Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries

Strand, Kristian; Walther, Sten; Reinikainen, Matti; Ala‐Kokko, Tero; Nolin, T; Martner, J.; Mussalo, Petteri; Søreide, Eldar; Flaatten, Hans

doi:10.1186/cc9279

Cited by 64 publications

(52 citation statements)

References 16 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the patients in ICUs, personal and ICU-related variables were also similar to those described in data from the Swedish Intensive Care Registry and in Scandinavia as a whole (ICU population) [20]. …”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life scores after intensive care are almost equal to those of the normal population: a multicenter observational study

et al. 2013

View full text Add to dashboard Cite

IntroductionHealth-related quality of life (HRQoL) in patients treated in intensive care has been reported to be lower compared with age- and sex-adjusted control groups. Our aim was to test whether stratifying for coexisting conditions would reduce observed differences in HRQoL between patients treated in the ICU and a control group from the normal population. We also wanted to characterize the ICU patients with the lowest HRQoL within these strata.MethodsWe did a cross-sectional comparison of scores of the short-form health survey (SF-36) questionnaire in a multicenter study of patients treated in the ICU (n = 780) and those from a local public health survey (n = 6,093). Analyses were in both groups adjusted for age and sex, and data stratified for coexisting conditions. Within each stratum, patients with low scores (below -2 SD of the control group) were identified and characterized.ResultsAfter adjustment, there were minor and insignificant differences in mean SF-36 scores between patients and controls. Eight (n = 18) and 22% (n = 51) of the patients had low scores (-2 SD of the control group) in the physical and mental dimensions of SF-36, respectively. Patients with low scores were usually male, single, on sick leave before admission to critical care, and survived a shorter time after being in ICU.ConclusionsAfter adjusting for age, sex, and coexisting conditions, mean HRQoL scores were almost equal in patients and controls. Up to 22% (n = 51) of the patients had, however, a poor quality of life as compared with the controls (-2 SD). This group, which more often consisted of single men, individuals who were on sick leave before admission to the ICU, had an increased mortality after ICU. This group should be a target for future support.

show abstract

Section: Discussionmentioning

confidence: 99%

Health-related quality of life scores after intensive care are almost equal to those of the normal population: a multicenter observational study

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The available data indicate significant geographical differences, displaying the lowest mortality in Australia and New Zealand (9%) and the Scandinavian countries (9.1%) [14]. Significantly higher mortality has been reported in Italy (16.9%) [15] and Saudi Arabia (20% -isolated report from one unit) [16].…”

Section: Mortalitymentioning

confidence: 99%

The differences between two selected intensive care units located in central and northern Europe — preliminary observation

Adamski

Goraj

Onichimowski

et al. 2015

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Background: The aim of this study was to evaluate possible differences in the functioning of two selected intensive care units in Poland and Finland. The activity of the units was analysed over a period of one year. Methods:The following parameters were compared: demography of treated populations, site of admission, category of illness, severity of illness (APACHE-II scale), mean length of stay, demanded workload (TISS-28 scale), mortality (both ICU and hospital) and standardized mortality ratio (SMR). Results:The results of this study indicated that most of the patients in the Polish ICU, regardless of age, diagnosis and APACHE II score, presented significantly longer lengths of stay (14.65 ± 13.6 vs 4.1 ± 4.7 days, P = 0.0001), higher mean TISS-28 score (38.9 ± 9.1 vs 31.2 ± 6.1, P = 0.0001) and higher ICU and hospital mortality (41.5% vs 10.2% and 44.7% vs 21.8%, respectively, P = 0.0001). The values of SMR were 0.9 and 0.85 for the Finnish and Polish ICUs, respectively. Conclusion: The collected data indicate huge differences in the utilisation of critical care resources. Treatment in Polish ICU is concentrated on much more severely ill patients which might be sometimes accompanied by futility of care. In order to verify and correctly interpret the presented phenomena, further studies are needed.

show abstract

“…Compared to international intensive care, the length of stay on Swedish intensive care units is very short [8].…”

Section: Intensive Care In Swedenmentioning

confidence: 99%

The significance of risk adjustment for the assessment of results in intensive care. : An analysis of risk adjustment models used in Swedish intensive care.

Engerström¹

2018

Linköping University Medical Dissertations

View full text Add to dashboard Cite

Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries

Cited by 64 publications

References 16 publications

Health-related quality of life scores after intensive care are almost equal to those of the normal population: a multicenter observational study

Health-related quality of life scores after intensive care are almost equal to those of the normal population: a multicenter observational study

The differences between two selected intensive care units located in central and northern Europe — preliminary observation

The significance of risk adjustment for the assessment of results in intensive care. : An analysis of risk adjustment models used in Swedish intensive care.

Contact Info

Product

Resources

About