{"id":3237,"date":"2024-04-03T20:27:45","date_gmt":"2024-04-03T20:27:45","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3237"},"modified":"2025-07-14T20:29:18","modified_gmt":"2025-07-14T18:29:18","slug":"patienter-med-gentagne-akutte-indlaeggelser-til-somatiske-hospitalsafdelinger-sociodemografiske-karakteristika-sygdomsbyrde-og-kontakt-til-primaersektoren-et-retrospektivt-registerbasere","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/03\/patienter-med-gentagne-akutte-indlaeggelser-til-somatiske-hospitalsafdelinger-sociodemografiske-karakteristika-sygdomsbyrde-og-kontakt-til-primaersektoren-et-retrospektivt-registerbasere\/","title":{"rendered":"Patienter med gentagne akutte indl\u00e6ggelser til somatiske hospitalsafdelinger: sociodemografiske karakteristika, sygdomsbyrde og kontakt til prim\u00e6rsektoren \u2013 et retrospektivt registerbaseret case-control studie"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Leth SV, Graversen SB, Lisby M, St\u00f8vring H, Sandb\u00e6k A. Patients with repeated acute admissions to somatic departments: sociodemographic characteristics, disease burden, and contact with primary healthcare sector \u2013 a retrospective register-based case\u2013control study. Scandinavian Journal of Public Health. 2024;0(0). doi:<\/span>10.1177\/14034948241230142<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Patienter med gentagne akutte indl\u00e6ggelser optager en uforholdsm\u00e6ssig stor andel af hospitalskapaciteten, hvilket har b\u00e5de samfundsm\u00e6ssige konsekvenser og konsekvenser for den enkelte patient. Dette studie unders\u00f8ger, hvad der karakteriser patienter med gentagne akutte indl\u00e6ggelser (\u22653 akutte indl\u00e6ggelser i l\u00f8bet af et kalender\u00e5r) i forhold til deres sociodemografiske karakteristika, sygdomsbyrde og kontakt til prim\u00e6rsektoren.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Dette registerbaserede case-kontrol studie unders\u00f8gte gentagne akutte indl\u00e6ggelser i perioden fra d. 1. januar 2014 til d. 31. december 2018 blandt voksne borgere bosat i Skanderborg, Hedensted, Horsens og Odder kommune. I alt 6.169 patienter med gentagne akutte indl\u00e6ggelser blev matchet 1:4 med henholdsvis personer uden nogen akutte indl\u00e6ggelser og personer med 1-2 akutte indl\u00e6ggelser.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Studiet fandt, at det at v\u00e6re ugift og modtage offentlige ydelser udg\u00f8r risikomark\u00f8rer for at have gentagne akutte indl\u00e6ggelser. Derudover blev tilstedev\u00e6relsen af kronisk sygdom (stigende risiko med antal kroniske sygdomme), et h\u00f8jt medicinforbrug (stigende risiko med antal medicin) samt psykisk sygdom og brug af antidepressiv medicin ogs\u00e5 fundet at \u00f8ge risikoen. Mange kontakter til prim\u00e6rsektoren, herunder til praktiserende l\u00e6ge og speciall\u00e6ge (>5 kontakter mdr.\/\u00e5r) og vagtl\u00e6ge (\u2265 3 kontakter mdr.\/\u00e5r) samt visitation til kommunale ydelser, eksempelvis sygepleje, blev ligeledes identificeret som risikomark\u00f8rer.<\/span><\/p>\n

Implikationer
\n<\/span><\/strong>Studiet identificerede en r\u00e6kke risikomark\u00f8rer indenfor sociodemografiske karakteristika, sygdomsbyrde og kontakt med prim\u00e6rsektoren, der kan anvendes til at identificere patienter i risiko for at have gentagne akutte indl\u00e6ggelser samt facilitere m\u00e5lrettede interventioner for at reducere antallet af gange patienterne indl\u00e6gges akut. Interventioner kan involvere samarbejde p\u00e5 tv\u00e6rs af sektorer herunder teams, der adresserer b\u00e5de somatiske og psykiatriske aspekter for at kunne tilbyde patienterne en helhedsorienteret indsats. Derudover b\u00f8r man overveje planl\u00e6gning af pleje og behandling som en intervention til s\u00e5rbare patienter og patienter med flere kroniske sygdomme for at afstemme deres forventninger hertil.<\/span><\/p>\n

Studiet er udarbejdet i samarbejde med TV\u00c6RSPOR.<\/p>\n

Sara Viskum Leth, Cand.scient.san.publ, Center for Akutforskning, Aarhus Universitetshospital, <\/span>sarlet@rm.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Patienter med gentagne akutte indl\u00e6ggelser optager en uforholdsm\u00e6ssig stor andel af hospitalskapaciteten,<\/p>\n","protected":false},"author":4,"featured_media":12693,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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