ArticleIrish journal of medical science2018
Improved mortality outcomes over time for weekend emergency medical admissions.
Article in Irish journal of medical science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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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
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- Baseline Characteristics, Case Mix, and Outcomes of Patients Admitted to a Busy Urban Acute Medical Unit in Ireland.Cureus · 2025Article
- What does it take to provide clinical interventions with temporal consistency? A qualitative study of London hyperacute stroke units.BMJ open · 2019Observational
- Examining the weekend effect across ICU performance metrics.Critical care (London, England) · 2019Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiple studies have suggested an association between weekend hospital admissions and mortality. These have been limited by potential residual confounders and a lack of explanation of causation.
aimWe previously attributed adverse weekend outcomes to higher acuity; we have re-examined this question for all emergency medical admissions to our institution from 2002 to 2014.
methodsWe divided admissions by a weekday or weekend (Friday to Sunday) hospital arrival. We utilised a multivariate logistic regression model, to determine whether the latter was independently predictive of 30-day in-hospital mortality.
resultsThere were 82,368 admissions in 44,628 patients over the 13-year period. Of admissions, 37.4% occurred at the weekend. The Acute Illness Severity Score, the Charlson Co-morbidity Index and the Chronic Disabling Disease Score were similar by a weekday or weekend admission. The multivariable logistic regression showed no increase in 30-day in-hospital mortality for weekend admissions, odds ratio 1.07 (95% confidence interval 0.98 to 1.16) (p = 0.11). Since the inception of the AMAU, the per patient mortality for a weekend admission has declined from 13.5% in 2002 to 4.4% in 2014. This represents a relative risk reduction of 67.9% with a number needed to treat of 10.8. Outcomes improved similarly for weekday and weekend admissions.
conclusionNo increase in 30-day in-hospital mortality for weekend admissions was found in this study. There has been a substantial reduction in mortality for both weekday and weekend admissions over time.
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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.