High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure
Abstract Aims To study the consequences of crowded wards among patients with cardiovascular disease. Methods and results This is a cohort study among 201 801 patients with 258 807 admissions who were acutely admitted for myocardial infarction (N = 107 895), stroke (N = 87 336), or heart failure (N =...
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.13894 |
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| author | Andreas Asheim Sara Marie Nilsen Stina Aam Kjartan Sarheim Anthun Fredrik Carlsen Imre Janszky Lars Johan Vatten Johan Håkon Bjørngaard |
| author_facet | Andreas Asheim Sara Marie Nilsen Stina Aam Kjartan Sarheim Anthun Fredrik Carlsen Imre Janszky Lars Johan Vatten Johan Håkon Bjørngaard |
| author_sort | Andreas Asheim |
| collection | DOAJ |
| description | Abstract Aims To study the consequences of crowded wards among patients with cardiovascular disease. Methods and results This is a cohort study among 201 801 patients with 258 807 admissions who were acutely admitted for myocardial infarction (N = 107 895), stroke (N = 87 336), or heart failure (N = 63 576) to any Norwegian hospital between 2008 and 2016. The ward admitting most patients with the given clinical condition was considered a patient's home ward. We compared patients with the same condition admitted when home ward occupancy was different, at the same hospital and during comparable time periods. Occupancy was standardized such that a one‐unit difference corresponded to the interquartile range in occupancy in the given month. One interquartile increase in home ward occupancy was associated with 7% higher odds of admission to an alternate ward [odds ratio (OR) 1.07, 95% confidence interval (CI) 1.09 to 1.11], and length of stay was shorter (−0.10 days, 95% CI −0.18 to −0.09). Patients with heart failure had 15% higher odds of admission to alternate wards (OR 1.15, 95% CI 1.08 to 1.23) and increased mortality [hazard ratio (HR) 1.08, 95% CI 1.03 to 1.15]. We found no apparent effect on mortality for patients with myocardial infarction (HR 0.99, 95% CI 0.94 to 1.05) or stroke (HR 1.00, 95% CI 0.96 to 1.05). Conclusions Patients with heart failure had higher risk of admission to alternate wards when home ward occupancy was high. These patients may be negatively affected by full wards. |
| format | Article |
| id | doaj-art-4133bde01e9f437d8450a07b61eb4763 |
| institution | Kabale University |
| issn | 2055-5822 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-4133bde01e9f437d8450a07b61eb47632025-02-05T05:22:10ZengWileyESC Heart Failure2055-58222022-06-01931884189010.1002/ehf2.13894High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failureAndreas Asheim0Sara Marie Nilsen1Stina Aam2Kjartan Sarheim Anthun3Fredrik Carlsen4Imre Janszky5Lars Johan Vatten6Johan Håkon Bjørngaard7Center for Health Care Improvement, St. Olav's Hospital HF Trondheim University Hospital Trondheim NorwayCenter for Health Care Improvement, St. Olav's Hospital HF Trondheim University Hospital Trondheim NorwayDepartment of Geriatric Medicine, Clinic of Medicine, St. Olav's Hospital HF Trondheim University Hospital Trondheim NorwayDepartment of Public Health and Nursing Norwegian University of Science and Technology PO Box 8905 Trondheim 7491 NorwayDepartment of Economics Norwegian University of Science and Technology Trondheim NorwayCenter for Health Care Improvement, St. Olav's Hospital HF Trondheim University Hospital Trondheim NorwayDepartment of Public Health and Nursing Norwegian University of Science and Technology PO Box 8905 Trondheim 7491 NorwayDepartment of Public Health and Nursing Norwegian University of Science and Technology PO Box 8905 Trondheim 7491 NorwayAbstract Aims To study the consequences of crowded wards among patients with cardiovascular disease. Methods and results This is a cohort study among 201 801 patients with 258 807 admissions who were acutely admitted for myocardial infarction (N = 107 895), stroke (N = 87 336), or heart failure (N = 63 576) to any Norwegian hospital between 2008 and 2016. The ward admitting most patients with the given clinical condition was considered a patient's home ward. We compared patients with the same condition admitted when home ward occupancy was different, at the same hospital and during comparable time periods. Occupancy was standardized such that a one‐unit difference corresponded to the interquartile range in occupancy in the given month. One interquartile increase in home ward occupancy was associated with 7% higher odds of admission to an alternate ward [odds ratio (OR) 1.07, 95% confidence interval (CI) 1.09 to 1.11], and length of stay was shorter (−0.10 days, 95% CI −0.18 to −0.09). Patients with heart failure had 15% higher odds of admission to alternate wards (OR 1.15, 95% CI 1.08 to 1.23) and increased mortality [hazard ratio (HR) 1.08, 95% CI 1.03 to 1.15]. We found no apparent effect on mortality for patients with myocardial infarction (HR 0.99, 95% CI 0.94 to 1.05) or stroke (HR 1.00, 95% CI 0.96 to 1.05). Conclusions Patients with heart failure had higher risk of admission to alternate wards when home ward occupancy was high. These patients may be negatively affected by full wards.https://doi.org/10.1002/ehf2.13894Ward occupancyBedspacingStrokeMyocardial infarctionHeart failureMortality |
| spellingShingle | Andreas Asheim Sara Marie Nilsen Stina Aam Kjartan Sarheim Anthun Fredrik Carlsen Imre Janszky Lars Johan Vatten Johan Håkon Bjørngaard High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure ESC Heart Failure Ward occupancy Bedspacing Stroke Myocardial infarction Heart failure Mortality |
| title | High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure |
| title_full | High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure |
| title_fullStr | High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure |
| title_full_unstemmed | High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure |
| title_short | High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure |
| title_sort | high ward occupancy bedspacing and 60 day mortality for patients with myocardial infarction stroke and heart failure |
| topic | Ward occupancy Bedspacing Stroke Myocardial infarction Heart failure Mortality |
| url | https://doi.org/10.1002/ehf2.13894 |
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