ArticleBMJ open2012
Weekend admissions as an independent predictor of mortality: an analysis of Scottish hospital admissions.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- The weekend effect: does hospital mortality differ by day of the week? A systematic review and meta-analysis.BMC health services research · 2018Pooled it
- Critical care pharmacy service provision and workforce in adult extracorporeal membrane oxygenation centres: a multicentre cross-sectional survey.International journal of clinical pharmacy · 2024Article
- Was there a weekend effect on mortality rates for hospitalized patients with COVID-19 and acute myocardial infarction? Insights from the National Inpatient Sample, 2020.Journal of medicine and life · 2024Article
- Development, implementation and evaluation of a seven-day clinical pharmacy service in a tertiary referral teaching hospital during surge-2 of the COVID-19 pandemic.International journal of clinical pharmacy · 2023Observational
- Effect of weekend versus weekday admission on the mortality of acute ischemic stroke patients in China: an analysis of data from the Chinese acute ischemic stroke treatment outcome registry.Frontiers in neurology · 2023Article
- Mortality risks associated with empirical antibiotic activity in Escherichia coli bacteraemia: an analysis of electronic health records.The Journal of antimicrobial chemotherapy · 2022Article
- The weekend effect - How can it be mitigated? Introduction of a consultant-delivered emergency general surgical service.Annals of medicine and surgery (2012) · 2020Article
- Severity of illness and the weekend mortality effect: a retrospective cohort study.BMC health services research · 2020Article
- [Effect of different working time on the prognosis of ischemic stroke patients undergoing intravenous thrombolysis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2019Article
- Article
- Readmission after spinal cord injury: analysis of an institutional cohort of 795 patients.Journal of neurosurgical sciences · 2018Article
- Risk factors associated with short term mortality changes over time, after arrival to the emergency department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Population-based approaches to treatment and readmission after spinal cord injury.Journal of neurosurgical sciences · 2018Article
- Improved mortality outcomes over time for weekend emergency medical admissions.Irish journal of medical science · 2018Article
- Observational
- Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.Lancet (London, England) · 2017Article
- Early Intervention during Acute Stone Admissions: Revealing "The Weekend Effect" in Urological Practice.The Journal of urology · 2016Article
- Clinical outcomes and mortality associated with weekend admission to psychiatric hospital.The British journal of psychiatry : the journal of mental science · 2016Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWeekend admissions have been shown to be associated with an increased risk of mortality compared with weekday admissions for many diagnoses. We analysed emergency department admissions within the Scottish National Health Service to investigate whether mortality is increased in case of weekend emergency department admissions.
designA cohort study.
settingScotland National Health Service (NHS) emergency departments.
participants5 271 327 emergency department admissions between 1999 and 2009. We included all patients admitted via emergency departments recorded in the Scottish Morbidity Records (SMR01) in NHS, Scotland for whom complete demographic data were available. PRIMARY OUTCOME MEASURES: Death as recorded by the General Register Office (GRO).
resultsThere was a significantly increased probability of death associated with a weekend emergency admission compared with admission on a weekday (unadjusted OR 1.27, 95% CI 1.26 to 1.28, p<0.0001; adjusted for year of admission, gender, age, deprivation quintile and number of comorbidities OR 1.42, 95% CI 1.40 to 1.43, p<0.0001).
conclusionsDespite a general reduction in mortality over the last 11 years, there is still a significant excess mortality associated with weekend emergency admissions. Further research should be undertaken to identify the precise mechanisms underlying this effect so that measures can be put in place to reduce patient mortality.
Identifiers
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Registered trials
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