Increasing emergency hospital activity in Denmark, 2005-2016: A nationwide descriptive study

Marianne Fløjstrup; Soren Bie Bogh; Daniel Pilsgaard Henriksen; Mickael Bech; Søren Paaske Johnsen; Mikkel Brabrand

doi:10.1136/bmjopen-2019-031409

Increasing emergency hospital activity in Denmark, 2005-2016: A nationwide descriptive study

Marianne Fløjstrup^*, Soren Bie Bogh, Daniel Pilsgaard Henriksen, Mickael Bech, Søren Paaske Johnsen, Mikkel Brabrand

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

OBJECTIVES: To describe changes in unplanned acute activity and to identify and characterise unplanned contacts in hospitals in Denmark from 2005 to 2016, including following healthcare reform.

DESIGN: Descriptive study.

SETTING: Data from Danish nationwide registers.

POPULATION: Adults (≥18 years).

PARTICIPANTS: All adults with an unplanned acute hospital contacts (acute inpatient admissions and emergency care visits) in Denmark from 2005 to 2016.

PRIMARY AND SECONDARY OUTCOME MEASURES: Outcomes were annual number of contacts, length of stay, number of contacts per 1000 citizen per year, age-adjusted contacts per 1000 citizens per year, sex, age groups, country of origin, Charlson Comorbidity Index score, discharge diagnosis and time of arrival.

RESULTS: We included a total of 13 524 680 contacts. The annual number of acute hospital contacts increased from 1 067 390 in 2005 to 1 221 601 in 2016. The number also increased with adjustment for age per 1000 citizens. In addition, regional differences were observed.

CONCLUSIONS: Unplanned acute activity changed from 2005 to 2016. The national number of contacts increased, primarily because of changes in one of the five regions.

Original language	English
Article number	e031409
Journal	BMJ Open
Volume	10
Issue number	2
Number of pages	8
ISSN	2044-6055
DOIs	https://doi.org/10.1136/bmjopen-2019-031409 https://doi.org/10.1136/bmjopen-2019-031409
Publication status	Published - 12. Feb 2020

Keywords

epidemiology
organisation of health services
organisational development

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Open Access VersionFinal published version, 1.1 MBLicence: CC BY-NC

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title = "Increasing emergency hospital activity in Denmark, 2005-2016: A nationwide descriptive study",

abstract = "OBJECTIVES: To describe changes in unplanned acute activity and to identify and characterise unplanned contacts in hospitals in Denmark from 2005 to 2016, including following healthcare reform.DESIGN: Descriptive study.SETTING: Data from Danish nationwide registers.POPULATION: Adults (≥18 years).PARTICIPANTS: All adults with an unplanned acute hospital contacts (acute inpatient admissions and emergency care visits) in Denmark from 2005 to 2016.PRIMARY AND SECONDARY OUTCOME MEASURES: Outcomes were annual number of contacts, length of stay, number of contacts per 1000 citizen per year, age-adjusted contacts per 1000 citizens per year, sex, age groups, country of origin, Charlson Comorbidity Index score, discharge diagnosis and time of arrival.RESULTS: We included a total of 13 524 680 contacts. The annual number of acute hospital contacts increased from 1 067 390 in 2005 to 1 221 601 in 2016. The number also increased with adjustment for age per 1000 citizens. In addition, regional differences were observed.CONCLUSIONS: Unplanned acute activity changed from 2005 to 2016. The national number of contacts increased, primarily because of changes in one of the five regions.",

keywords = "epidemiology, organisation of health services, organisational development",

author = "Marianne Fl{\o}jstrup and Bogh, {Soren Bie} and Henriksen, {Daniel Pilsgaard} and Mickael Bech and Johnsen, {S{\o}ren Paaske} and Mikkel Brabrand",

year = "2020",

month = feb,

day = "12",

doi = "10.1136/bmjopen-2019-031409",

language = "English",

volume = "10",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "2",

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TY - JOUR

T1 - Increasing emergency hospital activity in Denmark, 2005-2016

T2 - A nationwide descriptive study

AU - Fløjstrup, Marianne

AU - Bogh, Soren Bie

AU - Henriksen, Daniel Pilsgaard

AU - Bech, Mickael

AU - Johnsen, Søren Paaske

AU - Brabrand, Mikkel

PY - 2020/2/12

Y1 - 2020/2/12

N2 - OBJECTIVES: To describe changes in unplanned acute activity and to identify and characterise unplanned contacts in hospitals in Denmark from 2005 to 2016, including following healthcare reform.DESIGN: Descriptive study.SETTING: Data from Danish nationwide registers.POPULATION: Adults (≥18 years).PARTICIPANTS: All adults with an unplanned acute hospital contacts (acute inpatient admissions and emergency care visits) in Denmark from 2005 to 2016.PRIMARY AND SECONDARY OUTCOME MEASURES: Outcomes were annual number of contacts, length of stay, number of contacts per 1000 citizen per year, age-adjusted contacts per 1000 citizens per year, sex, age groups, country of origin, Charlson Comorbidity Index score, discharge diagnosis and time of arrival.RESULTS: We included a total of 13 524 680 contacts. The annual number of acute hospital contacts increased from 1 067 390 in 2005 to 1 221 601 in 2016. The number also increased with adjustment for age per 1000 citizens. In addition, regional differences were observed.CONCLUSIONS: Unplanned acute activity changed from 2005 to 2016. The national number of contacts increased, primarily because of changes in one of the five regions.

AB - OBJECTIVES: To describe changes in unplanned acute activity and to identify and characterise unplanned contacts in hospitals in Denmark from 2005 to 2016, including following healthcare reform.DESIGN: Descriptive study.SETTING: Data from Danish nationwide registers.POPULATION: Adults (≥18 years).PARTICIPANTS: All adults with an unplanned acute hospital contacts (acute inpatient admissions and emergency care visits) in Denmark from 2005 to 2016.PRIMARY AND SECONDARY OUTCOME MEASURES: Outcomes were annual number of contacts, length of stay, number of contacts per 1000 citizen per year, age-adjusted contacts per 1000 citizens per year, sex, age groups, country of origin, Charlson Comorbidity Index score, discharge diagnosis and time of arrival.RESULTS: We included a total of 13 524 680 contacts. The annual number of acute hospital contacts increased from 1 067 390 in 2005 to 1 221 601 in 2016. The number also increased with adjustment for age per 1000 citizens. In addition, regional differences were observed.CONCLUSIONS: Unplanned acute activity changed from 2005 to 2016. The national number of contacts increased, primarily because of changes in one of the five regions.

KW - epidemiology

KW - organisation of health services

KW - organisational development

UR - https://www.ucviden.dk/portal/en/publications/increasing-emergency-hospital-activity-in-denmark-20052016(9eed7555-fae6-4883-bbcd-4194cf78e8b6).html

U2 - 10.1136/bmjopen-2019-031409

DO - 10.1136/bmjopen-2019-031409

M3 - Journal article

C2 - 32051299

AN - SCOPUS:85079337404

SN - 2044-6055

VL - 10

JO - BMJ Open

JF - BMJ Open

IS - 2

M1 - e031409

ER -

Increasing emergency hospital activity in Denmark, 2005-2016: A nationwide descriptive study

Abstract

Keywords

Documents & Links

SDU Link

Other files and links

Fingerprint

The reconfiguration of emergency healthcare in Denmark – from the many small hospitals to a few big emergency hospitals

Cite this

Increasing emergency hospital activity in Denmark, 2005-2016: A nationwide descriptive study

Abstract

Keywords

Documents & Links

SDU Link

Other files and links

Fingerprint

Related research output

The reconfiguration of emergency healthcare in Denmark – from the many small hospitals to a few big emergency hospitals

Cite this