Search results for "sairaalahoito"
showing 10 items of 10 documents
Predicting hospital associated disability from imbalanced data using supervised learning.
2019
Hospitalization of elderly patients can lead to serious adverse effects on their functional capability. Identifying the underlying factors leading to such adverse effects is an active area of medical research. The purpose of the current paper is to show the potential of artificial intelligence in the form of machine learning to complement the existing medical research. This is accomplished by studying the outcome of hospitalization of elderly patients as a supervised learning task. A rich set of features characterizing the medical and social situation of elderly patients is leveraged and using confusion matrices, association rule mining, and two different classes of supervised learning algo…
Physical activity history and end-of-life hospital and long-term care
2009
Background: Little is known about the early predictors of need for care in late life. The purpose of this study was to investigate whether physical activity from midlife onward was associated with hospital and long-term care in the last year of life. Methods: We studied a decedent population of 846 persons aged 66–98 years at death, who, on average 5.8 years prior to death, had participated in an interview about their current and earlier physical activity. Data on the use of care in the last year of life are register-based data and complete. Results: Men needed on average 96 days (SD 7.0) and women 138 days (SD 6.2) of inpatient care in the last year of life. Among men, the risk for all-cau…
Job strain in the public sector and hospital in-patient care use in old age : a 28-year prospective follow-up
2014
Background: high job strain increases the risk of health decline, but little is known about the specific consequences and long-term effects of job strain on old age health. Objectives: purpose was to investigate whether physical and mental job strain in midlife was associated with hospital care use in old age. Methods: study population included 5,625 Finnish public sector employees aged 44–58 years who worked in blue- and white-collar professions in 1981. The number of in-patient hospital care days was collected from the Finnish Hospital Discharge Register for the 28-year follow-up period. Results: rates of hospital care days per 1,000 person-years for men were 7.78 (95% confidence interval…
Cancer costs and outcomes for common cancer sites in the Finnish population between 2009–2014
2018
The cost of cancer and outcomes of cancer care have been discussed a lot since cancer represents 3-6% of total healthcare costs and cost estimations have indicated growing costs. There are studies considering the cost of all cancers, but studies focusing on the cost of disease and outcomes in most common cancer sites are limited. The objective of this study was to analyze the development of the costs and outcomes in Finland between 2009 and 2014 per cancer site.The National cost, episode and outcomes data were obtained from the National register databases based on International Statistical Classification of Diseases (ICD)-10 diagnosis codes. Cost data included both the direct and indirect c…
Arviointi- ja kuntoutusyksiköiden asiakkaiden kokemuksia kotiutumistilanteesta
2013
Sairaalahoidosta voi olla ikääntyneelle henkilölle monenlaisia seurauksia. Näitä ovat esimerkiksi sosiaalisen tuen ja kognition heikkeneminen. Akuutin sairauden vuoksi sairaalahoidossa olleet vanhuspotilaat hyötyvät aktiivisesta kuntoutuksesta. Aktiivisen kuntoutuksen ansioista toimintakyky palautuu nopeammin ja laitoshoitoon siirtymisen riski vähenee. Panostamalla ikääntyneiden kotiutumistilanteisiin, vähennetään sekä käyntejä sairaalapäivystyksessä että akuuttisairaanhoidon tarvetta ja ehkäistään paluuta sairaalahoitoon. Tämän tutkimuksen tarkoituksena oli selvittää arviointi- ja kuntoutusyksiköstä kotiutuneiden asiakkaiden kokemuksia heidän kotiutumisestaan hoitojaksolta. Tutkimusaineist…
Physical activity as a predictor of disability and social and health service use in older people
2009
The purpose of the study was to investigate whether functional status and physical activity history predict all-cause hospital and long-term care use among older community-dwelling people. In addition, the effects of physical activity counseling on instrumental activities of daily living (IADL) disability and home care service use in an older sedentary population were studied.Data from three larger studies were used. The Evergreen project cohorts born in 1910 and 1914 consisted of 617 persons. From the Evergreen project interview data on individuals born in 1908-1923, a decedent population was investigated (n=846). Screening and Counseling for Physical Activity and Mobility among Older Peop…