Weekend mortality for emergency admissions. A large, multicentre study
Weekend mortality for emergency admissions. A large, multicentre study
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DOI：
10.1136/qshc.2008.028639
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发表时间：
2010-06-01
影响因子：
--
通讯作者：
Bell, D.
中科院分区：
文献类型：
--
作者：
Aylin, P.;Yunus, A.;Bell, D.
背景几项研究已经确定了较高的死亡率为急诊入院的患者在周末相比，在一周内的紧急入院，但大多数都集中在特定的条件下或有一个有限的样本size.Methods使用常规收集的医院行政数据，我们研究了在医院死亡的所有急诊住院所有公立急性医院在英格兰2005/2006年。死亡的几率进行了计算，在周末入院相比，在一周内入院，调整年龄，性别，社会经济贫困，合并症和diagnosis.Results共4 317 866急诊入院，我们发现215 054在医院死亡的总体粗死亡率为5.0%（5.2%的周末入院和4.9%的所有平日入院）。与工作日入院的患者相比，周末入院的患者所有急诊入院的总体调整后死亡几率高10%（OR 1.10，95%CI 1.08 - 1.11）（p
Background Several studies have identified higher mortality for patients admitted as emergencies at the weekend compared with emergency admissions during the week, but most have focused on specific conditions or have had a limited sample size.Methods Using routinely collected hospital administrative data, we examined in-hospital deaths for all emergency inpatient admissions to all public acute hospitals in England for 2005/2006. Odds of death were calculated for admissions at the weekend compared to admissions during the week, adjusted for age, sex, socioeconomic deprivation, comorbidity and diagnosis.Results Of a total of 4 317 866 emergency admissions, we found 215 054 in-hospital deaths with an overall crude mortality rate of 5.0% (5.2% for all weekend admissions and 4.9% for all weekday admissions). The overall adjusted odds of death for all emergency admissions was 10% higher (OR 1.10, 95% CI 1.08 to 1.11) in those patients admitted at the weekend compared with patients admitted during a weekday (p