ArticleBMJ open2019
Does the 'Chinese New Year effect' exist? Hospital mortality in patients admitted to internal medicine departments during official consecutive holidays: a nationwide population-based cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Impact of policy shifts and festival holidays on tuberculosis surveillance: a time-series analysis in Southwest China (2014-2024).Frontiers in public health · 2026Article
- Observational
- Effect of national holidays on health outcomes of patients receiving peritoneal dialysis in a single center over a ten-year period.Renal failure · 2023Article
- Ecological Momentary Assessment and Machine Learning for Predicting Suicidal Ideation Among Sexual and Gender Minority Individuals.JAMA network open · 2023Article
- Article
- Impact of holiday periods on survival following an in-hospital cardiac arrest.Resuscitation plus · 2022Article
- Effect of the Chinese New Year Public Holiday on the Glycemic Control of T1DM With Intensive Insulin Therapy.Frontiers in endocrinology · 2022Article
- The Spring Festival Is Associated With Increased Mortality Risk in China: A Study Based on 285 Chinese Locations.Frontiers in medicine · 2022Article
- Holiday and weekend effects on mortality for acute myocardial infarction in Shanxi, China: a cross-sectional study.International journal of public health · 2020Article
- Epidemiology of outpatient and inpatient eye injury in Taiwan: 2000, 2005, 2010, and 2015.PloS one · 2020Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveOur study aimed to compare the mortality risk among patients admitted to internal medicine departments during official consecutive holidays (using Chinese New Year holidays as an indicator) with that of weekend and weekday admissions.
designNationwide population-based cohort study.
settingTaiwan's National Health Insurance Research Database. PATIENTS: Patients admitted to internal medicine departments in acute care hospitals during January and February each year between 2001 and 2013 were identified. Admissions were categorised as: Chinese New Year holiday (n=10 779), weekend (n=35 870) or weekday admissions (n=143 529). OUTCOME MEASURES: ORs for in-hospital mortality and 30-day mortality were calculated using multivariate logistic regression with adjustment for confounders.
resultsBoth in-hospital and 30-day mortality were significantly higher for patients admitted during the Chinese New Year holidays and on weekends compared with those admitted on weekdays. Chinese New Year holiday admissions had a 38% and 40% increased risk of in-hospital (OR=1.38, 95% CI 1.27 to 1.50, p<0.001) and 30-day (OR=1.40, 95% CI 1.31 to 1.50, p<0.001) mortality, respectively, compared with weekday admissions. Weekend admissions had a 17% and 19% increased risk of in-hospital (OR=1.17, 95% CI 1.10 to 1.23, p<0.001) and 30-day (OR=1.19, 95% CI 1.14 to 1.24, p<0.001) mortality, respectively, compared with weekday admissions. Analyses stratified by principal diagnosis revealed that the increase in in-hospital mortality risk was highest for patients admitted on Chinese New Year holidays with a diagnosis of ischaemic heart disease (OR=3.43, 95% CI 2.46 to 4.80, p<0.001).
conclusionsThe mortality risk was highest for patients admitted during Chinese New Year holidays, followed by weekend admissions, and then weekday admissions. Further studies are necessary to identify the underlying causes and develop strategies to improve outcomes for patients admitted during official consecutive holidays.
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