Evidence map›Paper›PMID 28903748›Full record

ArticleBMC health services research2017

Costs associated with adverse events among acute patients.

Jakob Kjellberg, Rasmus Trap Wolf, Marie Kruse, Susanne R Rasmussen, Jesper Vestergaard, Kent J Nielsen, Kurt Rasmussen

Abstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Measuring the cost of adverse events in hospital.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  20. The impact of hospital harm on length of stay, costs of care and length of person-centred episodes of care: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jakob KjellbergKORA, the Danish Institute for Local and Regional Government Research, Copenhagen and Aarhus, Købmagergade 22, 1150, Copenhagen K, Denmark.
Rasmus Trap WolfKORA, the Danish Institute for Local and Regional Government Research, Copenhagen and Aarhus, Købmagergade 22, 1150, Copenhagen K, Denmark. rawo@kora.dk.
Marie KruseKORA, the Danish Institute for Local and Regional Government Research, Copenhagen and Aarhus, Købmagergade 22, 1150, Copenhagen K, Denmark.
Susanne R RasmussenKORA, the Danish Institute for Local and Regional Government Research, Copenhagen and Aarhus, Købmagergade 22, 1150, Copenhagen K, Denmark.
Jesper VestergaardDepartment of Occupational Medicine, University Research Clinic, Herning Regional Hospital, Herning, Denmark.
Kent J NielsenDepartment of Occupational Medicine, University Research Clinic, Herning Regional Hospital, Herning, Denmark.
Kurt RasmussenDepartment of Occupational Medicine, University Research Clinic, Herning Regional Hospital, Herning, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyse the additional treatment costs of acute patients admitted to a Danish hospital who suffered an adverse event (AE) during in-hospital treatment.

methodsA matched case-control design was utilised. Using a combination of trigger words and patient record reviews 91 patients exposed to AEs were identified. Controls were identified among patients admitted to the same department during the same 20-month period. The matching was based on age, gender, and main diagnosis. Cost data was extracted from the Danish National Cost Database for four different periods after beginning of the admission.

resultsPatients exposed to an AE were associated with higher mean cost of EUR 9505 during their index admission (p = 0.014). For the period of 6 months from the beginning of the admission minus the admission itself they were associated with higher mean cost of EUR 4968 (p = 0.016). For the period from the 7th month until the end of the 12th month there was no statistically significant difference (p = 0.104). For the total period of 12 month, patients exposed to an AE were associated with statistically significant higher mean cost of EUR 13,930 (p = 0.001).

conclusionsAEs are associated with significant hospital costs. Our findings suggest that a follow-up period of 6 months is necessary when investigating the costs associated with AEs among acute patients. Further research of specific types of AEs and the costs of preventing these types of AEs would improve the understanding of the relationship between adverse events and costs.

Indexed as

Acute DiseaseAgedCase-Control StudiesDatabases, FactualDenmarkEmergency Medical ServicesFemaleHospital CostsHospitalizationHumansIatrogenic DiseaseLength of StayMaleMedical ErrorsAdverse eventsCost and cost analysis [MeSH]Hospital costs [MeSH]

Identifiers

PMID28903748
PMCPMC5598051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.