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  1. Proportion of hospital deaths associated with adverse events.

    Article - En anglais

    Objectives 

    To determine the fraction of hospital deaths potentially associated with the occurrence of adverse events (AE).

    Design 

    A paired (1 : 1) case-control study.

    Setting 

    An 800-bed, teaching tertiary care hospital.

    Patients 

    All patients older than 14 years admitted to the hospital between January 1,1990, and January 1,1991, were eligible.

    All 524 consecutive deaths (death rate of 3.74%) that occurred in the hospital comprised the case group.

    For each case, a control patient was matched for both primary diagnosis on admission and admission date.

    Measurements 

    The proportion of hospital deaths associated with adverse events (defined as problems of any nature and seriousness faced by the patient during hospitalization, and potentially traceable to clinical or administrative management) was estimated from attributable risks adjusted for age, sex, service, severity of illness, length of stay, and quality of the medical record.

    Results 

    For stays longer than 48 hours, the adjusted attributable risk for all adverse events was estimated to be 0.51 (0.40-0.61).

    When the data were stratified according to the category of adverse event, the attributable risks remained significant except for administrative problems.

    The greatest proportion of deaths associated with adverse events was observed for surgical adverse events [0.56 (0.38-0.71) ] and nosocomial infection [0.22 (0.14-0.28) ]. (...)

    Mots-clés Pascal : Mortalité, Hôpital, Epidémiologie, Homme, Complication, Facteur risque, Qualité, Soin, Espagne, Europe

    Mots-clés Pascal anglais : Mortality, Hospital, Epidemiology, Human, Complication, Risk factor, Quality, Care, Spain, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0404692

    Code Inist : 002B30A01A2. Création : 25/01/1999.