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COVID-19 Pandemic and Racial and Ethnic Disparities in Long-Term Nursing Home Stay or Death Following Hospital Discharge.
JAMA Netw Open
January 2025
RAND Health, RAND, Boston, Massachusetts.
Importance: Long-term nursing home stay or death (long-term NH stay or death), defined as new long-term residence in a nursing home or death following hospital discharge, is an important patient-centered outcome.
Objective: To examine whether the COVID-19 pandemic was associated with changes in long-term NH stay or death among older adults with sepsis, and whether these changes were greater in individuals from racial and ethnic minoritized groups.
Design, Setting, And Participants: This cross-sectional study used patient-level data from the Medicare Provider Analysis and Review File, the Master Beneficiary Summary File, and the Minimum Data Set.
The Association of the Coronavirus Disease-2019 Pandemic With Disparities in Maternal Outcomes.
Anesth Analg
January 2025
RAND Health, RAND, Boston, MA.
Background: In the United States, Black and Hispanic patients have substantially worse maternal outcomes than non-Hispanic White patients. The goals of this study were to evaluate the association between the coronavirus disease-2019 (COVID-19) pandemic and maternal outcomes, and whether Black and Hispanic patients were disproportionately affected by the pandemic compared to White patients.
Methods: Multivariable logistic regression was used to examine in the United States the association between maternal outcomes (severe maternal morbidity, mortality, failure-to-rescue, and cesarean delivery) and the weekly hospital proportion of COVID-19 patients, and the interaction between race, ethnicity, payer status, and the hospital COVID-19 burden using US national data from the Vizient Clinical Database between 2017 and 2022.
Transnational intergenerational relationships and doing transcultural family through mandarin learning: an ethnographic glance at Chinese dynamics in four intercultural families in Germany.
Front Sociol
December 2024
Faculty of Humanities and Social Sciences, Helmut Schmidt University, Hamburg, Germany.
This article explores the micro dimension within the field of intercultural family studies. The ethnographic study focuses on Chinese elements in transcultural upbringing practices within families with Chinese mothers and German fathers raising their children in Germany. It builds on the notion of family figuration practice in transnational grandparents-grandchildren relations, particularly Confucian-based transnational grandparenting, and the development of a 'third space' for transcultural family upbringing within intercultural families.
View Article and Find Full Text PDFAt a glance: pressure injuries.
Br J Nurs
November 2024
Advanced Clinical Practitioner, Acute Response Team, The Rotherham NHS Foundation Trust, Rotherham, lisa.
Pressure injuries, also known as pressure ulcers or 'bed sores', are caused by prolonged pressure on the skin and underlying tissues and are common in healthcare settings. They result from a variety of factors including pressure, moisture and friction, with a higher risk among older adults, post‑surgical patients and those with limited mobility or long‑term conditions. These injuries can extend hospital stays and significantly impact patient recovery and mortality risk.
View Article and Find Full Text PDFTime Since Prior NSTEMI and Major Adverse Cardiovascular and Cerebrovascular Events After Noncardiac Surgery.
JAMA Surg
January 2025
RAND Health, RAND, Boston, Massachusetts.
Article Synopsis
- Delaying elective noncardiac surgery after an acute myocardial infarction (NSTEMI) leads to better health outcomes, but existing guidelines are outdated and based on old data.
- A study analyzed Medicare data from surgeries between 2015 and 2020, focusing on patients 67 and older, to determine how the time since an NSTEMI affects postoperative risks.
- Results showed that surgeries performed within 30 days of an NSTEMI significantly increased the chances of major cardiovascular and cerebrovascular events, with risks leveling off after 30 days for those who had heart procedures, but increasing again after 180 days.
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