Cristin-resultat-ID: 1495412
Sist endret: 19. september 2017, 14:02
Resultat
Vitenskapelig foredrag
2017

Higher mortality among ACS patients in Finland than in Norway: Do differences in acute preparedness and scale effects in hospital treatment explain the variation?

Bidragsytere:
  • Tron Anders Moger
  • Unto Häkkinen og
  • Terje P. Hagen

Presentasjon

Navn på arrangementet: 38th Nordic Health Economics Study Group meeting
Sted: Helsinki
Dato fra: 23. august 2017
Dato til: 25. august 2017

Arrangør:

Arrangørnavn: Institute of Health and Welfare

Om resultatet

Vitenskapelig foredrag
Publiseringsår: 2017

Beskrivelse Beskrivelse

Tittel

Higher mortality among ACS patients in Finland than in Norway: Do differences in acute preparedness and scale effects in hospital treatment explain the variation?

Sammendrag

Background: Mortality differences following hospital treatment in Finland and Norway are similar for major diseases with acute coronary syndrome (ACS) as an important exception. For ACS, mortality in Finland is significantly higher than in Norway. Objective: To study whether the differences in the organization of the PCI facilities, a decentralized structure with reduced emergency preparedness and small scale production in Finland vs. a centralized structure with large PCI departments performing acute services 24/7 in Norway, add to the explanations of country differences in 30 and 365 day all-cause mortality for patients hospitalized with ACS (acute myocardial infarction or unstable angina pectoris). Data and methods: Data for patients discharged with acute myocardial infarction (ICD 10 I21 and I22) and unstable angina pectoris (ICD 10 I 20.0) from the hospital discharge registers in 2009-2014 was linked with socio-demographic variables, variables describing distances to hospitals and causes of death registers in Norway and Finland. The variables of main interest, emergency preparedness of PCI and the volume of ACS patients at hospital level were included as independent variables in logistic regression analyses. Preliminary results: Across all years combined, Norway had lower 30 and 365 days mortality (7% vs 11%, p

Bidragsytere

Aktiv cristin-person

Tron Anders Moger

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo

Unto Häkkinen

  • Tilknyttet:
    Forfatter
Aktiv cristin-person

Terje P. Hagen

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo
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