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Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries
Akershus University Hospital.
Linköping University, Department of Medicine and Health Sciences, Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
North Karelia Central Hospital.
Oulu University Hospital.
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2010 (English)In: CRITICAL CARE, ISSN 1466-609X, Vol. 14, no 5Article in journal (Refereed) Published
Abstract [en]

Introduction: The length of stay (LOS) in intensive care unit (ICU) nonsurvivors is not often reported, but represents an important indicator of the use of resources. LOS in ICU nonsurvivors may also be a marker of cultural and organizational differences between units. In this study based on the national intensive care registries in Finland, Sweden, and Norway, we aimed to report intensive care mortality and to document resource use as measured by LOS in ICU nonsurvivors. Methods: Registry data from 53,305 ICU patients in 2006 were merged into a single database. ICU nonsurvivors were analyzed with regard to LOS within subgroups by univariate and multivariate analysis (Cox proportional hazards regression). Results: Vital status at ICU discharge was available for 52,255 patients. Overall ICU mortality was 9.1%. Median LOS of the nonsurvivors was 1.3 days in Finland and Sweden, and 1.9 days in Norway. The shortest LOS of the nonsurvivors was found in patients older than 80 years, emergency medical admissions, and the patients with the highest severity of illness. Multivariate analysis confirmed the longer LOS in Norway when corrected for age group, admission category, sex, and type of hospital. LOS in nonsurvivors was found to be inversely related to the severity of illness, as measured by APACHE II and SAPS II. Conclusions: Despite cultural, religious, and educational similarities, significant variations occur in the LOS of ICU nonsurvivors among Finland, Norway, and Sweden. Overall, ICU mortality is low in the Scandinavian countries.

Place, publisher, year, edition, pages
BioMed Central , 2010. Vol. 14, no 5
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-63157DOI: 10.1186/cc9279ISI: 000284596500014OAI: diva2:376661
Original Publication: Kristian Strand, Sten Walther, Matti Reinikainen, Tero Ala-Kokko, Thomas Nolin, Jan Martner, Petteri Mussalo, Eldar Soreide and Hans K Flaatten, Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries, 2010, CRITICAL CARE, (14), 5, R175. Copyright: BioMed Central Available from: 2010-12-13 Created: 2010-12-13 Last updated: 2011-02-23

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Walther, Sten
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PhysiologyFaculty of Health SciencesDepartment of Thoracic and Vascular Surgery
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