Evidence map›Paper›PMID 33488854›Full record

ArticleArchives of medical science : AMS2021

Relationship between age and in-hospital mortality during 15,345,025 non-surgical hospitalizations.

Magdalena Walicka, Monika Puzianowska-Kuznicka, Marcin Chlebus, Andrzej Śliwczyński, Melania Brzozowska, Daniel Rutkowski, Lidia Kania, Marcin Czech, Andrzej Jacyna, Edward Franek

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 5 institutions in 1 country.

Magdalena WalickaDepartment of Internal Diseases, Endocrinology and Diabetology, Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland.
Monika Puzianowska-KuznickaDepartment of Human Epigenetics, Mossakowski Medical Research Centre, Warsaw, Poland.
Marcin ChlebusDepartment of Quantitative Finance, Faculty of Economic Sciences, University of Warsaw, Warsaw, Poland.
Andrzej ŚliwczyńskiNational Health Found, Warsaw, Poland.
Melania BrzozowskaNational Health Found, Warsaw, Poland.
Daniel RutkowskiNational Health Found, Warsaw, Poland.
Lidia KaniaDepartment of Internal Diseases, Endocrinology and Diabetology, Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland.
Marcin CzechWarsaw University of Technology Business School, Warsaw, Poland.
Andrzej JacynaNational Health Found, Warsaw, Poland.
Edward FranekDepartment of Internal Diseases, Endocrinology and Diabetology, Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland.
Mossakowski Medical Research Institute, Polish Academy of Sciences · PLCentral Clinical Hospital · PLPostgraduate School of Molecular Medicine · PLUniversity of Warsaw · PLWarsaw University of Technology Business School · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMortality, whether in or out of hospital, increases with age. However, studies evaluating in-hospital mortality in large populations did not distinguish between surgical and non-surgical causes of death, either in young or in elderly patients. The aim of the study was to assess in-hospital non-surgical mortality in a large group of patients, with a special focus on the elderly. MATERIAL AND

methodsData from the database of the Polish National Health Fund (NHF) regarding hospitalizations of adult (≥ 18 years) patients not related to surgical procedures in the years 2009-2013 were used to assess in-hospital mortality.

results15,345,025 hospitalizations were assessed. The mean in-hospital non-surgery-related mortality rate was 3.96 ±0.17%, and increased from 3.79% to 4.2% between 2009 and 2013. The mean odds ratio for in-hospital death increased with the age of patients, reaching a 229-fold higher rate in the ≥ 95 years age group as compared to the 18-24 age group. The highest mean mortality was associated with respiratory diseases (6.91 ±0.20%), followed by heart and vascular diseases, nervous system diseases, as well as combined gastrointestinal tract, liver, biliary tract, pancreas and spleen diseases (5.65 ±0.27%, 5.46 ±0.05% and 4.01 ±0.13%, respectively).

conclusionsThe in-hospital non-surgery-related mortality rate was approximately 4%. It significantly increased with age and, regardless of age, was highest in patients suffering from respiratory diseases.

Indexed as

hospitalizationin-hospitalmedicalmortalitynon-surgical

Identifiers

PMID33488854
PMCPMC7811322
OpenAlexW3118563517

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Registered trials

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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.