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Readmission rates in the hospitals are increasingly being used as a benchmark to determine the quality of healthcare delivery to hospitalized patients. Around three-fourths of all hospital re-admissions can be avoided, saving billions of dollars. Many hospitals have now deployed electronic health record (EHR) systems that can be used to study issues that trigger readmission.However, most of the EHRs are high dimensional and sparsely populated, and analyzing such data sets is a Big Data challenge. The effect of some of the well-known dimension reduction techniques is minimized due to presence of non-linear variables. We use association mining as a dimension reduction method and the results are used to develop models, using data from an existing nursing EHR system, for predicting risk of re-admission to the hospitals. These models can help in determining effective treatments for patients to minimize the possibility of re-admission, bringing down the cost and increasing the quality of care provided to the patients. Results from the models show significantly accurate predictions of patient re-admission.
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http://dx.doi.org/10.1007/978-3-319-62701-4_14 | DOI Listing |
Surg Endosc
September 2025
Veterans Health Administration, Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Background: Robotic surgery has been proposed as an approach to mitigate open surgery, which is associated with increased morbidity and worse outcomes when compared to minimally invasive cholecystectomies. The study objective was to determine the effect on conversion rates and outcomes following the adoption of robotic surgery for benign gallbladder disease in a high-risk population.
Methods: Patients ≥ 18 years of age who underwent cholecystectomy for benign gallbladder disease from January 1, 2013 to April 18, 2025 at a Veterans Affairs hospital were retrospectively identified.
Int J Cardiovasc Imaging
September 2025
Heart & Vascular Institute, Henry Ford Hospital Detroit, Henry Ford West Bloomfield Hospital 5, West Bloomfield, MI, USA.
Transthoracic echocardiography (TTE) at the time of acute decompensated heart failure (ADHF) may reveal significant structural and hemodynamic abnormalities that can guide clinical management. However, the impact of routine repeat TTE in uncomplicated ADHF re-admissions is yet to be established. We studied patients with repeat TTE at the time of rehospitalization for ADHF to determine downstream clinical impact.
View Article and Find Full Text PDFBMC Cancer
August 2025
Department of Clinical Research Center, Shimane University Hospital, 89-1 Enya-cho, Izumo Shimane, 693-8501, Japan.
Background: The purpose of this study was to determine the association between a decline in 6-minute walk distance after pulmonary resection and prognosis, including hospital re-admission and mortality.
Methods: This study was a retrospective cohort study, and included 99 patients who underwent pulmonary resection between April 2015 and February 2018 and a 6-minute walk test before and after surgery. The subjects were divided into two groups: those with a ≥30-m decrease in 6-minute walk distance (the decreased group) and those with a < 30-m decrease (the unchanged group).
Laryngoscope
August 2025
Massachusetts Eye and Ear, Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
Objective: Patients with obstructive sleep apnea (OSA) have increased perioperative risk, and procedures for OSA have traditionally been performed in a full-service, hospital-based operative room (HOR) often with inpatient admission postoperatively. We sought to compare the efficiency and safety of outpatient drug-induced sleep endoscopy (DISE), expansion pharyngoplasty (EP), hypoglossal nerve stimulation (HGNS), and septoplasty performed in patients with OSA in an ambulatory surgery center (ASC) versus HOR.
Study Design: Retrospective Cohort Study.
Transl Psychiatry
August 2025
Section for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Aberrant levels of blood markers reflecting inflammation and immune system activation have been implicated in psychotic disorders and linked to psychotic symptom severity. However, their predictive value for the long-term course of psychotic symptoms as well as the potential confounding and moderating role of cannabis use remain underexplored. We tested if baseline levels of immune markers previously linked to psychotic symptoms or treatment response (CRP, IL-1RA, sIL-2R, sTNFR1, sgp130) predicted 10-year outcomes in a first-episode psychosis sample (N = 320), and whether associations were moderated by baseline cannabis use.
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