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Survival after initial hospitalisation for heart failure: a multilevel analysis of patients in Swedish acute care hospitals

Merlo, Juan LU ; Östergren, Per-Olof LU ; Broms, Kristian LU ; Björck-Linné, A and Liedholm, Hans LU (2001) In Journal of Epidemiology and Community Health 55(5). p.323-329
Abstract
STUDY OBJECTIVE: Although national variation in short-term prognosis (that is, 30 day mortality) after a patients first hospitalisation for heart failure may depend on individual differences between patients, dissimilarities in hospital practices may also influence prognosis. This study, therefore, sought to disentangle patient determinants from institutional factors that might explain such variation.DESIGN: A multilevel logistic regression modelling was performed with patients (1st level) nested in hospitals (2nd level). Institutional effects (that is, 2nd level variance and intra-hospital correlation) were calculated unadjusted and adjusted for specific patient (that is, age and previous diseases) and institutional (that is, size of... (More)
STUDY OBJECTIVE: Although national variation in short-term prognosis (that is, 30 day mortality) after a patients first hospitalisation for heart failure may depend on individual differences between patients, dissimilarities in hospital practices may also influence prognosis. This study, therefore, sought to disentangle patient determinants from institutional factors that might explain such variation.DESIGN: A multilevel logistic regression modelling was performed with patients (1st level) nested in hospitals (2nd level). Institutional effects (that is, 2nd level variance and intra-hospital correlation) were calculated unadjusted and adjusted for specific patient (that is, age and previous diseases) and institutional (that is, size of hospital) characteristics. Patients were followed up until death or 30 days from hospital admission.SETTING: Hospitals in Sweden.PATIENTS: The study identified all the 20 420 men and 17 923 women (ages 65 to 85) admitted to the 90 acute care hospitals in Sweden during the period 1992-1995 for their first hospitalisation attributable to heart failure.MAIN RESULTS: Patient age and previous diseases (particularly senile dementia) were major determinants of impaired prognosis. Institutional factors explained only 1.6 and 2.3 of the total variation in 30 day mortality in men and women, respectively. These modest institutional effects remained after adjusting for patient age and previous diseases, but were in part explained by hospital size.CONCLUSIONS: National variation in short-term prognosis after an initial hospitalisation for heart failure was mainly explained by differences between patients, with hospital factors playing a minor part. Of the latter, hospital size seemed to emerge as one determinant (that is, the greater the number of patients, the better the individual prognosis). (Less)
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published
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Journal of Epidemiology and Community Health
volume
55
issue
5
pages
323 - 329
publisher
BMJ Publishing Group
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  • wos:000168138600010
  • scopus:0035046608
ISSN
1470-2738
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language
English
LU publication?
yes
id
5e99033a-4250-4cfe-9af9-d5c263588f3a (old id 131630)
alternative location
http://jech.bmjjournals.com/cgi/content/abstract/55/5/323
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=11297650&dopt=Abstract
date added to LUP
2007-07-02 11:52:46
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2018-05-29 09:59:34
@article{5e99033a-4250-4cfe-9af9-d5c263588f3a,
  abstract     = {STUDY OBJECTIVE: Although national variation in short-term prognosis (that is, 30 day mortality) after a patients first hospitalisation for heart failure may depend on individual differences between patients, dissimilarities in hospital practices may also influence prognosis. This study, therefore, sought to disentangle patient determinants from institutional factors that might explain such variation.DESIGN: A multilevel logistic regression modelling was performed with patients (1st level) nested in hospitals (2nd level). Institutional effects (that is, 2nd level variance and intra-hospital correlation) were calculated unadjusted and adjusted for specific patient (that is, age and previous diseases) and institutional (that is, size of hospital) characteristics. Patients were followed up until death or 30 days from hospital admission.SETTING: Hospitals in Sweden.PATIENTS: The study identified all the 20 420 men and 17 923 women (ages 65 to 85) admitted to the 90 acute care hospitals in Sweden during the period 1992-1995 for their first hospitalisation attributable to heart failure.MAIN RESULTS: Patient age and previous diseases (particularly senile dementia) were major determinants of impaired prognosis. Institutional factors explained only 1.6 and 2.3 of the total variation in 30 day mortality in men and women, respectively. These modest institutional effects remained after adjusting for patient age and previous diseases, but were in part explained by hospital size.CONCLUSIONS: National variation in short-term prognosis after an initial hospitalisation for heart failure was mainly explained by differences between patients, with hospital factors playing a minor part. Of the latter, hospital size seemed to emerge as one determinant (that is, the greater the number of patients, the better the individual prognosis).},
  author       = {Merlo, Juan and Östergren, Per-Olof and Broms, Kristian and Björck-Linné, A and Liedholm, Hans},
  issn         = {1470-2738},
  language     = {eng},
  number       = {5},
  pages        = {323--329},
  publisher    = {BMJ Publishing Group},
  series       = {Journal of Epidemiology and Community Health},
  title        = {Survival after initial hospitalisation for heart failure: a multilevel analysis of patients in Swedish acute care hospitals},
  url          = {http://dx.doi.org/},
  volume       = {55},
  year         = {2001},
}