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Health service util...
Health service utilisation associated with chronic breathlessness : Random population sample
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- Currow, David C. (författare)
- University of Hull,University of Technology Sydney
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- Chang, Sungwon (författare)
- University of Technology Sydney
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- Ekström, Magnus (författare)
- Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Andfåddhet och kronisk andningssvikt,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,The Institute for Palliative Care,Lund University Research Groups,Breathlessness and chronic respiratory failure,University of Technology Sydney
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- Hutchinson, Ann (författare)
- University of Hull
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- Luckett, Tim (författare)
- University of Technology Sydney
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- Kochovska, Slavica (författare)
- University of Technology Sydney
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- Hay, Phillipa (författare)
- Western Sydney University
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- Touyz, Stephen (författare)
- University of Sydney
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- Dal Grande, Eleonora (författare)
- University of Adelaide
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- Johnson, Miriam J. (författare)
- Lund University,University of Technology Sydney
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(creator_code:org_t)
- 2021-09-16
- 2021
- Engelska.
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Ingår i: ERJ open research. - : European Respiratory Society (ERS). - 2312-0541. ; 7:4
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://openres.ersj...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background Most health service utilisation studies are of people with specific diagnoses or demographic characteristics, and rarely of specific chronic symptoms. The aim of this study was to establish whether population-level health service utilisation increases in people with chronic breathlessness. Methods A cross-sectional analysis was carried out of the South Australian Health Omnibus Survey 2017, a multi-stage, clustered area, systematic sampling survey of adults where questions are administered faceto-face in respondents’ homes. Self-report of health service utilisation in the previous 3 months (medical consultations, emergency department, hospital admission), chronic breathlessness (severity, duration, modified Medical Research Council (mMRC) breathlessness scale) and demographic data were used to predict self-reported health service utilisation. Results A total of 2898 people were included (49.0% male; median age 48.0 years (IQR 32.0-63.0); 64.1% educated beyond school; 55.4% in work; 73.5% had outpatient contact; 6.3% had a hospital admission in the previous 3 months). Chronic breathlessness (mMRC ≥1) was reported by 8.8% of respondents. In bivariable analyses, people with greater contact with health services were older, and a higher proportion were overweight/obese and had more severe chronic breathlessness. In multivariable analyses, chronic breathlessness and older age were positively associated with outpatient care and inpatient care, and people with chronic breathlessness were hospitalised for longer (incidence rate ratio 2.5; 95% CI 1.4-4.5). Conclusion There is a significant association between worse chronic breathlessness and increased health service utilisation. There is a need for greater understanding of factors that initiate contact with health services.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
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- art (ämneskategori)
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Currow, David C.
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Chang, Sungwon
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Ekström, Magnus
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Hutchinson, Ann
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Luckett, Tim
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Kochovska, Slavi ...
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visa fler...
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Hay, Phillipa
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Touyz, Stephen
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Dal Grande, Eleo ...
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Johnson, Miriam ...
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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ERJ open researc ...
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Lunds universitet