Department of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital Køge, Køge, Denmark.
National Institute of Public Health, University of Southern Denmark, København, Denmark.
Acta Anaesthesiol Scand. 2021 Mar;65(3):381-389. doi: 10.1111/aas.13737. Epub 2020 Dec 7.
The aim of this study was to describe healthcare utilization of patients admitted to ICU before and after ICU admission.
Register-based study including adult patients discharged from ICU between January 1st, 2011 and December 31st, 2014. Reference group was a sex- and age-matched population not admitted to an ICU in the study period. Outcomes were hospital admissions, contacts to general practitioner or emergency services and municipality services from 1 year before ICU admission and up to 3 years after.
The study included 82 384 patients and an equal number of reference persons. Of patients with ICU admission, 48% were married (reference group 57%), 48% had elementary school education (reference group 38%) and 18% had a Charlson co-morbidity score of 5+ (4% in reference group). We found that 51% of patients with an ICU admission had been admitted to hospital in the year before ICU admission (reference group 15%) and 97% had a contact to a general practitioner (reference group 89%) in the same period.
Patients admitted to an ICU had increased use of both primary and secondary health care both before and for years after ICU treatment, even after adjustment for comorbidities and socio-economic factors.
本研究旨在描述 ICU 住院患者在 ICU 住院前后的医疗保健利用情况。
本研究为基于注册的研究，纳入了 2011 年 1 月 1 日至 2014 年 12 月 31 日期间从 ICU 出院的成年患者。参考组为研究期间未入住 ICU 的性别和年龄匹配人群。主要结局为 ICU 住院前 1 年和住院后 3 年内的住院、全科医生或急诊服务和市政服务就诊情况。
本研究共纳入了 82384 例患者和数量相等的对照者。入住 ICU 的患者中，48%已婚（参考组为 57%），48%接受过小学教育（参考组为 38%），18%Charlson 合并症评分为 5+（参考组为 4%）。我们发现，51%的 ICU 入住患者在入住 ICU 前 1 年内住院（参考组为 15%），97%在同期内看全科医生（参考组为 89%）。
即使调整了合并症和社会经济因素，入住 ICU 的患者在 ICU 治疗前后，包括在 ICU 治疗后多年，其初级和二级医疗保健的使用率均增加。
