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Weekend mortality for emergency admissions. A large, multicentre study.
Qual Saf Health Care. 2010 Jun; 19(3):213-7.QS

Abstract

BACKGROUND

Several studies have identified higher mortality for patients admitted as emergencies at the weekend compared with emergency admissions during the week, but most have focused on specific conditions or have had a limited sample size.

METHODS

Using routinely collected hospital administrative data, we examined in-hospital deaths for all emergency inpatient admissions to all public acute hospitals in England for 2005/2006. Odds of death were calculated for admissions at the weekend compared to admissions during the week, adjusted for age, sex, socioeconomic deprivation, comorbidity and diagnosis.

RESULTS

Of a total of 4,317,866 emergency admissions, we found 215,054 in-hospital deaths with an overall crude mortality rate of 5.0% (5.2% for all weekend admissions and 4.9% for all weekday admissions). The overall adjusted odds of death for all emergency admissions was 10% higher (OR 1.10, 95% CI 1.08 to 1.11) in those patients admitted at the weekend compared with patients admitted during a weekday (p<0.001).

CONCLUSIONS

This is the largest study published on weekend mortality and highlights an area of concern in relation to the delivery of acute services.

Authors+Show Affiliations

Dr Foster Unit at Imperial College, Department of Primary Care and Social Medicine, Imperial College London, London SW7 2AZ, UK. p.aylin@imperial.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20110288

Citation

Aylin, Paul, et al. "Weekend Mortality for Emergency Admissions. a Large, Multicentre Study." Quality & Safety in Health Care, vol. 19, no. 3, 2010, pp. 213-7.
Aylin P, Yunus A, Bottle A, et al. Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care. 2010;19(3):213-7.
Aylin, P., Yunus, A., Bottle, A., Majeed, A., & Bell, D. (2010). Weekend mortality for emergency admissions. A large, multicentre study. Quality & Safety in Health Care, 19(3), 213-7. https://doi.org/10.1136/qshc.2008.028639
Aylin P, et al. Weekend Mortality for Emergency Admissions. a Large, Multicentre Study. Qual Saf Health Care. 2010;19(3):213-7. PubMed PMID: 20110288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Weekend mortality for emergency admissions. A large, multicentre study. AU - Aylin,Paul, AU - Yunus,A, AU - Bottle,A, AU - Majeed,A, AU - Bell,D, Y1 - 2010/01/28/ PY - 2010/1/30/entrez PY - 2010/1/30/pubmed PY - 2012/6/9/medline SP - 213 EP - 7 JF - Quality & safety in health care JO - Qual Saf Health Care VL - 19 IS - 3 N2 - BACKGROUND: Several studies have identified higher mortality for patients admitted as emergencies at the weekend compared with emergency admissions during the week, but most have focused on specific conditions or have had a limited sample size. METHODS: Using routinely collected hospital administrative data, we examined in-hospital deaths for all emergency inpatient admissions to all public acute hospitals in England for 2005/2006. Odds of death were calculated for admissions at the weekend compared to admissions during the week, adjusted for age, sex, socioeconomic deprivation, comorbidity and diagnosis. RESULTS: Of a total of 4,317,866 emergency admissions, we found 215,054 in-hospital deaths with an overall crude mortality rate of 5.0% (5.2% for all weekend admissions and 4.9% for all weekday admissions). The overall adjusted odds of death for all emergency admissions was 10% higher (OR 1.10, 95% CI 1.08 to 1.11) in those patients admitted at the weekend compared with patients admitted during a weekday (p<0.001). CONCLUSIONS: This is the largest study published on weekend mortality and highlights an area of concern in relation to the delivery of acute services. SN - 1475-3901 UR - https://www.unboundmedicine.com/medline/citation/20110288/Weekend_mortality_for_emergency_admissions__A_large_multicentre_study_ L2 - https://qhc.bmj.com/lookup/pmidlookup?view=long&amp;pmid=20110288 DB - PRIME DP - Unbound Medicine ER -