ArticleIrish journal of medical science2018
Fifteen-year outcomes of an acute medical admission unit.
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 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimizing efficiency in the acute care chain: a systematic review on the implementation and impact of interdisciplinary short-term monitoring in acute care units.Internal and emergency medicine · 2026Pooled it
- Predictors of long-term mortality from a 23-year database of emergency medical admissions.Irish journal of medical science · 2026Article
- Baseline Characteristics, Case Mix, and Outcomes of Patients Admitted to a Busy Urban Acute Medical Unit in Ireland.Cureus · 2025Article
- Predictors of acute hospital mortality from a 23-year database of emergency medical admissions.Irish journal of medical science · 2025Article
- Reduced 30-day in-hospital but increased long-term mortality for weekend vs weekday acute medical admission.Irish journal of medical science · 2024Article
- Red Cell Distribution Width as a Prognostic Indicator in Acute Medical Admissions.Journal of clinical medicine · 2023Article
- Prognostic value and clinical utility of NT-proBNP in acute emergency medical admissions.Irish journal of medical science · 2023Article
- Hospital mortality and length of stay differences in emergency medical admissions related to 'on-call' specialty.Irish journal of medical science · 2023Article
- Emergency medical admissions and COVID-19: impact on 30-day mortality and hospital length of stay.Irish journal of medical science · 2022Article
- Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses.Clinical medicine (London, England) · 2021Article
- Rising Emergency Admission and Readmission Rates-a Retrospective Study of Demographic and Socio-economic Factors.Journal of general internal medicine · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Acute Medical Admission Unit (AMAU) model of care has been associated with improved short- and medium-term outcomes; whether these improvements are sustained remains unclear. We report on the 15-year outcomes of an AMAU in our institution.
methodsAll emergency medical admissions between 2002 and 2016 were examined and 30-day in-hospital mortality, admission rates, readmission rates and length of stay (LOS) assessed. We used logistic and Poisson regression and margin statistics to evaluate outcomes.
resultsThere were 96,305 admissions in 50,612 patients. By admission, the 30-day in-hospital mortality averaged 5.6% (95% CI 5.4 to 5.7%); there was a relative risk reduction (RRR) of 33.9% between 2002 and 2016, from 7.0 to 4.6% (p = 0.001), number need to treat (NNT) 41.9. By unique patient the 30-day in-hospital mortality averaged 10.5% (95% CI 10.3 to10.8%); there was a RRR of 61.7% between 2002 and 2016, from 15.1 to 5.8% (p = 0.001), NNT 10.7. The median LOS was 5.0 days (IQR 2.1, 9.8) and was unaltered over time. Deprivation status strongly influenced the admission rate/1000 population increasing from Q1 7.7 (95% CI 7.6 to 7.8) to Q5 37.8 (95% CI 37.6 to 38.0); this showed a slight trend to increase over time. Total readmissions increased as a function of time; early readmissions (< 4 weeks) remained constant 10.5% (95% CI 9.6 to 11.3).
conclusionThe 30-day in-hospital mortality showed a linear trend to reduce over the 15 years following the institution of an AMAU; other key parameters were unaltered.
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