Increasing emergency hospital activity in Denmark, 2005-2016: a nationwide descriptive study
Increasing emergency hospital activity in Denmark, 2005-2016: a nationwide descriptive study
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DOI：
10.1136/bmjopen-2019-031409
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发表时间：
2020-02-01
期刊：
影响因子：
2.9
通讯作者：
Brabrand, Mikkel
中科院分区：
文献类型：
--
作者：
Flojstrup, Marianne;Bogh, Soren Bie;Brabrand, Mikkel
目的描述2005年至2016年丹麦医院非计划急性活动的变化，并识别和记录非计划接触者，包括医疗保健改革后。设计描述性研究。设置数据来自丹麦全国登记。人口成人（>= 18岁）。参与者所有有计划外急性医院接触的成年人主要和次要结果指标结果为每年接触人数、住院时间、每年每1000名公民接触人数，年龄调整后的接触者每1000公民每年，性别，年龄组，原籍国，Charlson科摩罗指数评分，出院诊断和到达时间。每年与医院有急症接触的人数由2005年的1 067 390人增加至2016年的1 221 601人。这一数字也随着每1000名公民年龄的调整而增加。结论2005年至2016年非计划急性活动发生了变化。全国联系人数增加，主要是因为五个区域之一发生了变化。
Objectives To describe changes in unplanned acute activity and to identify and characterise unplanned contacts in hospitals in Denmark from 2005 to 2016, including following healthcare reform.Design Descriptive study.Setting Data from Danish nationwide registers.Population Adults (>= 18 years).Participants All adults with an unplanned acute hospital contacts (acute inpatient admissions and emergency care visits) in Denmark from 2005 to 2016.Primary and secondary outcome measures Outcomes were annual number of contacts, length of stay, number of contacts per 1000 citizen per year, age-adjusted contacts per 1000 citizens per year, sex, age groups, country of origin, Charlson Comorbidity Index score, discharge diagnosis and time of arrival.Results We included a total of 13 524 680 contacts. The annual number of acute hospital contacts increased from 1 067 390 in 2005 to 1 221 601 in 2016. The number also increased with adjustment for age per 1000 citizens. In addition, regional differences were observed.Conclusions Unplanned acute activity changed from 2005 to 2016. The national number of contacts increased, primarily because of changes in one of the five regions.