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The association bet...
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Wessman, TorgnySkåne University Hospital
(författare)
The association between length of stay in the emergency department and short-term mortality
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
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2021-06-10
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Springer Science and Business Media LLC,2022
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:bb754c2c-4ab6-4e07-a063-14d80ff4bbe8
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https://lup.lub.lu.se/record/bb754c2c-4ab6-4e07-a063-14d80ff4bbe8URI
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https://doi.org/10.1007/s11739-021-02783-zDOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-37379URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:146865590URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
Anmärkningar
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The detrimental effects of increased length of stay at the emergency department (ED-LOS) for patient outcome have been sparsely studied in the Swedish setting. Our aim was to further explore the association between ED-LOS and short-term mortality in patients admitted to the EDs of two large University hospitals in Sweden. All adult patients (> 18 years) visiting the ED at the Karolinska University Hospital, Sweden, from 1/1/2010 to 1/1/2015 (n = 639,385) were retrospectively included. Logistic regression analysis was used to determine association between ED-LOS and 7- and 30-day mortality rates. All patients were triaged according to the RETTS-A into different levels of medical urgency and subsequently separated into five quintiles of ED-LOS. Mortality rate was highest in highest triage priority level (7-day mortality 5.24%, and 30-day mortality 9.44%), and decreased by lower triage priority group. For patients with triage priority levels 2–4, prolonged ED-LOS was associated with increased mortality, especially for lowest priority level, OR for priority level 4 and highest quintile of ED-LOS 30-day mortality 1.49 (CI 95% 1.20–1.85). For patients with highest triage priority level the opposite was at hand, with decreasing mortality risk with increasing quintile of ED-LOS for 7-day mortality, and lower mortality for the two highest quintile of ED-LOS for 30-day mortality. In patients not admitted to in-hospital care higher ED-LOS was associated with higher mortality. Our data suggest that increased ED-LOS could be associated with slightly increased short-term mortality in patients with lower clinical urgency and dismissed from the ED.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Ärnlöv, Johan,1970-Karolinska Institutet,Högskolan Dalarna,Karolinska Institute,Dalarna University College,Medicinsk vetenskap,Karolinska institutet(Swepub:du)jan
(författare)
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Carlsson, Axel CarlKarolinska Institutet,Karolinska Institute
(författare)
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Ekelund, UlfLund University,Lunds universitet,Akutsjukvård,Forskargrupper vid Lunds universitet,Emergency medicine,Lund University Research Groups(Swepub:lu)mphy-uek
(författare)
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Wändell, PerKarolinska Institutet,Karolinska Institute(Swepub:lu)med-pwd
(författare)
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Melander, OlleLund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Skåne University Hospital(Swepub:lu)endo-ome
(författare)
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Ruge, ToralphLund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Skåne University Hospital(Swepub:lu)th2842ru
(författare)
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Dalarna University CollegeSkåne University Hospital
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Internal and Emergency Medicine: Springer Science and Business Media LLC17:1, s. 233-2401828-04471970-9366
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