2.50
Hdl Handle:
http://hdl.handle.net/2336/69239
Title:
Death within 8 days after discharge to home from the emergency department
Authors:
Gunnarsdottir, Oddny S; Rafnsson, Vilhjalmur
Citation:
Eur J Public Health. 2008, 18(5):522-6
Issue Date:
1-Oct-2008
Abstract:
BACKGROUND: Deaths within 8 days after discharge have, in previous studies, been evaluated retrospectively based on review of hospital records and the cause of death. The aim of the study was to evaluate the association of death within 8 days after discharge to home from the emergency department with a non-causative diagnosis in a prospective cohort study. METHODS: The records from the emergency department were filed by personal identification number and included information on gender, age, admission, discharge and diagnosis. The cause of death was obtained from a nation-wide registry by record linkage. Mortality per 100,000 within 8 days and the hazard ratio and 95% confidence intervals (CIs) were calculated for all causes of death in a time-dependent analysis. RESULTS: A non-causative diagnosis had been given to 11% of those who died within 8 days after discharge home. The mortality per 100,000 within 8 days was 208.5, within 15 days 347.4 and within 30 days 648.6. In the analysis of deaths within 8 days, the hazard ratio was higher for men than women and increasing age was significantly associated with high mortality. The hazard ratio for non-causative diagnosis was 0.44 (95% CI 0.20-0.96) as compared to causative diagnosis, adjusted for gender and age. CONCLUSION: The mortality rate within 8 days of discharge found in the present study is considerably higher than findings in previous studies. Death shortly after discharge of patients with non-causative diagnosis may indicate a misjudgement of the patients' condition at the time of discharge.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://eurpub.oxfordjournals.org/cgi/content/abstract/18/5/522

Full metadata record

DC FieldValue Language
dc.contributor.authorGunnarsdottir, Oddny S-
dc.contributor.authorRafnsson, Vilhjalmur-
dc.date.accessioned2009-05-28T11:38:45Z-
dc.date.available2009-05-28T11:38:45Z-
dc.date.issued2008-10-01-
dc.date.submitted2009-05-28-
dc.identifier.citationEur J Public Health. 2008, 18(5):522-6en
dc.identifier.issn1464-360X-
dc.identifier.pmid18550568-
dc.identifier.doi10.1093/eurpub/ckn045-
dc.identifier.urihttp://hdl.handle.net/2336/69239-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractBACKGROUND: Deaths within 8 days after discharge have, in previous studies, been evaluated retrospectively based on review of hospital records and the cause of death. The aim of the study was to evaluate the association of death within 8 days after discharge to home from the emergency department with a non-causative diagnosis in a prospective cohort study. METHODS: The records from the emergency department were filed by personal identification number and included information on gender, age, admission, discharge and diagnosis. The cause of death was obtained from a nation-wide registry by record linkage. Mortality per 100,000 within 8 days and the hazard ratio and 95% confidence intervals (CIs) were calculated for all causes of death in a time-dependent analysis. RESULTS: A non-causative diagnosis had been given to 11% of those who died within 8 days after discharge home. The mortality per 100,000 within 8 days was 208.5, within 15 days 347.4 and within 30 days 648.6. In the analysis of deaths within 8 days, the hazard ratio was higher for men than women and increasing age was significantly associated with high mortality. The hazard ratio for non-causative diagnosis was 0.44 (95% CI 0.20-0.96) as compared to causative diagnosis, adjusted for gender and age. CONCLUSION: The mortality rate within 8 days of discharge found in the present study is considerably higher than findings in previous studies. Death shortly after discharge of patients with non-causative diagnosis may indicate a misjudgement of the patients' condition at the time of discharge.en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttp://eurpub.oxfordjournals.org/cgi/content/abstract/18/5/522en
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshCause of Deathen
dc.subject.meshCohort Studiesen
dc.subject.meshEmergency Service, Hospitalen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshMortalityen
dc.subject.meshPatient Dischargeen
dc.subject.meshProspective Studiesen
dc.subject.meshYoung Adulten
dc.titleDeath within 8 days after discharge to home from the emergency departmenten
dc.typeArticleen
dc.contributor.departmentOffice of Education, Research and Development, Landspitali University Hospital, Reykjavik, Iceland.en
dc.identifier.journalEuropean journal of public healthen

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