Publications by authors named "A R Sabbatini"
Article Synopsis
- A study analyzed hospital transfers for older adults (65+) from 2008 to 2019, finding that over 11% of these transfers were potentially avoidable, meaning patients often did not receive necessary care post-transfer.
- Conditions most linked to avoidable transfers included transient cerebral ischemia, nonspecific chest pain, and syncope, with those conditions showing significantly higher rates of avoidability compared to other diagnoses.
- Factors influencing avoidable transfers included patient demographics (like being 85+ years old, female, or non-White) as well as characteristics of the hospitals involved, such as their size and profit status.
Background: Observation stays in Medicare have grown over the last 15 years, yet limited research exists on how observation may impact outcomes for older adults.
Objective: To examine the relationship of an observation stay with 30-day hospital returns, total acute care days post-discharge, mortality, and out-of-pocket costs, compared to an inpatient admission.
Design: Retrospective cohort study using instrumental variable analysis.
Importance: The Medicare Competitive Bidding Program (CBP), a policy that reduced durable medical equipment prices, was implemented starting in 2011. Legislation introduced in 2024 aims to remove supplemental oxygen from the CBP because of concerns that recent decreases in oxygen prescribing are due to lower prices set by the CBP, which may have decreased supply and, in turn, limited oxygen access for patients with chronic lung diseases. However, low-value prescribing of oxygen is also prevalent in practice, and decreased oxygen prescription rates may not have necessarily caused harm.
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- Researchers created a 3D model of the thyroid gland to study how different substances, like 3-MNT, affect thyroid cells better than flat 2D cultures.
- They tested the model using special techniques to see how the cells looked and how well they worked, finding that the 3D structure behaved more like real thyroid tissue.
- The study found that 3MNT changed the activity of a specific thyroid enzyme and affected the production of important proteins, making the 3D model a useful tool for understanding thyroid health.