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Relationship between age and in-hospital mortality during 15,345,025 non-surgical hospitalizations.
dc.abstract.en | Introduction: 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.affiliation | Uniwersytet Warszawski |
dc.contributor.author | Chlebus, Marcin |
dc.contributor.author | Czech, Marcin |
dc.contributor.author | Jacyna, Andrzej |
dc.contributor.author | Franek, Edward |
dc.contributor.author | Walicka, Magdalena |
dc.contributor.author | Puzianowska-Kuźnicka, Monika |
dc.contributor.author | Rutkowski, Daniel |
dc.contributor.author | Kania, Lidia |
dc.contributor.author | Śliwczyński, Andrzej |
dc.contributor.author | Brzozowska, Melania |
dc.date.accessioned | 2024-01-25T19:10:21Z |
dc.date.available | 2024-01-25T19:10:21Z |
dc.date.copyright | 2021-01-05 |
dc.date.issued | 2021 |
dc.description.accesstime | AT_PUBLICATION |
dc.description.finance | Publikacja bezkosztowa |
dc.description.number | (1) |
dc.description.version | FINAL_PUBLISHED |
dc.description.volume | 17 |
dc.identifier.doi | 10.5114/AOMS/89768 |
dc.identifier.issn | 1734-1922 |
dc.identifier.uri | https://repozytorium.uw.edu.pl//handle/item/118280 |
dc.identifier.weblink | https://www.archivesofmedicalscience.com/Relationship-between-age-and-in-hospital-mortality-during-15-345-025-non-surgical,89768,0,2.html |
dc.language | eng |
dc.pbn.affiliation | economics and finance |
dc.relation.ispartof | Archives of Medical Science |
dc.relation.pages | 40-46 |
dc.rights | CC-BY-NC-SA |
dc.sciencecloud | nosend |
dc.title | Relationship between age and in-hospital mortality during 15,345,025 non-surgical hospitalizations. |
dc.type | JournalArticle |
dspace.entity.type | Publication |