周末住院成年患者的死亡率。
Mortality among adult patients admitted to the hospital on weekends.
机构信息
Unidad de Medicina Interna, Fundación Hospital Alcorcón, C/Budapest no.1 Alcorcón 28922, Madrid, Spain.
出版信息
Eur J Intern Med. 2006 Aug;17(5):322-4. doi: 10.1016/j.ejim.2006.01.003.
BACKGROUND
Some reports have shown that the risk of death is higher for patients admitted on weekends than for patients who go into the hospital on weekdays. This study was conducted to assess what independent influence, if any, weekend admission might have on mortality in our hospital.
METHODS
The clinical data of 35,993 adult (>14 years) patients admitted to the emergency department of Fundación Hospital Alcorcón from 1999 to 2003 were analyzed. We compared global mortality and mortality within the first 48 h according to whether the patients were admitted on the weekend or on a weekday. Elective admissions, critical care patients, children under 14 and births were not included.
RESULTS
Global mortality was similar in both groups, but mortality within the first 48 h was higher for patients admitted on the weekend (OR 1.40, 95% CI 1.18-1.62, P<0.001), even after controlling for age, gender and comorbidity (weight of diagnosis-related group and Charlson comorbidity index).
CONCLUSION
The risk of mortality within the first 48 h is higher for patients admitted on weekends than for patients admitted on a weekday.
背景
一些报告表明，与在工作日入院的患者相比，周末入院的患者死亡风险更高。本研究旨在评估周末入院对我院死亡率的独立影响。
方法
分析了 1999 年至 2003 年期间，35993 名在马德里基金会医院急诊科就诊的成年（>14 岁）患者的临床数据。我们比较了根据患者是在周末还是在工作日入院，其总体死亡率和入院后 48 小时内死亡率。不包括择期入院、重症监护患者、14 岁以下儿童和分娩。
结果
两组的总体死亡率相似，但周末入院患者的前 48 小时内死亡率更高（OR 1.40，95%CI 1.18-1.62，P<0.001），即使在控制了年龄、性别和合并症（诊断相关组的权重和 Charlson 合并症指数）后也是如此。
结论
与在工作日入院的患者相比，周末入院的患者在入院后 48 小时内的死亡率更高。
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