Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital
Background: The citizens of Finnmark have higher mortality than Norway at large. Comorbidity can today be measured using methods like the Charlson Comorbidity Index (CCI). Comorbidity and the burden of smoking, measured in pack years, amongst patients admitted to Finnmark Hospital Trust have never b...
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ftunivtroemsoe:oai:munin.uit.no:10037/15752 2023-05-15T16:13:32+02:00 Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital Svanstrøm, Christina 2019-06-04 https://hdl.handle.net/10037/15752 eng eng UiT Norges arktiske universitet UiT The Arctic University of Norway https://hdl.handle.net/10037/15752 openAccess Copyright 2019 The Author(s) VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 MED-3950 Master thesis Mastergradsoppgave 2019 ftunivtroemsoe 2021-06-25T17:56:42Z Background: The citizens of Finnmark have higher mortality than Norway at large. Comorbidity can today be measured using methods like the Charlson Comorbidity Index (CCI). Comorbidity and the burden of smoking, measured in pack years, amongst patients admitted to Finnmark Hospital Trust have never been investigated. Knowledge of these variables can presumably lead to better patient treatment and follow up. Objective: Measuring CCI, BMI and pack years in patients admitted to the Department of Surgery at Hammerfest Hospital in the Finnmark Hospital Trust. I wanted to investigate how these exposure variables impact on length of hospitalisation, measured by hospital stay >4 days. Method: All patients admitted to the Department of Surgery between 18 November and 10 December 2018 were registered. Reading records one year prior to admission, I recorded all CCI-diagnoses and calculated individual comorbidity scores. Age, length of hospital stay, and smoking status was recorded. Pack years and BMI were calculated. Logistic regression analysis was used to evaluate the exposure impact on the outcome. Result: Eighty patients were included in the analysis, of which 66.2% were men. Half of the patients were >70 years of age. Twenty-seven (32%) had >4 days of hospital stay. The mean CCI score was 5.20 (range 0- 13, SD 3.6). One unit increase in CCI score increased the risk of the outcome by 19% (OR 1.19, 95% CI 1.04-1.37). This effect disappeared in the multivariate logistic regression. Conclusion: None of the examined variables displayed a significant effect on the length of the hospital admission in this study. The study is the first of its kind in Finnmark. Due to low internal validity the results should be interpreted with caution. Further research is needed to properly account for the burden of comorbidity in Finnmark Hospital Trust. Master Thesis Finnmark Hammerfest Finnmark University of Tromsø: Munin Open Research Archive Norway |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 MED-3950 |
spellingShingle |
VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 MED-3950 Svanstrøm, Christina Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 MED-3950 |
description |
Background: The citizens of Finnmark have higher mortality than Norway at large. Comorbidity can today be measured using methods like the Charlson Comorbidity Index (CCI). Comorbidity and the burden of smoking, measured in pack years, amongst patients admitted to Finnmark Hospital Trust have never been investigated. Knowledge of these variables can presumably lead to better patient treatment and follow up. Objective: Measuring CCI, BMI and pack years in patients admitted to the Department of Surgery at Hammerfest Hospital in the Finnmark Hospital Trust. I wanted to investigate how these exposure variables impact on length of hospitalisation, measured by hospital stay >4 days. Method: All patients admitted to the Department of Surgery between 18 November and 10 December 2018 were registered. Reading records one year prior to admission, I recorded all CCI-diagnoses and calculated individual comorbidity scores. Age, length of hospital stay, and smoking status was recorded. Pack years and BMI were calculated. Logistic regression analysis was used to evaluate the exposure impact on the outcome. Result: Eighty patients were included in the analysis, of which 66.2% were men. Half of the patients were >70 years of age. Twenty-seven (32%) had >4 days of hospital stay. The mean CCI score was 5.20 (range 0- 13, SD 3.6). One unit increase in CCI score increased the risk of the outcome by 19% (OR 1.19, 95% CI 1.04-1.37). This effect disappeared in the multivariate logistic regression. Conclusion: None of the examined variables displayed a significant effect on the length of the hospital admission in this study. The study is the first of its kind in Finnmark. Due to low internal validity the results should be interpreted with caution. Further research is needed to properly account for the burden of comorbidity in Finnmark Hospital Trust. |
format |
Master Thesis |
author |
Svanstrøm, Christina |
author_facet |
Svanstrøm, Christina |
author_sort |
Svanstrøm, Christina |
title |
Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
title_short |
Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
title_full |
Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
title_fullStr |
Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
title_full_unstemmed |
Comorbidity among patients admitted to the Department of Surgery, Hammerfest Hospital |
title_sort |
comorbidity among patients admitted to the department of surgery, hammerfest hospital |
publisher |
UiT Norges arktiske universitet |
publishDate |
2019 |
url |
https://hdl.handle.net/10037/15752 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Finnmark Hammerfest Finnmark |
genre_facet |
Finnmark Hammerfest Finnmark |
op_relation |
https://hdl.handle.net/10037/15752 |
op_rights |
openAccess Copyright 2019 The Author(s) |
_version_ |
1765999304284045312 |