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Geographical variation in use of intensive care: a nationwide study.

https://arctichealth.org/en/permalink/ahliterature275057
Source
Intensive Care Med. 2015 Nov;41(11):1895-902
Publication Type
Article
Date
Nov-2015
Author
Anne Høy Seemann Vestergaard
Christian Fynbo Christiansen
Henrik Nielsen
Steffen Christensen
Søren Paaske Johnsen
Source
Intensive Care Med. 2015 Nov;41(11):1895-902
Date
Nov-2015
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Aged
Cities - statistics & numerical data
Critical Care - methods - statistics & numerical data
Cross-Sectional Studies
Databases, Factual
Denmark
Female
Geography - statistics & numerical data
Humans
Intensive Care Units - statistics & numerical data
Length of Stay - statistics & numerical data
Male
Middle Aged
Patient Admission - statistics & numerical data
Registries
Sex Distribution
State Medicine - statistics & numerical data
Abstract
To examine whether there is geographical variation in the use of intensive care resources in Denmark concerning both intensive care unit (ICU) admission and use of specific interventions. Substantial variation in use of intensive care has been reported between countries and within the US, however, data on geographical variation in use within more homogenous tax-supported health care systems are sparse.
We conducted a population-based cross-sectional study based on linkage of national medical registries including all Danish residents between 2008 and 2012 using population statistics from Statistics Denmark. Data on ICU admissions and interventions, including mechanical ventilation, noninvasive ventilation, acute renal replacement therapy, and treatment with inotropes/vasopressors, were obtained from the Danish Intensive Care Database. Data on patients' residence at the time of admission were obtained from the Danish National Registry of Patients.
The overall age- and gender standardized number of ICU patients per 1000 person-years for the 5-year period was 4.3 patients (95 % CI, 4.2; 4.3) ranging from 3.7 (95 % CI, 3.6; 3.7) to 5.1 patients per 1000 person-years (95 % CI, 5.0; 5.2) in the five regions of Denmark and from 2.8 (95 % CI, 2.8; 3.0) to 23.1 patients per 1000 person-years (95 % CI, 13.0; 33.1) in the 98 municipalities. The age-, gender-, and comorbidity standardized proportion of use of interventions among ICU patients also differed across regions and municipalities.
There was only minimal geographical variation in the use of intensive care admissions and interventions at the regional level in Denmark, but more pronounced variation at the municipality level.
PubMed ID
26239728 View in PubMed
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[Percutaneous dilatation tracheostomy at an intensive care unit].

https://arctichealth.org/en/permalink/ahliterature202196
Source
Ugeskr Laeger. 1999 Apr 19;161(16):2364-7
Publication Type
Article
Date
Apr-19-1999
Author
M. Carlsson
B. Uhrbrand
Author Affiliation
Kolding Sygehus, intensiv afdeling F.
Source
Ugeskr Laeger. 1999 Apr 19;161(16):2364-7
Date
Apr-19-1999
Language
Danish
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Critical Care - methods - statistics & numerical data
Denmark
Dilatation
Female
Humans
Intensive Care - methods - statistics & numerical data
Intubation, Intratracheal
Male
Middle Aged
Respiration, Artificial
Retrospective Studies
Tracheostomy - adverse effects - methods - statistics & numerical data
Abstract
Fourty-five cases of percutaneous dilatational tracheostomy (PDT) performed in the intensive care unit, Kolding Hospital, are reported in a retrospective study. All patients (mean age 60.8 years) had been on a ventilator due to critical diseases and had been subjected to translaryngeal intubation for an average of 6.1 days (range 1-12). PDT was uncomplicated in 41 cases (91%). Early bleeding, which required minor intervention, was described in three cases (7%). There was one case (2%) of minor bleeding seven days after PDT during haemodialysis. There had been no procedure-related death, and no life-threatening complications such as pneumothorax, paratracheal tube position or bleeding requiring transfusion were seen. Nineteen patients (42%) died due to progression of their underlying diseases with the tracheostomy functioning well, the mean cannulation time being 23.3 days. Twenty-six patients (58%) lived to decannulation with a mean length of cannulation of 13.7 days. The PDT procedure has the advantage of being bedside, thus avoiding transportation of a critically ill patient to the operating theatre.
PubMed ID
10235042 View in PubMed
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Public Health Agency of Sweden's Brief Report: Pregnant and postpartum women with severe acute respiratory syndrome coronavirus 2 infection in intensive care in Sweden.

https://arctichealth.org/en/permalink/ahliterature305915
Source
Acta Obstet Gynecol Scand. 2020 07; 99(7):819-822
Publication Type
Journal Article
Date
07-2020
Author
Julius Collin
Emma Byström
AnnaSara Carnahan
Malin Ahrne
Author Affiliation
Public Health Agency of Sweden, Solna, Sweden.
Source
Acta Obstet Gynecol Scand. 2020 07; 99(7):819-822
Date
07-2020
Language
English
Publication Type
Journal Article
Keywords
Adult
Betacoronavirus - isolation & purification
COVID-19
Coronavirus Infections - epidemiology - physiopathology - therapy
Critical Care - methods - statistics & numerical data
Female
Hospitalization - statistics & numerical data
Humans
Pandemics
Pneumonia, Viral - epidemiology - physiopathology - therapy
Pregnancy
Pregnancy Complications, Infectious - epidemiology - physiopathology - therapy - virology
Puerperal Infection - epidemiology - physiopathology - therapy - virology
Registries - statistics & numerical data
Risk factors
SARS-CoV-2
Severity of Illness Index
Sweden - epidemiology
Abstract
The Public Health Agency of Sweden has analyzed how many pregnant and postpartum women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been treated in intensive care units (ICU) in Sweden between 19 March and 20 April 2020 compared with non-pregnant women of similar age. Cases were identified in a special reporting module within the Swedish Intensive Care Registry (SIR). Fifty-three women aged 20-45 years with SARS-CoV-2 were reported in SIR, and 13 of these women were either pregnant or postpartum (
Notes
CommentIn: Acta Obstet Gynecol Scand. 2020 Oct;99(10):1421 PMID 32799338
PubMed ID
32386441 View in PubMed
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