ArticlePloS one2016
Mortality Associated with Night and Weekend Admissions to ICU with On-Site Intensivist Coverage: Results of a Nine-Year Cohort Study (2006-2014).
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Nighttime intensive care unit admission increased 30-day mortality in sepsis patients: a retrospective propensity-score matched analysis based on MIMIC-IV database.Scientific reports · 2026Article
- Prognostic impact of postoperative management by an intensive care unit intensivist after colonic perforation.Langenbeck's archives of surgery · 2024Article
- Effect of Admission Day and Time on Patient Outcome: An Observational Study in Intensive Care Units of a Tertiary Care Hospital in India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Article
- Variation of Liver Transplant Practice and Outcomes During Public Holidays in the United States: Analysis of United Network for Organ Sharing Registry.Transplantation direct · 2023Article
- An analysis of referrals to a level 3 intensive care unit in a resource-limited setting in South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2023Article
- The clinical characteristics and the risk factors for mortality in Non-COVID-19 critical patients in a pandemic hospital in Turkey: a retrospective cross-sectional study.Malawi medical journal : the journal of Medical Association of Malawi · 2022Article
- Article
- Association between ICU admission during off-hours and in-hospital mortality: a multicenter registry in Japan.Journal of intensive care · 2022Article
- Examination of Impact of After-Hours Admissions on Hospital Resource Use, Patient Outcomes, and Costs.Critical care research and practice · 2022Article
- Between-centre differences in care for in-hospital cardiac arrest: a prospective cohort study.Critical care (London, England) · 2021Article
- Outcome of cancer patients considered for intensive care unit admission in two university hospitals in the Netherlands: the danger of delayed ICU admissions and off-hour triage decisions.Annals of intensive care · 2021Article
- Time of Pediatric Intensive Care Unit Admission and Mortality: A Systematic Review and Meta-Analysis.Journal of pediatric intensive care · 2020Review
- Article
- Time of Day and its Association with Risk of Death and Chance of Discharge in Critically Ill Patients: A Retrospective Study.Scientific reports · 2019Article
- Article
- Survival Outcomes Are Not Affected When Liver Transplant Surgery Is Done at Night, During Weekends, or Summer Months.Transplantation direct · 2019Article
- [Cost analysis as a tool for assessing the efficacy of intensive care units].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018Article
- Role of organisational factors on the 'weekend effect' in critically ill patients in Brazil: a retrospective cohort analysis.BMJ open · 2018Article
- ROSC rates and live discharge rates after cardiopulmonary resuscitation by different CPR teams - a retrospective cohort study.BMC anesthesiology · 2017Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe association between mortality and time of admission to ICU has been extensively studied but remains controversial. We revaluate the impact of time of admission on ICU mortality by retrospectively investigating a recent (2006-2014) and large ICU cohort with on-site intensivist coverage. PATIENTS AND
methodsAll adults (≥ 18 years) admitted to a tertiary care medical ICU were included in the study. Patients' characteristics, medical management, and mortality were prospectively collected. Patients were classified according to their admission time: week working days on- and off-hours, and weekends. ICU mortality was the primary outcome and adjusted Hazard-ratios (HR) of death were analysed by multivariate Cox model.
results2,428 patients were included: age 62±18 years; male: 1,515 (62%); and median SAPSII score: 38 (27-52). Overall ICU mortality rate was 13.7%. Admissions to ICU occurred during open-hours in 680 cases (28%), during night-time working days in 1,099 cases (45%) and during weekends in 649 cases (27%). Baseline characteristics of patients were similar between groups except that patients admitted during the second part of night (00:00 to 07:59) have a significantly higher SAPS II score than others. ICU mortality was comparable between patients admitted during different time periods but was significantly higher for those admitted during the second part of the night. Multivariate analysis showed however that admission during weeknights and weekends was not associated with an increased ICU mortality as compared with open-hours admissions.
conclusionTime of admission, especially weeknight and weekend (off-hour admissions), did not influence the prognosis of ICU patients. The higher illness severity of patients admitted during the second part of the night (00:00-07:59) may explain the observed increased mortality.
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