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With the deinstitutionalization of the last 30 years, psychiatric patients who where formerly housed and treated in large-scale mental hospitals in the country-side, were transferred to the cities and encouraged to rehabilitate and reintegrate in society, with the help of ambulatory psychiatric care and small-scale community admission units.
Non-community admissions and prior exposure to piperaciline-tazobactam and carbapenem resulted being associated with isolation of E. faecium in our patients.
By contrast community hospital admissions were strongly particularly common among poorer population, especially in urban areas, and private hospital admissions decisively favoured the better off, with a sharp rural strengthening of this tendency under the UCS.
Contacts included readmissions to hospital (acute and community hospitals), admissions to nursing homes/residential care, contacts with the hospital ED, outpatient clinics, day hospitals, general practitioners (GPs), nurses and any other health or social care provider.
Another limitation was that the study focused only on ADRs that either caused hospital admission or extended hospital stay, whereas most ADRs (90%) are fairly minor and occur in the community without admission to hospital.
Participants were adults who had been discharged into the community following admission to an acute general rehabilitation hospital.
For case-patients who survived their illness in the community without admission to an ETU, the date of recovery was the first date on which investigators could verify that the person was no longer symptomatic.
At the end of the study 76 participants (31%) had a good composite outcome: 57/195 (29%) living in the community at admission were alive, had not moved to a permanent care home and had not been readmitted to hospital; 19/52 (37%) living in care homes at admission were alive and had not been readmitted.
The low incidence among women followed in the community after admission to hospital with near-miss obstetric morbidity (0.9 per 1000 and 1.4 per 1000) [ 30, 31] is particularly surprising, since this sample would have included a substantial number of women with a prolonged and complicated labour.
