Mortality in out-of-hours emergency medical admissions - more than just a weekend effect

Journal of the Royal College of Physicians of Edinburgh

Volumn 40, Issue 2, 2010, Pages 115-118

  Maggs, F ^a   Mallet, M ^a  

^a ROYAL UNITED HOSPITAL   (United Kingdom)

Author keywords

Emergencies; Mortality; Out of hours; Weekends

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; EMERGENCY HEALTH SERVICE; FEMALE; GENERAL HOSPITAL; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HOSPITAL ADMISSION; HOSPITAL MANAGEMENT; HOSPITAL ORGANIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; ORGANIZATIONAL EFFICIENCY; PATIENT CARE; STANDARDIZED MORTALITY RATIO; UNITED KINGDOM;

ADOLESCENT; ADULT; AFTER-HOURS CARE; AGED; AGED, 80 AND OVER; CHI-SQUARE DISTRIBUTION; EMERGENCY SERVICE, HOSPITAL; FEMALE; GREAT BRITAIN; HOSPITAL MORTALITY; HUMANS; MALE; MIDDLE AGED; NIGHT CARE; PATIENT ADMISSION; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 77955631564     PISSN: 14782715     EISSN: None     Source Type: Journal    
DOI: 10.4997/JRCPE.2010.205     Document Type: Article

References (23)

1. Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med 2001; 345:663-68. doi:10.1056/NEJMsa003376
2. Barba R, Losa JE, Velasco M et al. Mortality among adult patients admitted to the hospital on weekends. Eur J Intern Med 2006;17:322-4. doi:10.1016/j.ejim.2006.01.003
3. Aylin P, Yunus A, Bottle A et al. Weekend mortality for emergency admissions. A large multicentre study. Qual Saf Health Care 2010; epub ahead of print 28 Jan. doi:10.1136/qshc.2008.028639
4. Kostis WJ, Demissie K, Marcella SW et al. Weekend versus weekday admission and mortality from myocardial infarction. N Engl J Med 2007; 356:1099-109. doi:10.1056/NEJMoa063355
5. Horwich TB, Hernandez AF, Liang L et al. Weekend hospital admission and discharge for heart failure: association with quality of care and clinical outcomes. Am Heart J 2009; 158:451-8. doi:10.1016/j.ahj.2009.06.025
6. Ananthakrishnan AN, McGinley EL, Saeian K. Outcomes of weekend admissions for upper gastrointestinal hemorrhage: a nationwide analysis. Clin Gastroenterol Hepatol 2009; 7:296-302e1.
7. Shaheen AA, Kaplan GG, Myers RP. Weekend versus weekday admission and mortality from gastrointestinal hemorrhage caused by peptic ulcer disease. Clin Gastroenterol Hepatol 2009; 7:303-10. doi:10.1016/j.cgh.2008.08.033
8. Aujesky D, Jiménez D, Mor MK et al. Weekend versus weekday admission and mortality after acute pulmonary embolism. Circulation 2009; 119:962-68. doi:10.1161/CIRCULATIONAHA.108.824292
9. Saposnik G, Baibergenova A, Bayer N et al. Weekends: a dangerous time for having a stroke? Stroke 2007; 38:1211-15. doi:10.1161/01. STR.0000259622.78616.ea
10. Crowley RW, Yeoh HK, Stukenborg GJ et al. Influence of weekend hospital admission on short-term mortality after intracerebral hemorrhage. Stroke 2009; 40:2387-92. doi:10.1161/ STROKEAHA.108.546572
11. Schmulewitz L, Proudfoot A, Bell D. The impact of weekends on outcome for emergency patients. Clin Med 2005; 5:621-25.
12. Magid DJ, Wang Y, Herrin J et al. Relationship between time of day, day of week, timeliness of reperfusion, and in-hospital mortality for patients with acute ST-segment elevation myocardial infarction. JAMA 2005; 294:803-12. doi:10.1001/jama.294.7.803
13. Laupland KB, Shahpori R, Kirkpatrick AW et al. Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings. J Crit Care 2008; 23:317-24. doi:10.1016/j. jcrc.2007.09.001
14. Seward E, Greig E, Preston S et al. A confidential study of deaths after emergency medical admission: issues relating to quality of care. Clin Med 2003; 3:425-34.
15. Black N. Assessing the quality of hospitals. BMJ 2010; 340:c2066. doi:10.1136/bmj.c2066
16. Jones S, Barnett N. Data briefing. Why admission day affects outcomes. Health Serv J 2008 Oct 30:17.
17. Meynaar IA, van der Spoel JI, Rommes JH et al. Off hour admission to an intensivist-led ICU is not associated with increased mortality. Crit Care 2009;13:R84. doi:10.1186/cc7904
18. Burch VC, Tarr G, Morroni C. Modified early warning score predicts the need for hospital admission and inhospital mortality. Emerg Med J 2008; 25:674-8. doi:10.1136/emj.2007.057661
19. Goodacre S, Turner J, Nicholl J. Prediction of mortality among emergency medical admissions. Emerg Med J 2006; 23:372-5. doi:10.1136/emj.2005.028522
20. Paterson R, MacLeod DC, Thetford D et al. Prediction of in-hospital mortality and length of stay using an early warning scoring system: clinical audit. Clin Med 2006; 6:281-4.
21. Groarke JD, Gallagher J, Stack J et al. Use of an admission early warning score to predict patient morbidity and mortality and treatment success. Emerg Med J 2008; 25:803-6. doi:10.1136/emj.2007.051425
22. Cei M, Bartolomei C, Mumoli N. In-hospital mortality and morbidity of elderly medical patients can be predicted at admission by the modified early warning score: a prospective study. Int J Clin Pract 2009; 63:591-5. doi:10.1111/j.1742-1241.2008.01986.x
23. Peberdy MA, Ornato JP, Larkin GL et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA 2008; 299:785-92. doi:10.1001/jama.299.7.785S