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In Switzerland assisted suicide is legal if no self-interest is
To compare the strength and direction of associations with
sociodemographic factors between assisted and unassisted suicides.
We calculated rates and used Cox and logistic regression models in a
longitudinal study of the Swiss population.
Analyses were based on 5 004 403 people, 1301 assisted and 5708
unassisted suicides from 2003 to 2008. The rate of unassisted suicides
was higher in men than in women, rates of assisted suicides were similar
in men and women. Higher education was positively associated with
assisted suicide, but negatively with unassisted. Living alone, having no
children and no religious affiliation were associated with higher rates
Some situations that indicate greater vulnerability such as living alone
were associated with both assisted and unassisted suicide. Among the
terminally ill, women were more likely to choose assisted suicide,
whereas men died more often by unassisted suicide.
To quantify the economic burden of in-hospital surgical site infections (SSIs) at a European university hospital.
Matched case-control study nested in a prospective observational cohort study.
Basel University Hospital in Switzerland, where an average of 28,000 surgical procedures are performed per year.
All in-hospital occurrences of SSI associated with surgeries performed between January 1, 2000, and December 31, 2001, by the visceral, vascular, and traumatology divisions at Basel University Hospital were prospectively recorded. Each case patient was matched to a control patient by age, procedure code, and National Nosocomial Infection Surveillance System risk index. The case-control pairs were analyzed for differences in cost of hospital care and in provision of specialized care.
A total of 6,283 procedures were performed:187 SSIs were detected in inpatients, 168 of whom were successfully matched with a control patient. For case patients, the mean additional hospital cost was SwF19,638 (95% confidence interval [CI], SwF8,492–SwF30,784); the mean additional postoperative length of hospital stay was 16.8 days (95% CI, 13–20.6 days); and the mean additional in-hospital duration of antibiotic therapy was 7.4 days (95% CI, 5.1–9.6 days). Differences were primarily attributable to organ space SSIs (n = 76).
Ina European university hospital setting, SSIs are costly and constitute a heavy and potentially preventable burden on both patients and healthcare providers.
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