Mortality in out-of-hours emergency medical admissions - more than just a weekend effect
Mortality in out-of-hours emergency medical admissions - more than just a weekend effect
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DOI：
10.4997/jrcpe.2010.205
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发表时间：
2010-01-01
影响因子：
1.4
通讯作者：
Mallet, M.
中科院分区：
文献类型：
--
作者：
Maggs, F.;Mallet, M.
周末急诊入院的死亡率高于工作日;这也适用于某些特定情况。但是，目前还不清楚这种影响是否仅限于周末。这项研究计算了一周中每天急诊入院的死亡率，并比较了英国一家地区综合医院周末与工作日、夜间与白天以及所有非工作时间段与工作时间段的死亡率。周一、夜间和所有非工作时间入院的总死亡率增加;当首次入院发生在周一、夜间或非工作时间时，晚期住院死亡率（7天后）仍然增加。这可能与疾病的严重程度以及资源和组织因素有关。
Mortality among emergency medical admissions to hospital is higher for admissions at the weekend than on weekdays; this also holds true for certain specific conditions. However, it is unknown whether that effect is limited to weekends. This study calculated mortality in emergency medical admissions for each day of the week, and compared mortality at weekends with weekdays, at nights with days, and in all out-of-hours periods with in-hours in a UK district general hospital. Total mortality was increased for admissions on Mondays, at night, and in all out-of-hours periods; late in-hospital mortality (after seven days) remained increased when the initial admission occurred on Mondays, at night or out of hours. It is likely that illness severity as well as resource and organisational factors are involved.