atans1

Hospitals make sick more sick

In Uncategorized on 26/12/2015 at 11:35 am

hospital systems have developed to serve the people who work there, not the clients. Err this could describe the PAP administration.

Seriously better try to avoid getting admitted unless absolutely nec. Patients once in there are more vulnerable to disease and accidents.

Krumholz learned that only about a third of patient readmissions were related to the original cause of hospitalisation. Patients’ reasons for returning to hospital were diverse and linked to their immune systems, balance, cognitive functioning, strength, metabolism and respiratory systems. It was as though they were mentally and physically below par, off-kilter, out of whack.

Could it be, Krumholz wondered, that the very experience of going to hospital had made patients more vulnerable to disease and accidents?

In a series of opinion pieces in top medical journals, he has developed the concept of “post-hospital syndrome” (PHS), which he defines as “an acquired, transient period of generalised risk”.

“My premise is it’s the cumulative effect of a lot of insults to the body, of all the stress coming from all different directions,” he says.

“What do we do to them? We sleep-deprive them, we malnourish them, we stress them, we disturb their circadian [sleep] rhythms, we put them at bed rest and de-condition them, we confuse them with lots of different people and new routines – we don’t give them any control.”

A recent, yet-to-be-published study lends support to Krumholz’s theory.

Dr Paul Kuo, chairman of surgery at Loyola University Medical Center in Illinois, supervised research in which records from about 58,000 patients who had gone in for a hernia operation in California were carefully analysed. The research team identified a sub-group of 1,332 patients who had been in hospital in the 90 days leading up to the operation.

They found that in the 30 days following the hernia operation, this subgroup was roughly twice as likely to visit the emergency department, and five times as likely to have to be admitted to the hospital as an in-patient. It seemed their previous stay in hospital had “de-tuned” them, making them more vulnerable to complications arising from the hernia operation, even though it is a very straightforward, same-day procedure.

http://www.bbc.com/news/magazine-35131678

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