Mortality among patients admitted to hospitals on weekends as compared with weekdays
Mortality among patients admitted to hospitals on weekends as compared with weekdays
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DOI：
10.1056/nejmsa003376
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发表时间：
2001-08-30
影响因子：
158.5
通讯作者：
Redelmeier, DA
中科院分区：
文献类型：
--
作者：
Bell, CM;Redelmeier, DA
背景资料：医院的工作人员在周末往往比工作日少，尽管每天的疾病负担可能是一致的。这是不确定的，是否有严重的条件下，患者的住院死亡率不同，根据他们是否承认在一个周末或在一个weekday.Methods：我们分析了所有急性护理入院急诊科在加拿大安大略，1988年和1997年之间（共3,789,917入院）。我们比较了周末入院的患者与工作日入院的三种预定疾病的住院死亡率：腹主动脉瘤破裂（5454例入院）、急性会厌炎（1139例）和肺栓塞（11,686例）以及三种对照疾病：心肌梗死（160，220）、脑出血（10，987）和急性髋部骨折（59，670），以及100种最常见的死亡原因结果：在腹主动脉瘤破裂患者中，周末入院与住院死亡率显著高于工作日入院（42% vs. 36%，P
Background: The level of staffing in hospitals is often lower on weekends than on weekdays, despite a presumably consistent day-to-day burden of disease. It is uncertain whether in-hospital mortality rates among patients with serious conditions differ according to whether they are admitted on a weekend or on a weekday.Methods: We analyzed all acute care admissions from emergency departments in Ontario, Canada, between 1988 and 1997 (a total of 3,789,917 admissions). We compared in-hospital mortality among patients admitted on a weekend with that among patients admitted on a weekday for three prespecified diseases: ruptured abdominal aortic aneurysm (5454 admissions), acute epiglottitis (1139), and pulmonary embolism (11,686) and for three control diseases: myocardial infarction (160,220), intracerebral hemorrhage (10,987), and acute hip fracture (59,670), as well as for the 100 conditions that were the most common causes of death (accounting for 1,820,885 admissions).Results: Weekend admissions were associated with significantly higher in-hospital mortality rates than were weekday admissions among patients with ruptured abdominal aortic aneurysms (42 percent vs. 36 percent, P