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All subsequent analyses included only the enrollees with multiple hospitalizations in 2007, for a total of 115,693 unique patients.
The first case was a 77-year-old female with unknown psychiatric problems and atrophic skin lesions on the face, self-induced for many months, with multiple hospitalizations in dermatology units, with no response to different therapeutic patterns, and full recovery after psychiatric treatment for a major depressive syndrome.
Compared to single system users who had multiple hospitalizations in 2007, dual users were about as likely to have had prior admissions during the preceding three years; furthermore, they were only somewhat less likely than VA-only users to have had prior VA admissions, and somewhat less likely than non-VA-only users to have had prior non-VA admissions.
Consistent with the generally accepted indications for immunosuppressive use, we found greater 6 MP/Azathioprine use by those who had used intravenous or oral corticosteroids in the past 12 months, those with multiple hospitalizations in the past five years and those who had undergone surgery within the past two years.
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Pre-hospital discharge risk factors included: use of a walker, decline in mobility, dependency in activities of daily living (ADL), multiple falls during hospital stay, cognitive impairment, multiple hospitalization in the year prior, and post hospitalization risk factors include: self report of confusion, use of antidepressants, delirium, and poorer balance [ 12, 13].
The SPARCS data does not identify individuals with multiple hospitalizations or patients in federally regulated hospitals, nor does it include out-of-state health care treatment received by NYS residents.
Multiple hospitalizations or surgeries in the same patient were counted as one event for the primary outcome analysis, and the time to first event was used for analysis.
Anonymized unique patient identifiers allow tracking patients across hospitals in case of multiple hospitalizations.
Some misdiagnosed asthma patients can have multiple hospitalizations, including events that result in intubation and intensive care unit stays.
His clinical course was complicated by debilitating neurological symptoms and multiple hospitalizations leading to a delay in diagnosis caused by incomplete initial workup.
We did not feel that we could reliably identify and link multiple hospitalizations for patients transferred to another hospital using the administration codes in the database.
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