Impact of weekend admission on in-hospital mortality among U.S. adults, 2003-2013

Annals of Epidemiology
Ruopeng An

Abstract

Over the past decade, the media, politicians, practitioners, and researchers paid increasing attention to the risks involved in hospital admission at weekends. This study examined the impact of weekend admission on in-hospital mortality among U.S. adults and by sex, age, race/ethnicity, and disease category and tracked changes from 2003 to 2013. Over 50 million hospital discharge data came from 2003 to 2013 National Inpatient Sample. Cox regressions were performed to estimate the hazard ratios of in-hospital mortality associated with weekend admission, adjusting for individual and hospital characteristics and National Inpatient Sample sampling design. Compared to weekday admissions, weekend admissions were associated with increased in-hospital morality risk by 5% among all inpatients. Young adults (2.7%) had lower incremental mortality risk than middle aged (5.3%) and older adults (5.2%). Among the 10 leading causes of death, patients hospitalized at weekends due to malignant neoplasms (12.1%), diabetes mellitus (11.7%), and heart diseases (8.2%) had the highest incremental mortality risk. The estimated weekend effects tended to be more prominent among inpatients with higher assessed mortality risk. Incremental morality attribu...Continue Reading

Citations

Aug 22, 2018·Internal Medicine Journal·John AuCampbell Thompson
Apr 10, 2019·Healthcare·Dimitrios ZikosLeonidas Fegaras
Mar 7, 2020·BMC Health Services Research·Eric BressmanBeth G Raucher
May 27, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Chia-Yu ChiuDasol Kang

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