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Relationship between age and in-hospital mortality during 15,345,025 non-surgical hospitalizations.

dc.abstract.enIntroduction: Mortality, whether in or out of hospital, increases with age. However, studies evaluating in-hospital mortality in large populations did not distinguish between surgical and non-surgical causes of death, either in young or in elderly patients. The aim of the study was to assess in-hospital non-surgical mortality in a large group of patients, with a special focus on the elderly. Material and methods: Data from the database of the Polish National Health Fund (NHF) regarding hospitalizations of adult (≥ 18 years) patients not related to surgical procedures in the years 2009–2013 were used to assess in-hospital mortality. Results: 15,345,025 hospitalizations were assessed. The mean in-hospital non-surgery-related mortality rate was 3.96 ±0.17%, and increased from 3.79% to 4.2% between 2009 and 2013. The mean odds ratio for in-hospital death increased with the age of patients, reaching a 229-fold higher rate in the ≥ 95 years age group as compared to the 18–24 age group. The highest mean mortality was associated with respiratory diseases (6.91 ±0.20%), followed by heart and vascular diseases, nervous system diseases, as well as combined gastrointestinal tract, liver, biliary tract, pancreas and spleen diseases (5.65 ±0.27%, 5.46 ±0.05% and 4.01 ±0.13%, respectively). Conclusions: The in-hospital non-surgery-related mortality rate was approximately 4%. It significantly increased with age and, regardless of age, was highest in patients suffering from respiratory diseases.
dc.affiliationUniwersytet Warszawski
dc.contributor.authorChlebus, Marcin
dc.contributor.authorCzech, Marcin
dc.contributor.authorJacyna, Andrzej
dc.contributor.authorFranek, Edward
dc.contributor.authorWalicka, Magdalena
dc.contributor.authorPuzianowska-Kuźnicka, Monika
dc.contributor.authorRutkowski, Daniel
dc.contributor.authorKania, Lidia
dc.contributor.authorŚliwczyński, Andrzej
dc.contributor.authorBrzozowska, Melania
dc.date.accessioned2024-01-25T19:10:21Z
dc.date.available2024-01-25T19:10:21Z
dc.date.copyright2021-01-05
dc.date.issued2021
dc.description.accesstimeAT_PUBLICATION
dc.description.financePublikacja bezkosztowa
dc.description.number(1)
dc.description.versionFINAL_PUBLISHED
dc.description.volume17
dc.identifier.doi10.5114/AOMS/89768
dc.identifier.issn1734-1922
dc.identifier.urihttps://repozytorium.uw.edu.pl//handle/item/118280
dc.identifier.weblinkhttps://www.archivesofmedicalscience.com/Relationship-between-age-and-in-hospital-mortality-during-15-345-025-non-surgical,89768,0,2.html
dc.languageeng
dc.pbn.affiliationeconomics and finance
dc.relation.ispartofArchives of Medical Science
dc.relation.pages40-46
dc.rightsCC-BY-NC-SA
dc.sciencecloudnosend
dc.titleRelationship between age and in-hospital mortality during 15,345,025 non-surgical hospitalizations.
dc.typeJournalArticle
dspace.entity.typePublication