicts A$295 ($US421); each additional comorbidity predicts A$259 (US$370), and for each year of age above 50 predicts A$20 (US$29) (all estimates significant at p<0.0001). Discussion Hospital-acquired complications and dementia cost more than other kinds of inpatient complexity, but admission severity is a better predictor of excess cost. Because complications are potentially preventable and dementia care in hospitals can be improved, risk-reduction strategies for common complications, particularly for patients with dementia could be cost effective. Conclusions Complications and dementia were found to cost more than other kinds of inpatient complexity." @default.
- W2790355499 created "2018-03-29" @default.
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- W2790355499 date "2018-02-23" @default.
- W2790355499 modified "2023-10-17" @default.
- W2790355499 title "Predicting excess cost for older inpatients with clinical complexity: A retrospective cohort study examining cognition, comorbidities and complications" @default.
- W2790355499 cites W1482411635 @default.
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- W2790355499 cites W1964022426 @default.
- W2790355499 cites W1964981692 @default.
- W2790355499 cites W1968026351 @default.
- W2790355499 cites W1970952870 @default.
- W2790355499 cites W1971863118 @default.
- W2790355499 cites W1972566009 @default.
- W2790355499 cites W1972727867 @default.
- W2790355499 cites W1974120018 @default.
- W2790355499 cites W1977274292 @default.
- W2790355499 cites W1981717263 @default.
- W2790355499 cites W1983536233 @default.
- W2790355499 cites W1983919609 @default.
- W2790355499 cites W1991871310 @default.
- W2790355499 cites W2002714181 @default.
- W2790355499 cites W2005596549 @default.
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- W2790355499 cites W2040464340 @default.
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- W2790355499 cites W2050641790 @default.
- W2790355499 cites W2057423663 @default.
- W2790355499 cites W2067203789 @default.
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- W2790355499 cites W2223393519 @default.
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- W2790355499 doi "https://doi.org/10.1371/journal.pone.0193319" @default.
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