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Related Concept Videos

Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Related Experiment Video

Updated: Sep 10, 2025

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Risk Factor Analysis for Trauma Patients Readmitted Within 30 Days.

Hannah Tan1, Seth A Battad1, Caleb W Brown1

  • 1Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.

The American Surgeon
|August 25, 2025
PubMed
Summary

Unplanned 30-day trauma readmissions are linked to longer hospital stays, more comorbidities, and specific discharge factors. Identifying these predictors can improve trauma care quality and reduce readmission rates.

Keywords:
TQIPreadmissionsurgical qualitytrauma

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Area of Science:

  • Trauma Surgery
  • Healthcare Quality Improvement
  • Patient Outcomes Research

Background:

  • Unplanned hospital readmissions within 30 days (UR-30) are a significant concern in trauma care.
  • These readmissions are associated with adverse outcomes but are not well understood in trauma populations.

Purpose of the Study:

  • To investigate the factors associated with unplanned 30-day readmissions in trauma patients.
  • To identify key predictors influencing readmission risk for trauma survivors.

Main Methods:

  • Retrospective review of 164 trauma patients at a Level I center.
  • Propensity matching was used to compare 82 patients with UR-30 and 82 without (NoReadmission-30).
  • Analysis included demographics, comorbidities, injury severity, socioeconomic factors, medications, and hospital events.

Main Results:

  • UR-30 patients had longer hospital (5 vs 3 days) and ICU (2 vs 0 days) lengths of stay.
  • Transfusion requirements significantly increased readmission risk (6.7 times more likely).
  • Comorbidities like smoking, hyperlipidemia, CHF, substance use disorder, and multiple diagnoses were significant predictors. Infections, neurological decline, and pain control issues were common readmission reasons.

Conclusions:

  • UR-30 is influenced by length of stay, discharge disposition, comorbidities, and transfusion status.
  • These factors highlight the importance of UR-30 as a quality metric in trauma care.
  • Identifying and managing these risk factors can potentially reduce readmission rates.