Too much? Mortality and health service utilisation among Danish children 1999-2016: A register-based study

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Standard

Too much? Mortality and health service utilisation among Danish children 1999-2016 : A register-based study. / Jensen, Andreas; Andersen, Per Kragh; Andersen, John Sahl; Greisen, Gorm; Stensballe, Lone Graff.

I: PLoS ONE, Bind 14, Nr. 10, e0224544, 2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Jensen, A, Andersen, PK, Andersen, JS, Greisen, G & Stensballe, LG 2019, 'Too much? Mortality and health service utilisation among Danish children 1999-2016: A register-based study', PLoS ONE, bind 14, nr. 10, e0224544. https://doi.org/10.1371/journal.pone.0224544

APA

Jensen, A., Andersen, P. K., Andersen, J. S., Greisen, G., & Stensballe, L. G. (2019). Too much? Mortality and health service utilisation among Danish children 1999-2016: A register-based study. PLoS ONE, 14(10), [e0224544]. https://doi.org/10.1371/journal.pone.0224544

Vancouver

Jensen A, Andersen PK, Andersen JS, Greisen G, Stensballe LG. Too much? Mortality and health service utilisation among Danish children 1999-2016: A register-based study. PLoS ONE. 2019;14(10). e0224544. https://doi.org/10.1371/journal.pone.0224544

Author

Jensen, Andreas ; Andersen, Per Kragh ; Andersen, John Sahl ; Greisen, Gorm ; Stensballe, Lone Graff. / Too much? Mortality and health service utilisation among Danish children 1999-2016 : A register-based study. I: PLoS ONE. 2019 ; Bind 14, Nr. 10.

Bibtex

@article{108057254eaf48b38ae349388472f546,
title = "Too much? Mortality and health service utilisation among Danish children 1999-2016: A register-based study",
abstract = "Objectives To describe the temporal development of mortality and health service utilisation defined as in- and outpatient hospital contacts, contacts with general practitioner and specialists, and prescribed dispensed medication among Danish children 0-5 years of age from 1999 to 2016. Design Register-based descriptive study. Participants All children born in Denmark in the period 1994-2016 followed until 5 years of age. Main outcome measures Annual incidence rates of mortality and health service utilisation outcomes, and incidence rate ratios compared to the reference calendar year 1999. The new measure of post-discharge mortality is presented. Results Post-discharge mortality decreased from 1999 to 2016, IRR2016 = 0.49 (95{\%} CI: 0.36 to 0.66). Total contacts did not change much over time, IRR2016 = 1.02 (1.02 to 1.03), but increased among neonates, IRR2016 = 3.69 (3.63 to 3.75), and decreased among children with chronic disease IRR2016 = 0.94 (0.93 to 0.94). In- and out-patient hospitalisations increased, IRR2016 = 1.26 (1.24-1.27) resp. IRR2016 = 1.62 (1.60-1.63), contacts with medical specialists increased, IRR2016 = 1.43 (1.42 to 1.43), whilst contacts with general practitioner decreased, IRR2016 = 0.91 (0.91 to 0.91). Medication use decreased, IRR2016 = 0.82 (0.82 to 0.82). Conclusions Our measure of post-discharge mortality was halved during the study period indicating improved health. Overall health service utilisation did not change much, but the type of utilisation changed, and the development over time differed between subgroups defined by age and chronic disease status. Our findings call for considerations about the benefit of increased specialisation and increased use of health services among 'healthy' children not suffering from chronic disease.",
author = "Andreas Jensen and Andersen, {Per Kragh} and Andersen, {John Sahl} and Gorm Greisen and Stensballe, {Lone Graff}",
year = "2019",
doi = "10.1371/journal.pone.0224544",
language = "English",
volume = "14",
journal = "P L o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

RIS

TY - JOUR

T1 - Too much? Mortality and health service utilisation among Danish children 1999-2016

T2 - A register-based study

AU - Jensen, Andreas

AU - Andersen, Per Kragh

AU - Andersen, John Sahl

AU - Greisen, Gorm

AU - Stensballe, Lone Graff

PY - 2019

Y1 - 2019

N2 - Objectives To describe the temporal development of mortality and health service utilisation defined as in- and outpatient hospital contacts, contacts with general practitioner and specialists, and prescribed dispensed medication among Danish children 0-5 years of age from 1999 to 2016. Design Register-based descriptive study. Participants All children born in Denmark in the period 1994-2016 followed until 5 years of age. Main outcome measures Annual incidence rates of mortality and health service utilisation outcomes, and incidence rate ratios compared to the reference calendar year 1999. The new measure of post-discharge mortality is presented. Results Post-discharge mortality decreased from 1999 to 2016, IRR2016 = 0.49 (95% CI: 0.36 to 0.66). Total contacts did not change much over time, IRR2016 = 1.02 (1.02 to 1.03), but increased among neonates, IRR2016 = 3.69 (3.63 to 3.75), and decreased among children with chronic disease IRR2016 = 0.94 (0.93 to 0.94). In- and out-patient hospitalisations increased, IRR2016 = 1.26 (1.24-1.27) resp. IRR2016 = 1.62 (1.60-1.63), contacts with medical specialists increased, IRR2016 = 1.43 (1.42 to 1.43), whilst contacts with general practitioner decreased, IRR2016 = 0.91 (0.91 to 0.91). Medication use decreased, IRR2016 = 0.82 (0.82 to 0.82). Conclusions Our measure of post-discharge mortality was halved during the study period indicating improved health. Overall health service utilisation did not change much, but the type of utilisation changed, and the development over time differed between subgroups defined by age and chronic disease status. Our findings call for considerations about the benefit of increased specialisation and increased use of health services among 'healthy' children not suffering from chronic disease.

AB - Objectives To describe the temporal development of mortality and health service utilisation defined as in- and outpatient hospital contacts, contacts with general practitioner and specialists, and prescribed dispensed medication among Danish children 0-5 years of age from 1999 to 2016. Design Register-based descriptive study. Participants All children born in Denmark in the period 1994-2016 followed until 5 years of age. Main outcome measures Annual incidence rates of mortality and health service utilisation outcomes, and incidence rate ratios compared to the reference calendar year 1999. The new measure of post-discharge mortality is presented. Results Post-discharge mortality decreased from 1999 to 2016, IRR2016 = 0.49 (95% CI: 0.36 to 0.66). Total contacts did not change much over time, IRR2016 = 1.02 (1.02 to 1.03), but increased among neonates, IRR2016 = 3.69 (3.63 to 3.75), and decreased among children with chronic disease IRR2016 = 0.94 (0.93 to 0.94). In- and out-patient hospitalisations increased, IRR2016 = 1.26 (1.24-1.27) resp. IRR2016 = 1.62 (1.60-1.63), contacts with medical specialists increased, IRR2016 = 1.43 (1.42 to 1.43), whilst contacts with general practitioner decreased, IRR2016 = 0.91 (0.91 to 0.91). Medication use decreased, IRR2016 = 0.82 (0.82 to 0.82). Conclusions Our measure of post-discharge mortality was halved during the study period indicating improved health. Overall health service utilisation did not change much, but the type of utilisation changed, and the development over time differed between subgroups defined by age and chronic disease status. Our findings call for considerations about the benefit of increased specialisation and increased use of health services among 'healthy' children not suffering from chronic disease.

U2 - 10.1371/journal.pone.0224544

DO - 10.1371/journal.pone.0224544

M3 - Journal article

C2 - 31665167

AN - SCOPUS:85074346633

VL - 14

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 10

M1 - e0224544

ER -

ID: 238740929