BACKGROUND: This study explored changes in short-term mortality during a national reconfiguration of emergency care starting in 2007.

METHODS: Unplanned hospital contacts at emergency departments across Denmark from 2007 to 2016. The reconfiguration was a natural experiment, resulting in individual timelines for each hospital. The outcome was in-hospital and 30-day mortality.

RESULTS: Individual patient-level data included 9,745,603 unplanned hospital contacts from 2007 to 2016 at 20 hospitals with emergency departments. We observed a sharp downwards shift in in-hospital mortality and 30-day mortality in three hospitals in relation to the reconfiguration.

CONCLUSION: This nationwide study identified three hospitals where the reconfiguration was closely associated with reduced in-hospital and 30-day mortality. In contrast, no major effects were identified for the remaining hospitals.

Original languageEnglish
JournalAcute Medicine Journal
Issue number1
Pages (from-to)11-17
Number of pages7
Publication statusPublished - 2024


  • Humans
  • Hospital Mortality
  • Emergency Medical Services
  • Hospitals
  • Emergency Service, Hospital
  • Denmark


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