Weekend admissions as an independent predictor of mortality: an analysis of Scottish hospital admissions.
Weekend admissions as an independent predictor of mortality: an analysis of Scottish hospital admissions.
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DOI：
10.1136/bmjopen-2012-001789
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发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Ramagopalan SV
中科院分区：
文献类型：
--
作者：
Handel AE;Patel SV;Skingsley A;Bramley K;Sobieski R;Ramagopalan SV
与工作日入院相比，周末入院与许多诊断的死亡风险增加有关。我们分析了苏格兰国家卫生服务局的急诊入院情况，以调查周末急诊入院的死亡率是否会增加。一项队列研究。苏格兰国家卫生服务（NHS）紧急部门。1999年至2009年期间，急诊科收治了5，271，327人。 我们纳入了苏格兰NHS的苏格兰死亡记录（SMR 01）中记录的所有通过急诊科入院的患者，这些患者的完整人口统计学数据可用。总登记处（GRO）记录的死亡。与工作日入院相比，与周末急诊入院相关的死亡概率显著增加（未校正OR 1.27，95% CI 1.26至1.28，p<0.0001;校正入院年份、性别、年龄、剥夺五分位数和合并症数量OR 1.42，95% CI 1.40至1.43，p<0.0001）。尽管在过去的11年中死亡率普遍下降，但仍有一个显着的额外死亡率与周末急诊入院。 应进行进一步研究，以确定这种影响的确切机制，以便采取措施降低患者死亡率。
Weekend admissions have been shown to be associated with an increased risk of mortality compared with weekday admissions for many diagnoses. We analysed emergency department admissions within the Scottish National Health Service to investigate whether mortality is increased in case of weekend emergency department admissions. A cohort study. Scotland National Health Service (NHS) emergency departments. 5 271 327 emergency department admissions between 1999 and 2009. We included all patients admitted via emergency departments recorded in the Scottish Morbidity Records (SMR01) in NHS, Scotland for whom complete demographic data were available. Death as recorded by the General Register Office (GRO). There was a significantly increased probability of death associated with a weekend emergency admission compared with admission on a weekday (unadjusted OR 1.27, 95% CI 1.26 to 1.28, p<0.0001; adjusted for year of admission, gender, age, deprivation quintile and number of comorbidities OR 1.42, 95% CI 1.40 to 1.43, p<0.0001). Despite a general reduction in mortality over the last 11 years, there is still a significant excess mortality associated with weekend emergency admissions. Further research should be undertaken to identify the precise mechanisms underlying this effect so that measures can be put in place to reduce patient mortality.
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影响因子：
13.6
作者：
James, Matthew T.;Wald, Ron;Chertow, Glenn M.
通讯作者：
Chertow, Glenn M.
影响因子：
158.5
作者：
Kostis, William J.;Demissie, Kitaw;Moreyra, Abel E.
通讯作者：
Moreyra, Abel E.
影响因子：
1.4
作者：
Marco, Javier;Barba, Raquel;Zapatero, Antonio
通讯作者：
Zapatero, Antonio
影响因子：
8.3
作者：
McKinney, James S.;Deng, Yingzi;Kostis, John B.
通讯作者：
Kostis, John B.
DOI：
10.1177/0884217503258306
发表时间：
2003-11-01
影响因子：
1.8
作者：
Hamilton, P;Restrepo, E
通讯作者：
Restrepo, E