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Anders Hammerich Riis

Acute admissions to medical departments in Denmark: Diagnoses and patient characteristics

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Acute admissions to medical departments in Denmark : Diagnoses and patient characteristics. / Vest-Hansen, Betina; Riis, Anders Hammerich; Sørensen, Henrik Toft; Christiansen, Christian Fynbo.

In: European Journal of Internal Medicine, Vol. 25, No. 7, 02.07.2014, p. 639-645.

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Vest-Hansen, Betina et al. "Acute admissions to medical departments in Denmark: Diagnoses and patient characteristics". European Journal of Internal Medicine. 2014, 25(7). 639-645. https://doi.org/10.1016/j.ejim.2014.06.017

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@article{1d3a315e91dd40eb94313aa91e6c46e3,
title = "Acute admissions to medical departments in Denmark: Diagnoses and patient characteristics",
abstract = "BACKGROUND: Despite extensive research on individual diseases, population-based knowledge about reasons for acute medical admissions remains limited. Our aim was to examine primary diagnoses, Charlson Comorbidity Index (CCI) score, age, and gender among patients admitted acutely to medical departments in Denmark.METHODS: In this population-based observational study, 264,265 acute medical patients admitted during 2010 were identified in the Danish National Registry of Patients (DNRP), covering all hospitals in Denmark. Reasons for acute admissions were assessed by primary diagnoses, grouped according to the International Classification of Diseases 10th edition. Additionally, the CCI score, age and gender were presented according to each diagnostic group.RESULTS: Two-thirds of the patients had one of the four following reasons for admission: cardiovascular diseases (19.3%), non-specific Z-diagnoses ({"}Factors influencing health status and contact with health services{"}) (16.9%), infectious diseases (15.5%), and non-specific R-diagnoses ({"}Symptoms and abnormal findings, not elsewhere classified{"}) (11.8%). In total, 45% of the patients had a CCI score of one or more and there was a considerable overlap between the patients' chronic diseases and the reason for admission. The median age of the study population was 64years (IQR 47-77years), ranging from 46years (IQR 27-66) for injury and poisoning to 74years (IQR 60-83) for hematological diseases. Gender representation varied considerably within the diagnostic groups, for example with male predominance in mental disorders (59.0%) and female predominance in diseases of the musculoskeletal system (57.8%).CONCLUSION: Our study identifies that acute medical patients often present with non-specific symptoms or complications related to their chronic diseases.",
author = "Betina Vest-Hansen and Riis, {Anders Hammerich} and S{\o}rensen, {Henrik Toft} and Christiansen, {Christian Fynbo}",
note = "Copyright {\textcopyright} 2014 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.",
year = "2014",
month = jul,
day = "2",
doi = "10.1016/j.ejim.2014.06.017",
language = "English",
volume = "25",
pages = "639--645",
journal = "European Journal of Internal Medicine",
issn = "0953-6205",
publisher = "Elsevier BV",
number = "7",

}

RIS

TY - JOUR

T1 - Acute admissions to medical departments in Denmark

T2 - Diagnoses and patient characteristics

AU - Vest-Hansen, Betina

AU - Riis, Anders Hammerich

AU - Sørensen, Henrik Toft

AU - Christiansen, Christian Fynbo

N1 - Copyright © 2014 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

PY - 2014/7/2

Y1 - 2014/7/2

N2 - BACKGROUND: Despite extensive research on individual diseases, population-based knowledge about reasons for acute medical admissions remains limited. Our aim was to examine primary diagnoses, Charlson Comorbidity Index (CCI) score, age, and gender among patients admitted acutely to medical departments in Denmark.METHODS: In this population-based observational study, 264,265 acute medical patients admitted during 2010 were identified in the Danish National Registry of Patients (DNRP), covering all hospitals in Denmark. Reasons for acute admissions were assessed by primary diagnoses, grouped according to the International Classification of Diseases 10th edition. Additionally, the CCI score, age and gender were presented according to each diagnostic group.RESULTS: Two-thirds of the patients had one of the four following reasons for admission: cardiovascular diseases (19.3%), non-specific Z-diagnoses ("Factors influencing health status and contact with health services") (16.9%), infectious diseases (15.5%), and non-specific R-diagnoses ("Symptoms and abnormal findings, not elsewhere classified") (11.8%). In total, 45% of the patients had a CCI score of one or more and there was a considerable overlap between the patients' chronic diseases and the reason for admission. The median age of the study population was 64years (IQR 47-77years), ranging from 46years (IQR 27-66) for injury and poisoning to 74years (IQR 60-83) for hematological diseases. Gender representation varied considerably within the diagnostic groups, for example with male predominance in mental disorders (59.0%) and female predominance in diseases of the musculoskeletal system (57.8%).CONCLUSION: Our study identifies that acute medical patients often present with non-specific symptoms or complications related to their chronic diseases.

AB - BACKGROUND: Despite extensive research on individual diseases, population-based knowledge about reasons for acute medical admissions remains limited. Our aim was to examine primary diagnoses, Charlson Comorbidity Index (CCI) score, age, and gender among patients admitted acutely to medical departments in Denmark.METHODS: In this population-based observational study, 264,265 acute medical patients admitted during 2010 were identified in the Danish National Registry of Patients (DNRP), covering all hospitals in Denmark. Reasons for acute admissions were assessed by primary diagnoses, grouped according to the International Classification of Diseases 10th edition. Additionally, the CCI score, age and gender were presented according to each diagnostic group.RESULTS: Two-thirds of the patients had one of the four following reasons for admission: cardiovascular diseases (19.3%), non-specific Z-diagnoses ("Factors influencing health status and contact with health services") (16.9%), infectious diseases (15.5%), and non-specific R-diagnoses ("Symptoms and abnormal findings, not elsewhere classified") (11.8%). In total, 45% of the patients had a CCI score of one or more and there was a considerable overlap between the patients' chronic diseases and the reason for admission. The median age of the study population was 64years (IQR 47-77years), ranging from 46years (IQR 27-66) for injury and poisoning to 74years (IQR 60-83) for hematological diseases. Gender representation varied considerably within the diagnostic groups, for example with male predominance in mental disorders (59.0%) and female predominance in diseases of the musculoskeletal system (57.8%).CONCLUSION: Our study identifies that acute medical patients often present with non-specific symptoms or complications related to their chronic diseases.

U2 - 10.1016/j.ejim.2014.06.017

DO - 10.1016/j.ejim.2014.06.017

M3 - Journal article

C2 - 24997487

VL - 25

SP - 639

EP - 645

JO - European Journal of Internal Medicine

JF - European Journal of Internal Medicine

SN - 0953-6205

IS - 7

ER -