PMID- 28615436
OWN - NLM
STAT- MEDLINE
DCOM- 20170724
LR  - 20220408
IS  - 1526-632X (Electronic)
IS  - 0028-3878 (Linking)
VI  - 89
IP  - 3
DP  - 2017 Jul 18
TI  - Hospital safety among neurologic patients: A population-based cohort study of 
      adverse events.
PG  - 284-290
LID - 10.1212/WNL.0000000000004111 [doi]
AB  - OBJECTIVE: To examine the frequency and type of adverse events (AEs) experienced 
      by neurologic patients in hospital. METHODS: This population-based, retrospective 
      cohort study used hospital discharge abstract data for children and adults 
      admitted to hospital from 2009 to 2015 with 1 of 9 neurologic conditions 
      (Alzheimer disease and related dementia, brain tumor, epilepsy, motor neuron 
      disease, multiple sclerosis, parkinsonism/Parkinson disease, spinal cord injury, 
      traumatic brain injury, and stroke). Neurologic conditions were identified with 
      ICD-10-CA codes. Eighteen AEs were examined with ICD-10-CA codes. The proportion 
      of AEs was calculated, and regression analysis was used to examine factors and 
      outcomes associated with AEs (age, sex, comorbidity, length of stay, and 
      mortality). RESULTS: The overall proportion of admissions associated with an AE 
      among those with a neurologic condition was 11 per 100 admissions. Those with a 
      spinal cord injury had the highest proportion of AEs (39.4 per 100 admissions). 
      The most common AEs were infections and respiratory complications (32.0% and 
      16.7%, respectively). Age and the presence of comorbidities were associated with 
      higher odds of an AE, while readmission was associated with lower odds of an AE. 
      Having an AE was associated with increased length of stay and higher odds of 
      mortality. CONCLUSIONS: This study demonstrates that neurologic patients have a 
      high proportion of AEs in hospital. The findings provide information on the 
      quality and safety of care for people with neurologic conditions in hospital, 
      which can help inform future quality improvement initiatives.
CI  - (c) 2017 American Academy of Neurology.
FAU - Sauro, Khara M
AU  - Sauro KM
AD  - From the Department of Community Health Sciences (K.M.S., H.Q., K.C.S., N.J.), 
      Department of Clinical Neurosciences (K.M.S., N.J.), and Hotchkiss Brain 
      Institute (K.M.S., N.J.), Cumming School of Medicine, University of Calgary; and 
      Alberta Health Services (P.F.), Calgary, Canada.
FAU - Quan, Hude
AU  - Quan H
AD  - From the Department of Community Health Sciences (K.M.S., H.Q., K.C.S., N.J.), 
      Department of Clinical Neurosciences (K.M.S., N.J.), and Hotchkiss Brain 
      Institute (K.M.S., N.J.), Cumming School of Medicine, University of Calgary; and 
      Alberta Health Services (P.F.), Calgary, Canada.
FAU - Sikdar, Khokan C
AU  - Sikdar KC
AD  - From the Department of Community Health Sciences (K.M.S., H.Q., K.C.S., N.J.), 
      Department of Clinical Neurosciences (K.M.S., N.J.), and Hotchkiss Brain 
      Institute (K.M.S., N.J.), Cumming School of Medicine, University of Calgary; and 
      Alberta Health Services (P.F.), Calgary, Canada.
FAU - Faris, Peter
AU  - Faris P
AD  - From the Department of Community Health Sciences (K.M.S., H.Q., K.C.S., N.J.), 
      Department of Clinical Neurosciences (K.M.S., N.J.), and Hotchkiss Brain 
      Institute (K.M.S., N.J.), Cumming School of Medicine, University of Calgary; and 
      Alberta Health Services (P.F.), Calgary, Canada.
FAU - Jette, Nathalie
AU  - Jette N
AD  - From the Department of Community Health Sciences (K.M.S., H.Q., K.C.S., N.J.), 
      Department of Clinical Neurosciences (K.M.S., N.J.), and Hotchkiss Brain 
      Institute (K.M.S., N.J.), Cumming School of Medicine, University of Calgary; and 
      Alberta Health Services (P.F.), Calgary, Canada. 
      nathalie.jette@albertahealthservices.ca.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170614
PL  - United States
TA  - Neurology
JT  - Neurology
JID - 0401060
SB  - IM
CIN - Neurology. 2017 Dec 12;89(24):2508. PMID: 29229687
CIN - Neurology. 2017 Dec 12;89(24):2508-2509. PMID: 29229688
CIN - Neurology. 2017 Dec 12;89(24):2509. PMID: 29229689
MH  - Age Factors
MH  - Alberta
MH  - Comorbidity
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - Inpatients
MH  - Male
MH  - Nervous System Diseases/*epidemiology/*therapy
MH  - *Patient Safety
MH  - Regression Analysis
MH  - Retrospective Studies
EDAT- 2017/06/16 06:00
MHDA- 2017/07/25 06:00
CRDT- 2017/06/16 06:00
PHST- 2016/12/02 00:00 [received]
PHST- 2017/04/21 00:00 [accepted]
PHST- 2017/06/16 06:00 [pubmed]
PHST- 2017/07/25 06:00 [medline]
PHST- 2017/06/16 06:00 [entrez]
AID - WNL.0000000000004111 [pii]
AID - 10.1212/WNL.0000000000004111 [doi]
PST - ppublish
SO  - Neurology. 2017 Jul 18;89(3):284-290. doi: 10.1212/WNL.0000000000004111. Epub 
      2017 Jun 14.