ArticleBMC medical education2014
Is the presence of medical trainees associated with increased mortality with weekend admission?
Article in BMC medical education, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between multi-disciplinary staffing levels and mortality in acute hospitals: a systematic review.Human resources for health · 2023Pooled it
- Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- Unravelling the conceptualisation of unfinished care among physicians in acute care hospitals: a scoping review.BMJ open · 2025Article
- Staffing levels and hospital mortality in England: a national panel study using routinely collected data.BMJ open · 2023Observational
- Mortality and readmission differences associated with after-hours hospital admission: A population-based cohort study in Queensland Australia.Health science reports · 2023Article
- The relationship between severe maternal morbidity and a risk of postpartum readmission among Korean women: a nationwide population-based cohort study.BMC pregnancy and childbirth · 2020Article
- Weekend Surgical Admissions of Pediatric IBD Patients Have a Higher Risk of Complication in Hospitals Across the US.Inflammatory bowel diseases · 2020Article
- Seven-day services in surgery and the "weekend effect" at a Japanese teaching hospital: a retrospective cohort study.Patient safety in surgery · 2020Article
- Observational
- Hospitals by day, dispensaries by night: Hourly fluctuations of maternal mortality within Mexican health institutions, 2010-2014.PloS one · 2018Article
- Association between day of the week of elective surgery and postoperative mortality.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- Article
- A population-based study of infection-related hospital mortality in patients with dermatomyositis/polymyositis.Arthritis care & research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have demonstrated increased inhospital mortality following weekend admission. We hypothesized that the presence of resident trainees reduces the weekend mortality trends.
methodsWe identified all patients with a non-elective hospital admission from 1/1/2003 through 12/31/2008. We abstracted vital status on discharge and calculated the Charlson comorbidity score for all inpatients. We compared odds of inpatient mortality following non-elective admission on a weekend day as compared to a weekday, while considering diagnosis, patient characteristics, comorbidity, hospital factors, and care at hospitals with resident trainees.
resultsData were available for 48,253,968 patient discharges during the six-year study period. The relative risk of mortality was 15% higher following weekend admission as compared to weekday admission. After adjusting for diagnosis, age, sex, race, income level, payer, comorbidity, and weekend admission the overall odds of mortality was higher for patients in hospitals with fewer nurses and staff physicians. Mortality following a weekend admission for patients admitted to a hospital with resident trainees was significantly higher (17%) than hospitals with no resident trainees (p < 0.001).
conclusionsLow staffing levels of nurses and physicians significantly impact mortality on weekends following non-elective admission. Conversely, patients admitted to hospitals with more resident trainees had significantly higher mortality following a weekend admission.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.