Adapting the HCUP QIs for Hospital Use: The Experience in New York State

Jiang, Hui; Ciccone, Kathleen R.; Urlaub, Charles J.; Boyd, Donald; Meeks, Glenda; Horton, Linda

doi:10.1016/s1070-3241(01)27018-7

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…This is comparable to a 53% decline in hospitalization rates due to pneumocystis pneumonia identified from the HCUP database [14] in 11 of the 18 states reporting to this database over the same period (ICD9 code: 136.3). Total hospitalizations among HIV-uninfected individuals also decreased over the study period from 756 hospitalizations per million population in 1997 to 639 hospitalizations/million population in 2009 (APC: -1.7; 95% CI:-2.2,-1.2), which was a slower rate than CM-associated admissions, suggesting that the decrease in CM was not solely due to the overall decrease in HIV hospitalizations.…”

Section: Resultssupporting

confidence: 55%

“…We found a declining incidence of CM hospitalizations associated with HIV as reported earlier [17], and in a more recent single center study at Duke University [9], with a stable incidence of CM among non-HIV associated CM hospitalizations, leading to a relative increase in the proportion of non-HIV CM. This decline was similar to the predominately HIV-related opportunistic infection, pneumocystis pneumonia, using a similar HCUP database [14]. Widespread availability of ART beginning in 1997 likely contributed to the decrease in hospitalizations of these opportunistic infections in HIV-infected patients [2].…”

Section: Discussionmentioning

confidence: 57%

“…Restrictions in the study to 18 states due to lack of continuous reporting in the remainder may have influenced overall estimated prevalence estimates if there were unrecognized large deviations in prevalence throughout the U.S. Finally, because such data represent hospital discharges rather than individually-identified patients [14], we are unable to identify how many unique hospitalizations may be from the same individual.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Cryptococcal Meningitis in the US: 1997–2009

et al. 2013

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Cryptococcal meningitis (CM) causes significant morbidity and mortality globally; however, recent national trends have not been described. Incidence and trends for CM-associated hospitalizations in 18 states were estimated using the Agency for Healthcare and Research Quality (AHRQ) State Inpatient Databases (SID) datasets for 1997 through 2009. We identified 30,840 hospitalizations coded for CM, of which 21.6% were among HIV-uninfected patients. CM in-hospital mortality was significant (12.4% for women and 10.8% for men) with a total of 3,440 deaths over the study period. Co-morbidities of CM coded at increased frequency in HIV-uninfected CM hospitalized populations included hydrocephalus and acute/chronic renal failure as well as possible predispositions including transplantation, combined T and B cell defects, Cushing’s syndrome, liver disease and hypogammaglobulinemia. Median hospitalization costs were significant for CM and higher for HIV-uninfected patients (16,803.01 vs. 15,708.07; p<0.0001). Cryptococcal meningitis remains a disease with significant morbidity and mortality in the U.S. and the relative burden among persons without HIV infection is increasing.

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Section: Resultssupporting

confidence: 55%

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Cryptococcal Meningitis in the US: 1997–2009

et al. 2013

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“…The PSIs replaced a previous set of AHRQ quality indicators that included complications that were similar to those of the CSP. 10,11 Table 1 provides a list of the 20 indicators; 10 involve surgical care, 6 medical, and 4 obstetrical.…”

mentioning

confidence: 99%

Do the AHRQ Patient Safety Indicators Flag Conditions That Are Present at the Time of Hospital Admission?

et al. 2008

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“…The Healthcare Cost and Utilization Project State Inpatient Databases of New York and Florida 35 were utilized for this study. These databases contain inpatient admission/discharge information including clinical and nonclinical information for all patients regardless of insurance status.…”

Section: Databasementioning

confidence: 99%

Greater Prevalence of Mental Health Conditions in Septic Revision Total Knee Arthroplasty: A Call to Action

et al. 2020

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The purpose of this study was to compare the prevalence of mental health conditions among patients undergoing (1) primary total knee arthroplasty (pTKA), (2) septic revision total knee arthroplasty (rTKA), and (3) aseptic revision total knee arthroplasty (TKA). The State Inpatient Databases were queried for all TKAs from 2005 to 2014 yielding 563,144 patients. Patients were separated into the following cohorts: primary, septic revision, and aseptic revision. Diagnoses of any mental health condition and the following specific conditions were compared between the three cohorts: schizophrenia/delusion, bipolar disorder, depression/mood disorder, personality disorder, anxiety/somatic/dissociative disorder, eating disorders, attention deficit hyperactivity disorder /conduct/impulse control, alcohol abuse, and drug abuse. Throughout the study period, an increase in the prevalence of mental health conditions was observed in septic and aseptic revision patients. Overall, there was a significantly higher prevalence of mental health conditions in the septic revision cohort (22.7%) compared with the primary (17.8%, p < 0.001) and aseptic revision (20.0%, p < 0.001) cohorts. Specifically, septic revision TKA patients had a higher prevalence of depression (p < 0.001), alcohol abuse (p < 0.001), drug abuse (p < 0.001), schizophrenia (p = 0.0007), and bipolar disorder (p < 0.001), compared with primary TKA patients. Additionally, there was a significantly higher prevalence of depression (p < 0.001), alcohol abuse (p < 0.001), and drug abuse (p < 0.001) among septic revision patients compared with aseptic revision patients. Mental health conditions were significantly higher among septic revision patients. Alcohol and drug abuse were approximately twice as prevalent in septic revision patients compared with primary and aseptic revision patients. These findings should serve as a call to action for mental health support for patients suffering from PJI.

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Adapting the HCUP QIs for Hospital Use: The Experience in New York State

Cited by 8 publications

References 14 publications

Epidemiology of Cryptococcal Meningitis in the US: 1997–2009

Epidemiology of Cryptococcal Meningitis in the US: 1997–2009

Do the AHRQ Patient Safety Indicators Flag Conditions That Are Present at the Time of Hospital Admission?

Greater Prevalence of Mental Health Conditions in Septic Revision Total Knee Arthroplasty: A Call to Action

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