FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4311608103> ?p ?o ?g. }

• W4311608103 endingPage "340" @default.
• W4311608103 startingPage "330" @default.
• W4311608103 abstract "Objectives To estimate the impact of altering referral thresholds from out-of-hours services on older patients’ further use of health services and risk of death. Design Cohort study using patient data from primary and specialised health services and demographic data from Statistics Norway and the Norwegian Cause of Death Registry. Setting Norway Participants 491 653 patients aged 65 years and older contacting Norwegian out-of-hours services between 2008 and 2016. Analysis Multivariable adjusted and instrumental variable associations between referrals to hospital from out-of-hours services and further health services use and death for up to 6 months. Physicians’ proportions of acute referrals of older, unknown patients from out-of-hours work were used as an instrumental variable (‘physician referral preference’) for their threshold of referral for such patients whose clinical presentations were less clear cut. Results For older patients, whose referrals could be attributed to their physicians’ threshold for referral, mean length of stay in hospital increased 3.30 days (95% CI 3.13 to 3.27) within the first 10 days, compared with non-referred patients. Such referrals also increased 6 months use of outpatient specialist clinics and primary care physicians. Importantly, patients with referrals attributable to their physicians’ threshold had a substantially reduced risk of death the first 10 days (HR 0.53, 95% CI 0.31 to 0.91), an effect sustaining through the 6-month follow-up period (HR 0.72, 95% CI 0.54 to 0.97). Conclusions Out-of-hours patients whose referrals are affected by physician referral threshold contribute substantially to the use of health services. However, the referral seems protective by reducing the risk of death in the first 6 months after the referral. Thus, raising the threshold for referral to lower pressure on overcrowded emergency departments and hospitals should not be encouraged without ensuring the accuracy of the referral decisions, ideally through high-quality randomised controlled trial evidence." @default.
• W4311608103 created "2022-12-27" @default.
• W4311608103 creator A5000240512 @default.
• W4311608103 creator A5001158375 @default.
• W4311608103 creator A5038615357 @default.
• W4311608103 creator A5049364313 @default.
• W4311608103 creator A5061002857 @default.
• W4311608103 creator A5070116390 @default.
• W4311608103 creator A5075216083 @default.
• W4311608103 creator A5086190960 @default.
• W4311608103 date "2022-12-15" @default.
• W4311608103 modified "2023-10-16" @default.
• W4311608103 title "Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study" @default.
• W4311608103 cites W1965995507 @default.
• W4311608103 cites W1986297202 @default.
• W4311608103 cites W1986336970 @default.
• W4311608103 cites W2000445173 @default.
• W4311608103 cites W2030402313 @default.
• W4311608103 cites W2068994580 @default.
• W4311608103 cites W2104278634 @default.
• W4311608103 cites W2104780889 @default.
• W4311608103 cites W2108269432 @default.
• W4311608103 cites W2128736149 @default.
• W4311608103 cites W2133647475 @default.
• W4311608103 cites W2140295766 @default.
• W4311608103 cites W2146050890 @default.
• W4311608103 cites W2153713642 @default.
• W4311608103 cites W2162234509 @default.
• W4311608103 cites W2168558795 @default.
• W4311608103 cites W2330290021 @default.
• W4311608103 cites W2399462162 @default.
• W4311608103 cites W2751692799 @default.
• W4311608103 cites W2810809449 @default.
• W4311608103 cites W2924434703 @default.
• W4311608103 cites W2946391707 @default.
• W4311608103 cites W2957362507 @default.
• W4311608103 cites W3007444795 @default.
• W4311608103 cites W3137364270 @default.
• W4311608103 cites W3202684503 @default.
• W4311608103 cites W3211255903 @default.
• W4311608103 doi "https://doi.org/10.1136/bmjqs-2022-014944" @default.
• W4311608103 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36522178" @default.
• W4311608103 hasPublicationYear "2022" @default.
• W4311608103 type Work @default.
• W4311608103 citedByCount "1" @default.
• W4311608103 countsByYear W43116081032023 @default.
• W4311608103 crossrefType "journal-article" @default.
• W4311608103 hasAuthorship W4311608103A5000240512 @default.
• W4311608103 hasAuthorship W4311608103A5001158375 @default.
• W4311608103 hasAuthorship W4311608103A5038615357 @default.
• W4311608103 hasAuthorship W4311608103A5049364313 @default.
• W4311608103 hasAuthorship W4311608103A5061002857 @default.
• W4311608103 hasAuthorship W4311608103A5070116390 @default.
• W4311608103 hasAuthorship W4311608103A5075216083 @default.
• W4311608103 hasAuthorship W4311608103A5086190960 @default.
• W4311608103 hasConcept C126322002 @default.
• W4311608103 hasConcept C138885662 @default.
• W4311608103 hasConcept C160735492 @default.
• W4311608103 hasConcept C162324750 @default.
• W4311608103 hasConcept C187212893 @default.
• W4311608103 hasConcept C194828623 @default.
• W4311608103 hasConcept C201903717 @default.
• W4311608103 hasConcept C2776135927 @default.
• W4311608103 hasConcept C41895202 @default.
• W4311608103 hasConcept C50522688 @default.
• W4311608103 hasConcept C512399662 @default.
• W4311608103 hasConcept C63428231 @default.
• W4311608103 hasConcept C71924100 @default.
• W4311608103 hasConcept C72563966 @default.
• W4311608103 hasConceptScore W4311608103C126322002 @default.
• W4311608103 hasConceptScore W4311608103C138885662 @default.
• W4311608103 hasConceptScore W4311608103C160735492 @default.
• W4311608103 hasConceptScore W4311608103C162324750 @default.
• W4311608103 hasConceptScore W4311608103C187212893 @default.
• W4311608103 hasConceptScore W4311608103C194828623 @default.
• W4311608103 hasConceptScore W4311608103C201903717 @default.
• W4311608103 hasConceptScore W4311608103C2776135927 @default.
• W4311608103 hasConceptScore W4311608103C41895202 @default.
• W4311608103 hasConceptScore W4311608103C50522688 @default.
• W4311608103 hasConceptScore W4311608103C512399662 @default.
• W4311608103 hasConceptScore W4311608103C63428231 @default.
• W4311608103 hasConceptScore W4311608103C71924100 @default.
• W4311608103 hasConceptScore W4311608103C72563966 @default.
• W4311608103 hasFunder F4320320360 @default.
• W4311608103 hasFunder F4320323299 @default.
• W4311608103 hasFunder F4320334626 @default.
• W4311608103 hasIssue "6" @default.
• W4311608103 hasLocation W43116081031 @default.
• W4311608103 hasLocation W43116081032 @default.
• W4311608103 hasOpenAccess W4311608103 @default.
• W4311608103 hasPrimaryLocation W43116081031 @default.
• W4311608103 hasRelatedWork W196633838 @default.
• W4311608103 hasRelatedWork W2042489430 @default.
• W4311608103 hasRelatedWork W2060737864 @default.
• W4311608103 hasRelatedWork W2131914524 @default.
• W4311608103 hasRelatedWork W2133882075 @default.
• W4311608103 hasRelatedWork W2151370060 @default.
• W4311608103 hasRelatedWork W2163233985 @default.

• next