Stephanie Taylor
speaker
149 appearances
1 recordings
1 series
first heard Jun 2025
last heard Jun 2025
Stephanie Taylor’s voice in public audio — every appearance, attributed to the second.
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Bowl's group at Penn has done a really great job really investigating this.
And I find this particular project really interesting.
So these were patients with uh, I think it was called severe sepsis at the time of this study, who were discharged and had home health care.
And they looked at the patients who either got kind of a quick visit from a home health nurse.
Or a delayed visit and a quick follow-up with their uh primary care physician or a delayed visit.
And you really had to have both.
Either one wasn't associated with a reduced risk of readmission, but if you got both, if you got both a quick nursing visit within a few days and a follow-up with your doctor within a week, that was protective against readmission.
Unfortunately, only 28% of patients with this high
risk sepsis discharge actually we're able to get both of those pieces of follow-up.
And this group is doing some really interesting work and trying to identify, obviously home health and primary cares are scarce resources.
And so they're helping identify which patients preferentially benefit from this quick follow-up so that they can prioritize that and see if that improves some of the delivery of this care.
Another interesting finding from this group that looked at patients discharged after sepsis who had home health care versus not, they actually found that patients who received home health care had a 14% higher odds of 30-day readmission, which is a little bit counterintuitive, I think, to their hypothesis.
But I think it introduces an interesting idea that readmissions in populations that are this sick
May not be bad.
And we're really trained to think about readmissions as a failure, as a bad outcome.
But in this case, where patients are super sick and they're being discharged, quite vulnerable, and have high mortality rates that are persistent, perhaps the job of the home health nurse or the job of the early PCP follow-up is to identify needs and escalate that appropriately to a hospitalization.
So I think this this addresses some really interesting things for further uh research in terms of what are the activities that are important to be doing for these early visits.
The next uh group of post-discharge work I wanna share is uh Dr.
Mc McPeak's uh work um in Scotland.
Um her group does does so much great work in this area, but I'm gonna talk about her Inspire program.
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