Conway Richard, Cournane Sean, Byrne Declan, O'Riordan Deirdre, Coveney Seamus, Silke Bernard
Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.
Medical Physics and Bioengineering Department.
Acute Med. 2016;15(3):124-129.
Deprivation increases admission rates; the specific effect of deprivation with regard to weekend admissions is unknown.
We calculated annual weekend admission rates for each small area population unit and related these to quintiles of Deprivation Index from 2002-2014. Univariate and multivariable risk estimates were calculated using truncated Poisson regression.
There were 30,794 weekend admissions in 16,665 patients. The admission rate was substantially higher for more deprived areas, 12.7 per 1000 (95%CI 9.4, 14.7) vs 4.6 per 1000 (95%CI 3.3, 5.8). More deprived patients admitted at the weekend had a significantly lower 30-day in-hospital mortality (10.3% vs 14.5%, p<0.001).
Deprivation is a powerful determinant of weekend admissions, however these comprise a group of patients with better outcomes.
贫困会增加住院率；贫困对周末住院率的具体影响尚不清楚。
我们计算了每个小区域人口单位的年度周末住院率，并将其与2002年至2014年贫困指数的五分位数相关联。使用截断泊松回归计算单变量和多变量风险估计值。
16665名患者中有30794次周末住院。贫困程度较高地区的住院率显著更高，每1000人中有12.7人（95%可信区间9.4，14.7），而每1000人中有4.6人（95%可信区间3.3，5.8）。周末入院的贫困程度较高的患者30天院内死亡率显著较低（10.3%对14.5%，p<0.001）。
贫困是周末住院率的一个重要决定因素，然而这些患者的预后较好。
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