Evidence map›Paper›PMID 41719234›Full record

ArticlePloS one2026

Weekly trends in emergency department visits, hospitalizations, and mortality in patients with end-stage kidney disease: nationwide registry analysis.

Hye Eun Yoon, AJin Cho, Seon A Jeong, Wookjin Choi, Dai Hai Choi, Hayne Cho Park, Jung Eon Kim, Young-Ki Lee, Kyung Don Yoo, Korean Society of Nephrology Disaster Preparedness and Response Committee

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hye Eun YoonDepartment of Internal Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
AJin ChoDepartment of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.
Seon A JeongKorean Society of Nephrology, Seoul, Republic of Korea.ORCID https://orcid.org/0009-0009-1615-5983
Wookjin ChoiDepartment of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Dai Hai ChoiDepartment of Emergency Medicine, CHA University Graduate School of Medicine, Pocheon, South Korea.
Hayne Cho ParkDepartment of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-1128-3750
Jung Eon KimNational Emergency Medical Center, National Medical Center, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-1755-9487
Young-Ki LeeDepartment of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Kyung Don YooDepartment of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.ORCID https://orcid.org/0000-0001-6545-6517
Korean Society of Nephrology Disaster Preparedness and Response Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with end-stage kidney disease (ESKD) undergoing thrice-weekly hemodialysis may experience higher mortality rates following their longest dialysis-free interval. However, information on weekly patterns of emergency department (ED) visits and outcomes in patients with ESKD compared with those without chronic kidney disease (CKD) is limited. We aimed to examine ED visit patterns among patients with ESKD throughout the week in the Republic of Korea and assess whether weekend admissions correlate with higher ED utilization and mortality rates. To this end, we retrospectively analyzed data from the National Emergency Department Information System in the Republic of Korea from January 2018 to December 2021. ED visits, hospitalizations, and in-hospital mortality were assessed daily. Logistic regression analyses were used to adjust for demographic and clinical factors, including the Korean Triage and Acuity Scale. Overall, 159,456 ED visits by patients with ESKD and 21,547,014 ED visits by those without CKD were included. Compared with the non-CKD group, patients with ESKD were older, mostly men, and presented with more severe conditions at ED admission. A distinct weekly pattern emerged among patients with ESKD, with the highest ED visit rates on Mondays (19.9%) and Tuesdays (15.8%), whereas those with non-CKD most frequently visited on Sundays (19.1%) and Saturdays (16.2%). Hospitalization rates were substantially higher among patients with ESKD (66.5%) than among those with non-CKD (21.3%), peaking on Wednesdays (67.2%) and Thursdays (67.4%). Moreover, patients with ESKD had a higher in-hospital mortality rate (9.2%) than those without CKD (5.1%), particularly on Wednesdays (9.7%) and Thursdays (9.4%). Our findings indicate that patients with ESKD exhibit pronounced weekly patterns in ED visits, hospitalizations, and mortality compared with those without CKD. Notably, ED visits among patients with ESKD were highest on Mondays and Tuesdays, whereas hospitalization and mortality rates peaked on Wednesdays and Thursdays.

Indexed as

Emergency Room VisitsEmergency Service, HospitalHospitalizationKidney Failure, ChronicAgedFemaleHospital MortalityHumansMaleMiddle AgedRegistriesRenal DialysisRepublic of KoreaRetrospective Studies

Identifiers

PMID41719234
PMCPMC12922999

What OpenQuestion holds

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Registered trials

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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.