- Muhammad Adil Sheikh, MBBS, Clinical Assistant Professor and Hospitalist, University of Michigan Medical School.
Excerpted from: Care Analytics News, Care Intervention Edition, Volume 13 Number 5, May 2020, Literature Review: "Assessment of Hospital Readmissions From the Emergency Department After Implementation of Medicare’s Hospital Readmissions Reduction Program."
1. Availability of the SDU (step-down unit)
was associated with a 3.9% absolute decrease in the
likelihood of hospital readmission within 30 days for ICU
patients with lower illness severity.
2. Availability of the SDU was associated
with a 3.6% decrease in the likelihood of ICU readmission
within 5 days for patients with higher illness severity.
3. Availability of the SDU was associated
with a 2.5% absolute decrease in in-hospital mortality for
patients with higher illness severity.
4. Availability of the SDU was associated
with a 1.1 day decrease in remaining hospital length-of-stay
for patients with higher illness severity.
Notes: The study, "The Impact of Step-Down Unit Care on
Patient Outcomes After ICU Discharge," compared outcomes, on
average, for patients discharged from the ICU to the SDU
(step-down unit) versus to a ward. For each of the 10
hospitals in the study, inpatient beds could be categorized
by level of care: the ICU with 1–2 patients per nurse, the
SDU (step-down unit) with 2.5–4 patients per nurse, and a
joint general medical/surgical ward with up to five patients
per nurse.
Source: Critical Care Explorations, May 2020
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Presentation of research by Dr. Priscilla Caban, Ph.D. RN,
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Drug and Alcohol Dependence, abstract only, July 2020
U.S. Pharmacist, April 29, 2020
West Virginia University School of Medicine News Release, April 22, 2020
BMC Emergency Medicine, May 12, 2020
American Journal of Health System Pharmacy, abstract only, May 8, 2020
JMIR Perioperative Medicine, abstract only, May 8, 2020
JAMA Network Open, May 1, 2020
Pediatrics, abstract only, May 2020
Population Health Management, abstract only, April 29, 2020
BMC Pulmonary Medicine, April 29, 2020
JAMA Network Open, April 28, 2020
BMJ Open, April 27, 2020
Medical & Biological Engineering & Computing, April 23, 2020
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