Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study
Abstract Background The emergency department (ED) sensitive hospital standardized mortality ratio (ED-HSMR) measures risk-adjusted mortality for patients admitted to hospital with conditions for which ED care may improve health outcomes. This study aimed to describe in-hospital mortality across Cana...
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ftunivcalgary:oai:prism.ucalgary.ca:1880/111172 2023-08-27T04:10:39+02:00 Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study Berthelot, Simon Lang, Eddy S Quan, Hude Stelfox, Henry T 2019-10-27T00:15:36Z application/pdf http://hdl.handle.net/1880/111172 https://doi.org/10.1186/s12873-019-0270-1 en eng BMC Emergency Medicine. 2019 Oct 22;19(1):57 https://doi.org/10.1186/s12873-019-0270-1 http://hdl.handle.net/1880/111172 The Author(s). Journal Article 2019 ftunivcalgary https://doi.org/10.1186/s12873-019-0270-1 2023-08-06T06:22:34Z Abstract Background The emergency department (ED) sensitive hospital standardized mortality ratio (ED-HSMR) measures risk-adjusted mortality for patients admitted to hospital with conditions for which ED care may improve health outcomes. This study aimed to describe in-hospital mortality across Canadian provinces using the ED-HSMR. Methods Hospital discharge data were analyzed from April 2009 to March 2012. The ED-HSMR was calculated as the ratio of observed deaths among patients with emergency-sensitive conditions in a hospital during a year (2010–11 or 2011–12) to the expected deaths for the same patients during the reference year (2009–10), multiplied by 100. The expected deaths were estimated using predictive models fitted from the reference year. Aggregated provincial ED-HSMR values were calculated. A HSMR value above or below 100 respectively means that more or fewer deaths than expected occurred within a province. Results During the study period, 1,335,379 patients were admitted to hospital in Canada with an emergency-sensitive condition as the most responsible diagnosis. More in-hospital deaths (95% confidence interval) than expected were respectively observed for the years 2010–11 and 2011–12 in Newfoundland [124.3 (116.3–132.6); & 117.6 (110.1–125.5)] and Nova Scotia [116.4 (110.7–122.5) & 108.7 (103.0–114.5)], while mortality was as expected in Prince Edward Island [99.9 (86.5–114.8) & 100.7 (87.5–115.3)] and Manitoba [99.2 (94.5–104.1) & 98.3 (93.5–103.3)], and less than expected in all other provinces and territories. Conclusions Our study revealed important variation in risk-adjusted mortality for patients admitted to hospital with emergency-sensitive conditions among Canadian provinces. The ED-HSMR may be a useful outcome indicator to complement existing process indicators in measuring ED performance. Trial registration N/A – Retrospective cohort study. Article in Journal/Newspaper Newfoundland Prince Edward Island PRISM - University of Calgary Digital Repository Canada BMC Emergency Medicine 19 1 |
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PRISM - University of Calgary Digital Repository |
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ftunivcalgary |
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description |
Abstract Background The emergency department (ED) sensitive hospital standardized mortality ratio (ED-HSMR) measures risk-adjusted mortality for patients admitted to hospital with conditions for which ED care may improve health outcomes. This study aimed to describe in-hospital mortality across Canadian provinces using the ED-HSMR. Methods Hospital discharge data were analyzed from April 2009 to March 2012. The ED-HSMR was calculated as the ratio of observed deaths among patients with emergency-sensitive conditions in a hospital during a year (2010–11 or 2011–12) to the expected deaths for the same patients during the reference year (2009–10), multiplied by 100. The expected deaths were estimated using predictive models fitted from the reference year. Aggregated provincial ED-HSMR values were calculated. A HSMR value above or below 100 respectively means that more or fewer deaths than expected occurred within a province. Results During the study period, 1,335,379 patients were admitted to hospital in Canada with an emergency-sensitive condition as the most responsible diagnosis. More in-hospital deaths (95% confidence interval) than expected were respectively observed for the years 2010–11 and 2011–12 in Newfoundland [124.3 (116.3–132.6); & 117.6 (110.1–125.5)] and Nova Scotia [116.4 (110.7–122.5) & 108.7 (103.0–114.5)], while mortality was as expected in Prince Edward Island [99.9 (86.5–114.8) & 100.7 (87.5–115.3)] and Manitoba [99.2 (94.5–104.1) & 98.3 (93.5–103.3)], and less than expected in all other provinces and territories. Conclusions Our study revealed important variation in risk-adjusted mortality for patients admitted to hospital with emergency-sensitive conditions among Canadian provinces. The ED-HSMR may be a useful outcome indicator to complement existing process indicators in measuring ED performance. Trial registration N/A – Retrospective cohort study. |
format |
Article in Journal/Newspaper |
author |
Berthelot, Simon Lang, Eddy S Quan, Hude Stelfox, Henry T |
spellingShingle |
Berthelot, Simon Lang, Eddy S Quan, Hude Stelfox, Henry T Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
author_facet |
Berthelot, Simon Lang, Eddy S Quan, Hude Stelfox, Henry T |
author_sort |
Berthelot, Simon |
title |
Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
title_short |
Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
title_full |
Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
title_fullStr |
Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
title_full_unstemmed |
Canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
title_sort |
canadian in-hospital mortality for patients with emergency-sensitive conditions: a retrospective cohort study |
publishDate |
2019 |
url |
http://hdl.handle.net/1880/111172 https://doi.org/10.1186/s12873-019-0270-1 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
Newfoundland Prince Edward Island |
genre_facet |
Newfoundland Prince Edward Island |
op_relation |
BMC Emergency Medicine. 2019 Oct 22;19(1):57 https://doi.org/10.1186/s12873-019-0270-1 http://hdl.handle.net/1880/111172 |
op_rights |
The Author(s). |
op_doi |
https://doi.org/10.1186/s12873-019-0270-1 |
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BMC Emergency Medicine |
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19 |
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1 |
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1775352871482556416 |