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Variations in the l...
Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries
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- Strand, Kristian (author)
- Akershus University Hospital
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- Walther, Sten (author)
- Östergötlands Läns Landsting,Linköpings universitet,Fysiologi,Hälsouniversitetet,Thorax-kärlkliniken
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- Reinikainen, Matti (author)
- North Karelia Central Hospital
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- Ala-Kokko, Tero (author)
- Oulu University Hospital
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- Nolin, Thomas (author)
- Kristianstad Hospital
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- Martner, Jan, 1946 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för anestesiologi och intensivvård,Institute of Clinical Sciences, Department of Anesthesiology and Intensive care,Sahlgrenska University Hospital
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- Mussalo, Petteri (author)
- Tieto Healthcare and Welfare
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- Soreide, Eldar (author)
- Stavanger University Hospital
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- Flaatten, Hans K (author)
- Haukeland Hospital
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(creator_code:org_t)
- BioMed Central, 2010
- 2010
- English.
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In: CRITICAL CARE. - : BioMed Central. - 1466-609X .- 1364-8535. ; 14:5
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Abstract
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- Introduction: The length of stay (LOS) in intensive care unit (ICU) nonsurvivors is not often reported, but represents an important indicator of the use of resources. LOS in ICU nonsurvivors may also be a marker of cultural and organizational differences between units. In this study based on the national intensive care registries in Finland, Sweden, and Norway, we aimed to report intensive care mortality and to document resource use as measured by LOS in ICU nonsurvivors. Methods: Registry data from 53,305 ICU patients in 2006 were merged into a single database. ICU nonsurvivors were analyzed with regard to LOS within subgroups by univariate and multivariate analysis (Cox proportional hazards regression). Results: Vital status at ICU discharge was available for 52,255 patients. Overall ICU mortality was 9.1%. Median LOS of the nonsurvivors was 1.3 days in Finland and Sweden, and 1.9 days in Norway. The shortest LOS of the nonsurvivors was found in patients older than 80 years, emergency medical admissions, and the patients with the highest severity of illness. Multivariate analysis confirmed the longer LOS in Norway when corrected for age group, admission category, sex, and type of hospital. LOS in nonsurvivors was found to be inversely related to the severity of illness, as measured by APACHE II and SAPS II. Conclusions: Despite cultural, religious, and educational similarities, significant variations occur in the LOS of ICU nonsurvivors among Finland, Norway, and Sweden. Overall, ICU mortality is low in the Scandinavian countries.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Strand, Kristian
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Walther, Sten
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Reinikainen, Mat ...
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Ala-Kokko, Tero
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Nolin, Thomas
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Martner, Jan, 19 ...
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show more...
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Mussalo, Petteri
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Soreide, Eldar
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Flaatten, Hans K
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Anesthesiology a ...
- Articles in the publication
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CRITICAL CARE
- By the university
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Linköping University
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University of Gothenburg