Weekend hospitalization and additional risk of death: An analysis of inpatient data
Weekend hospitalization and additional risk of death: An analysis of inpatient data
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DOI：
10.1258/jrsm.2012.120009
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发表时间：
2012-02-01
影响因子：
17.3
通讯作者：
Pagano, D.
中科院分区：
文献类型：
--
作者：
Freemantle, N.;Richardson, M.;Pagano, D.
目的评估周末入院和/或已经在周末住院是否与任何额外的死亡率risk.Design回顾性观察生存率研究。我们分析了2009/10财政年度期间英国国民保健服务（NHS）的所有入院病例，对所有患者入院后30天进行随访，并考虑与诊断、合并症、入院史、年龄、性别、种族、剥夺、季节性、入院日期和医院信任相关的死亡风险，包括死亡日期作为时间依赖协变量。主要分析是基于住院死亡的时间。参与者国家卫生服务医院在England.Main Outcome Measures 30天死亡率（在医院或医院外）。结果有14，217，640入院纳入主要分析，187，337住院死亡报告在入院后30天内。与工作日入院相比，周末入院与随后死亡的风险显著增加相关，周日与周三的风险比为1.16（95%CI 1.14至1.18; P
Objective To assess whether weekend admissions to hospital and/or already being an inpatient on weekend days were associated with any additional mortality risk.Design Retrospective observational survivorship study. We analysed all admissions to the English National Health Service (NHS) during the financial year 2009/10, following up all patients for 30 days after admission and accounting for risk of death associated with diagnosis, co-morbidities, admission history, age, sex, ethnicity, deprivation, seasonality, day of admission and hospital trust, including day of death as a time dependent covariate. The principal analysis was based on time to in-hospital death.Participants National Health Service Hospitals in England.Main Outcome Measures 30 day mortality (in or out of hospital).Results There were 14,217,640 admissions included in the principal analysis, with 187,337 in-hospital deaths reported within 30 days of admission. Admission on weekend days was associated with a considerable increase in risk of subsequent death compared with admission on weekdays, hazard ratio for Sunday versus Wednesday 1.16 (95% Cl 1.14 to 1.18; P