Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study
Variation in the risk of death due to COVID-19: An international multicenter cohort study of hospitalized adults.
There is wide variation in mortality among patients hospitalized with COVID-19. Whether this is related to patient or hospital factors is unknown. ⋯ There was wide variation in inpatient COVID-19 mortality across hospitals, which was largely explained by patient-level factors, such as age and severity of presenting illness. However, hospital-level factors that could have affected care, including resource availability and capacity, were not taken into account. These findings highlight potential limitations in comparing crude mortality rates across hospitals for the purposes of reporting on the quality of care.
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Multicenter Study
Respiratory virus testing and clinical outcomes among children hospitalized with pneumonia.
Despite the increased availability of diagnostic tests for respiratory viruses, their clinical utility for children with community-acquired pneumonia (CAP) remains uncertain. ⋯ Viral testing practices varied widely across children's hospitals and were not associated with clinically important process or outcome measures. Viral testing may not influence clinical management for many children hospitalized with CAP.
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Multicenter Study
Child Opportunity Index 2.0 and acute care utilization among children with medical complexity.
Disproportionately high acute care utilization among children with medical complexity (CMC) is influenced by patient-level social complexity. ⋯ CMC from low opportunity ZIP codes utilize more acute care. They may benefit from hospital and community-based interventions aimed at equitably improving child health outcomes.
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Multicenter Study
Effectiveness of the rural transitions nurse program for Veterans: A multicenter implementation study.
Veterans are often transferred from rural areas to urban VA Medical Centers for care. The transition from hospital to home is vulnerable to postdischarge adverse events. ⋯ TNP was associated with increased postdischarge follow-up and a mortality reduction. Further investigation to understand the reduction in mortality is needed.
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Multicenter Study
Disparities in the allocation of inpatient physical and occupational therapy services for patients with COVID-19.
Survivors of the novel coronavirus (COVID-19) experience significant morbidity with reduced physical function and impairments in activities of daily living. The use of in-hospital rehabilitation therapy may reduce long-term impairments. ⋯ In a cohort of patients hospitalized for COVID-19 across a multicenter healthcare system, we found that referral rates and delivery of physical therapy and/or occupational therapy sessions were significantly reduced for patients of Hispanic identity compared with patients of non-Hispanic, Caucasian identity after adjustment for potential confounding by available demographic and illness severity variables.