Cristin-resultat-ID: 2013204
Sist endret: 12. mai 2022, 09:27
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure

Bidragsytere:
  • Andreas Asheim
  • Sara Marie Nilsen
  • Stina Aam
  • Kjartan Sarheim Anthun
  • Fredrik Carlsen
  • Imre Janszky
  • mfl.

Tidsskrift

ESC Heart Failure
ISSN 2055-5822
e-ISSN 2055-5822
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Publisert online: 2022
Trykket: 2022
Volum: 9
Sider: 1884 - 1890
Open Access

Importkilder

Scopus-ID: 2-s2.0-85127269051

Beskrivelse Beskrivelse

Tittel

High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure

Sammendrag

Abstract Aims To study the consequences of crowded wards among patients with cardiovascular disease. Methods and results This is a cohort study among 201 801 patients with 258 807 admissions who were acutely admitted for myocardial infarction (N = 107 895), stroke (N = 87 336), or heart failure (N = 63 576) to any Norwegian hospital between 2008 and 2016. The ward admitting most patients with the given clinical condition was considered a patient's home ward. We compared patients with the same condition admitted when home ward occupancy was different, at the same hospital and during comparable time periods. Occupancy was standardized such that a one-unit difference corresponded to the interquartile range in occupancy in the given month. One interquartile increase in home ward occupancy was associated with 7% higher odds of admission to an alternate ward [odds ratio (OR) 1.07, 95% confidence interval (CI) 1.09 to 1.11], and length of stay was shorter (−0.10 days, 95% CI −0.18 to −0.09). Patients with heart failure had 15% higher odds of admission to alternate wards (OR 1.15, 95% CI 1.08 to 1.23) and increased mortality [hazard ratio (HR) 1.08, 95% CI 1.03 to 1.15]. We found no apparent effect on mortality for patients with myocardial infarction (HR 0.99, 95% CI 0.94 to 1.05) or stroke (HR 1.00, 95% CI 0.96 to 1.05). Conclusions Patients with heart failure had higher risk of admission to alternate wards when home ward occupancy was high. These patients may be negatively affected by full wards.

Bidragsytere

Andreas Asheim

  • Tilknyttet:
    Forfatter
    ved St. Olavs Hospital HF
  • Tilknyttet:
    Forfatter
    ved Institutt for matematiske fag ved Norges teknisk-naturvitenskapelige universitet

Sara Marie Nilsen

  • Tilknyttet:
    Forfatter
    ved Sentral stab ved St. Olavs Hospital HF

Stina Aam

  • Tilknyttet:
    Forfatter
    ved Institutt for nevromedisin og bevegelsesvitenskap ved Norges teknisk-naturvitenskapelige universitet
  • Tilknyttet:
    Forfatter
    ved St. Olavs Hospital HF

Kjartan Sarheim Anthun

  • Tilknyttet:
    Forfatter
    ved SINTEF Digital ved SINTEF AS
  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet

Fredrik Carlsen

  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsøkonomi ved Norges teknisk-naturvitenskapelige universitet
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