hospital admission

The COVID-19 pandemic has not affected the mortality for patients admitted with pneumonia in Denmark

Correspondence, Volume 22, Issue 1, Pages 1 – 56 (2023)

During the COVID-19 pandemic, several hospital systems observed a reduction in patients with respiratory complaints. Using the Danish national registers, we conducted an observational study on disease severity and 30-day all-cause mortality for acutely admitted pneumonia patients before (3/19-3/20) and during (3/20-2/21) the pandemic. We calculated mortality rate ratios and Cox regression analyses. We identified 54,405 patients and during the pandemic, patients were older, more likely to be male, had more co-morbidity and a lower albumin on admission. Crude mortality was higher during the pandemic (8.4 vs. 6.9%). Adjusted hazard ratio for 30-day all-cause mortality was 1.07 (95%CI 1.01-1.14). We showed a small but significant, increase in mortality risk for patients admitted to hospital during the COVID-19 pandemic in Denmark.

Please subscribe to see more.
Subscribe
Already a member? Log in here

The COVID-19 pandemic has not affected the mortality for patients admitted with pneumonia in Denmark Read More

Reduced kidney function at presentation in unselected acute emergency medical admissions: incidence, outcome and associated factors

Original Articles, Volume 18, Issue 3, Pages 137 – 204 (2019)

We sought to assess the impact of renal impairment on acute medical admissions and to identify potential contributory factors to admissions involving renal impairment at presentation. In a prospective cohort study, 29.5% of all acute medical emergency admissions had an eGFR < 60 ml/min/1.73m2 at presentation. Of these, 19.9 % had definite chronic kidney disease and 8.4 % had definite acute kidney injury. Detailed analysis of a random subset of patients with an eGFR <60ml/min/1.73m2 at presentation demonstrated that the major reasons for admission included falls, dehydration and fluid overload. 46% were on diuretics and 53% were on an ACEI or ARB or both. Gastrointestinal disturbance and recent medication changes were common and diuretic use persisted even with diarrhoea or vomiting.

Please subscribe to see more.
Subscribe
Already a member? Log in here

Reduced kidney function at presentation in unselected acute emergency medical admissions: incidence, outcome and associated factors Read More

Unscheduled care admissions at end-of-life – what are the patient characteristics?

Research Audit and Clinical Practice, Volume 15, Issue 2, Pages 49 - 108 (2016)

Unscheduled acute hospital admissions and subsequent deaths in hospitals of patients considered palliative are increasing, despite many patients’ preference to die at home. A large proportion of these patients are admitted via acute medical units or emergency departments. The integration of primary and secondary care within Wales should enhance the delivery of end-of-life care at home but unscheduled admission for patients with palliative care needs remains prevalent. The aim of our study was to explore the characteristics amongst patients who die shortly after unscheduled hospital admission. A retrospective, observational study was conducted in all unscheduled admissions at end-of-life at a single health board in South Wales, UK over a period of one month. The result showed that 47% of patients who died within 48hrs of unscheduled admission are considered to be palliative. The majority of these patients were admitted via 999 ambulances and out of normal working hours (65%). They were elderly (median age 80) and had a poor performance status (78%). Over 1/3 (39%) were admitted from a nursing or residential home. Less than a quarter (22%) had an advance care plan in place.

Please subscribe to see more.
Subscribe
Already a member? Log in here

Unscheduled care admissions at end-of-life – what are the patient characteristics? Read More

Shopping Basket
Scroll to Top

Start typing and press enter to search

Start typing and press enter to search