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

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dc.contributor.author Strand, Kristian
dc.contributor.author Walther, Sten M.
dc.contributor.author Reinikainen, Matti
dc.contributor.author Ala-Kokko, Tero
dc.contributor.author Nolin, Thomas
dc.contributor.author Martner, Jan
dc.contributor.author Mussalo, Petteri
dc.contributor.author Søreide, Eldar
dc.contributor.author Flaatten, Hans
dc.date.accessioned 2011-04-11T09:16:15Z
dc.date.available 2011-04-11T09:16:15Z
dc.date.issued 2010-10-04
dc.identifier.citation Critical Care 14:R175 en_US
dc.identifier.issn 1466-609X
dc.identifier.uri http://dx.doi.org/10.1186/cc9279
dc.identifier.uri http://hdl.handle.net/1956/4648
dc.description.abstract Introduction The length of stay (LOS) in intensive care unit (ICU) nonsurvivors is not often reported, but represents an important indicator of the use of resources. LOS in ICU nonsurvivors may also be a marker of cultural and organizational differences between units. In this study based on the national intensive care registries in Finland, Sweden, and Norway, we aimed to report intensive care mortality and to document resource use as measured by LOS in ICU nonsurvivors. Methods Registry data from 53,305 ICU patients in 2006 were merged into a single database. ICU nonsurvivors were analyzed with regard to LOS within subgroups by univariate and multivariate analysis (Cox proportional hazards regression). Results Vital status at ICU discharge was available for 52,255 patients. Overall ICU mortality was 9.1%. Median LOS of the nonsurvivors was 1.3 days in Finland and Sweden, and 1.9 days in Norway. The shortest LOS of the nonsurvivors was found in patients older than 80 years, emergency medical admissions, and the patients with the highest severity of illness. Multivariate analysis confirmed the longer LOS in Norway when corrected for age group, admission category, sex, and type of hospital. LOS in nonsurvivors was found to be inversely related to the severity of illness, as measured by APACHE II and SAPS II. Conclusions Despite cultural, religious, and educational similarities, significant variations occur in the LOS of ICU nonsurvivors among Finland, Norway, and Sweden. Overall, ICU mortality is low in the Scandinavian countries. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en
dc.rights Copyright 2010 Strand et al.; licensee BioMed Central Ltd. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries en_US
dc.type Peer reviewed en
dc.type Journal article en
dc.subject.nsi VDP::Medical disciplines: 700 en_US
dc.rightsHolder Strand et al. en_US
dc.type.version publishedVersion en_US
bora.cristinID 524466


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Copyright 2010 Strand et al.; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2010 Strand et al.; licensee BioMed Central Ltd.

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