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Titolo:
Use of resources and postoperative outcome
Autore:
Niskanen, MM; Takala, JA;
Indirizzi:
Kuopio Univ Hosp, Dept Anaesthesiol & Intens Care, Crit Care Res Program, FIN-70211 Kuopio, Finland Kuopio Univ Hosp Kuopio Finland FIN-70211 ram, FIN-70211 Kuopio, Finland Univ Hosp Bern Inselspital, Dept Intens Care Med, Bern, Switzerland Univ Hosp Bern Inselspital Bern Switzerland Care Med, Bern, Switzerland
Titolo Testata:
EUROPEAN JOURNAL OF SURGERY
fascicolo: 9, volume: 167, anno: 2001,
pagine: 643 - 649
SICI:
1102-4151(200109)167:9<643:UORAPO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR ELECTIVE SURGERY; ARTERY BYPASS-SURGERY; CLINICAL PATHWAY; LENGTH; STAY; RISK; COST;
Keywords:
resource utilization; outcome assessment; surgery; length of stay; standardized mortality ratio;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Niskanen, MM Kuopio Univ Hosp, Dept Anaesthesiol & Intens Care, Crit Care Res Program, POB 1777, FIN-70211 Kuopio, Finland Kuopio Univ Hosp POB 1777 Kuopio Finland FIN-70211 , Finland
Citazione:
M.M. Niskanen e J.A. Takala, "Use of resources and postoperative outcome", EURO J SURG, 167(9), 2001, pp. 643-649

Abstract

Objective: To characterise those surgical patients who consume one half ofall hospital patient days, and to compare their outcome with that of low consumers. Design: A retrospective cohort study. Setting: Tertiary referral centre, Finland. Patients: 13025 surgical patients who were admitted to a university hospital in Kuopio, Finland, during 1997. Interventions: The length of stay below which half of all patient days fell was chosen as a cut-off value to divide patients into low and high consumers. Main outcome measures: Hospital and 12-month mortality and standardised mortality ratios (SMR: observed deaths/expected deaths based on the corresponding general population). Results: The 2239 patients (17%) whose length of stay exceeded 9 days (high consumers) took up one half of all patient days. The pattern of resource use varied between operative specialities. At 12 months the SMRs showed excess mortality among high consumers (5.0, 95% confidence interval 4.4 to 5.7) compared with low consumers (2.1, 95% CI 1.9 to 2.3). Conclusions: Relating the length of stay to the proportion of resources consumed may provide a feasible tool for the recognition of different patterns of use of resources. SMRs may be more relevant measures of outcome than hospital mortality when assessing the efficacy of operative treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 03:33:47