Out-of-hours and weekend admissions to Danish medical departments: admission rates and 30-day mortality for 20 common medical conditions

BMJ Open
Betina Vest-HansenChristian Fynbo Christiansen

Abstract

Knowledge on timing of admissions and mortality for acute medical patients is limited. The aim of the study was to examine hospital admission rates and mortality rates for patients with common medical conditions according to time of admission. Nationwide population-based cohort study. Population of Denmark. Using the Danish National Registry of Patients covering all Danish hospitals, we identified all adults with the first acute admission to a medical department in Denmark during 2010. Hourly admission rates and age-standardised and sex-standardised 30-day mortality rates comparing weekday office hours, weekday out of hours, weekend daytime hours and weekend night-time hours. In total, 174,192 acute medical patients were included in the study. The admission rates (patients per hour) were 38.7 (95% CI 38.4 to 38.9) during weekday office hours, 13.3 (95% CI 13.2 to 13.5) during weekday out of hours, 19.8 (95% CI 19.6 to 20.1) during weekend daytime hours and 7.9 (95% CI 7.8 to 8.0) during weekend night-time hours. Admission rates varied between medical conditions. The proportion of patients admitted to an intensive care unit (ICU) increased outside of office hours. The age-standardised and sex-standardised 30-day mortality rate w...Continue Reading

References

Apr 1, 1996·International Journal of Epidemiology·H T SorensenJ Olsen
Sep 8, 2001·The New England Journal of Medicine·C M Bell, D A Redelmeier
Jul 28, 2004·The American Journal of Medicine·Peter CramGary E Rosenthal
Sep 20, 2005·Health Economics·Kjeld Møller PedersenMickael Bech
Jan 18, 2006·Clinical Medicine : Journal of the Royal College of Physicians of London·L SchmulewitzD Bell
Jul 26, 2006·European Journal of Internal Medicine·R BarbaA Zapatero
Jan 25, 2008·Clinical and Experimental Hypertension : CHE·Chihiro KawakamiOsamu Tochikubo
Mar 29, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Melissa L McCarthyGabor D Kelen
Sep 4, 2008·Critical Care Medicine·Hannah WunschKathryn M Rowan
May 28, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M JaussH Hamer
Jan 30, 2010·Quality & Safety in Health Care·Paul AylinD Bell
May 12, 2010·Deutsches Ärzteblatt International·Harald DormannEckhardt G Hahn
May 21, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Javier MarcoAntonio Zapatero
Feb 1, 2008·Expert Review of Pharmacoeconomics & Outcomes Research·David J Becker
Dec 3, 2010·The Journal of the Royal College of Physicians of Edinburgh·F Maggs, M Mallet
Jan 18, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Raman KhannaDiane B Wayne
Feb 16, 2011·Respiratory Medicine·Reimar W ThomsenAnette E Bunk
Aug 4, 2011·Scandinavian Journal of Public Health·Elsebeth LyngeMatejka Rebolj
Jun 7, 2012·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Leana S WenCarlos A Camargo
Nov 7, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Martin Huth RuwaldGunnar Hilmar Gislason
Jan 25, 2013·Emergency Medicine Journal : EMJ·Stacy SmithChris Isles
Mar 8, 2013·The American Journal of Emergency Medicine·Adam L SharpRod A Hayward
Jul 10, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mikkel S AndersenErika Frischknecht Christensen
Oct 15, 2013·Acta Anaesthesiologica Scandinavica·M S NielssonM Nørgaard
Jan 9, 2014·Clinical Epidemiology·Cathrine WildenschildSøren Paaske Johnsen
Jun 27, 2014·European Journal of Epidemiology·Morten SchmidtHenrik Toft Sørensen
Jul 7, 2014·European Journal of Internal Medicine·Betina Vest-HansenChristian Fynbo Christiansen

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Citations

Dec 18, 2016·Journal of Community Hospital Internal Medicine Perspectives·Jose OrsiniAhmed Shim
Oct 16, 2015·Journal of the Royal Society of Medicine·Rahul Potluri
Feb 1, 2016·Future Hospital Journal·Katharine G Warburton
Mar 29, 2020·Journal of Clinical Medicine·Isabelle OsterwalderRoland Bingisser
Jun 19, 2018·Annals of the Royal College of Surgeons of England·Mohammad Al-AshqarRavinder Dimri
Sep 7, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Iben DuvaldBetina Vest-Hansen
Apr 22, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Camilla Nørgaard BechAnnmarie Lassen
Aug 22, 2020·Pilot and Feasibility Studies·Charlotte Arp SørensenAnnette de Thurah
Jun 11, 2015·MMW Fortschritte der Medizin· Mut
Jun 14, 2017·ANZ Journal of Surgery·David J R MorganMarlene L Kolybaba
Mar 17, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Karoline Stentoft Rybjerg LarsenAnnemette Krintel Petersen

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