平安夜：评估姑息治疗中“周末效应”可能性的回顾性数据库研究。
Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care.
作者信息
Voltz Raymond, Kamps Robert, Greinwald Ralf, Hellmich Martin, Hamacher Stefanie, Becker Gerhild, Kuhr Kathrin, Gaertner Jan
机构信息
Department of Palliative Care, University Hospital Cologne, Cologne, Germany.
Department of Palliative Care, Medical Clinic of St Katharinen Hospital, Frechen, Germany.
出版信息
BMJ. 2014 Dec 16;349:g7370. doi: 10.1136/bmj.g7370.
OBJECTIVE
To compare the mortality of patients in a palliative care unit on working days with that on weekends and public holidays.
DESIGN
Retrospective database study.
SETTING
Palliative care unit in Germany.
POPULATION
All admissions to palliative care unit between 1 January 1997 and 31 December 2008.
MAIN OUTCOME MEASURE
The impact of day type (working days or weekends and public holidays) on mortality was analysed using Poisson regression models.
RESULTS
A total of 2565 admitted patients and 1325 deaths were recorded. Of the deaths, 448 (33.8%) occurred on weekends and public holidays. The mortality rate on weekends and public holidays was 18% higher than that on working days (mortality rate ratio 1.18, 95% confidence interval 1.05 to 1.32; P=0.005).
CONCLUSION
Patients in the palliative care unit were at higher risk of dying on weekends and public holidays. In the absence of a prospective study, the exact reasons for this correlation are unclear.
目的
比较姑息治疗病房患者在工作日与周末及公共假日的死亡率。
设计
回顾性数据库研究。
地点
德国的姑息治疗病房。
研究对象
1997年1月1日至2008年12月31日期间所有入住姑息治疗病房的患者。
主要观察指标
使用泊松回归模型分析日类型（工作日或周末及公共假日）对死亡率的影响。
结果
共记录了2565例入院患者和1325例死亡病例。在这些死亡病例中，448例（33.8%）发生在周末及公共假日。周末及公共假日的死亡率比工作日高18%（死亡率比为1.18，95%置信区间为1.05至1.32；P=0.005）。
结论
姑息治疗病房的患者在周末及公共假日死亡风险更高。由于缺乏前瞻性研究，这种相关性的确切原因尚不清楚。
Zotero 插件