Main Article Content
Abstract
Objective: To study the impact of weekend on mortality rate.
Patients, Materials and Methods: The present study was carried out in Al-Karama and AL-Zahraa hospitals in Kut city by reviewing records regarding mortality throughout the period extending from January 2015 through December 2015. Data were classified into the following categories: number of patients admitted on weekend and died in the hospital at any day versus the number of patients admitted on weekdays and died at any day ; number patients died in the hospital at weekend versus number of patients died at weekdays.
Results: Significant difference in percentage of death was found on week end in comparison to weekdays (P=0.007), whereas there was no significant association between admission on weekend and percentage of death (P=0.111).
Conclusion: Weekend witnessed significantly higher percentage of death in comparison to weekdays which is probably due to less staffing and equipment during weekends.
Keywords
Article Details
References
- Freemantle, N., Richardson, M.,et al: Weekend hospitalisation and additional risk of death: An analysis of inpatient data. J R Soc Med.; 105(2): 74-84. 2012
- Aylin , Yunus, et al: Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care; 19: 213-217. 2010
- Ricciardi, R. Nelson,et al:Is the presence of medical trainees associated with increased mortality with weekend admission? BMC Med Educ. ; 14:4-14.2014
- Aujesky D, Jiménez D,et al: Weekend Versus Weekday Admission And Mortality Following Acute Pulmonary Embolism. Circulation. ; 119 (7): 962-968. 2009
- Reeves, M. Smith, et al: Off-hour admission and in-hospital stroke case fatality in the get with the guidelines stroke program. Stroke. 40: 596-576. 2009
- Jairath, , Kahan :Mortality From Acute Upper Gastrointestinal Bleeding in the United Kingdom: Does It Display a ‘Weekend Effect’? Am J Gastroenterol. ; 106: 1621-1628. 2011
- Grant, S., Hickley et al: Higher senior staffing levels at weekends and reduced mortality. BMJ. ; 344: 67-73. 2012
- Patel R, Thiagarajan P.: Structured approach in improving weekend handovers in a medical high dependency unit. BMJ Quality Improvement Reports. ; 3(1): 205- 214.2014
- Goddard, A., Hodgson : Impact of the EWTD on patient:doctor ratios and working practices for junior doctors England and Wales. Clin Med. ; 330-335.2010
- Gerard WA, Staffer A,et al: Family physicians in emergency medicine: new opportunities and critical challenges. Annals of Family Medicine. ; 8(6):564-565. 2010
- Bray, B. Ayis, Aet al: Associations between Stroke Mortality and Weekend Working by Stroke Specialist Physicians and Registered Nurses: Prospective Multicentre Cohort Study. PLOS Medicine. ; 11 (8): 13-21.2014
- Meacock R., Anselmi et al: Higher mortality rates amongst emergency patients admitted to hospital at weekends reflect a lower probability of admission J Health Serv Res Policy. ; 6: 33-41.2016
- Uematsu H, Kunisawa S, et alImpact of weekend admission on in-hospital mortality in severe community-acquired pneumonia patients in Japan. Respirology; 21(5): 905-910. 2016.
- Mohammed MA, Sidhu KS,et al: Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency setting: a retrospective database study of national health service hospitals in England. BMC Health Services Research; 12: 87-93. 2012
- Becker, D. J: Do Hospitals Provide Lower Quality Care on Weekends? Health Services Research; 42(4): 1589–1612.(2007)
- Ricciardi R, Roberts PL,et al: Mortality rate after nonelective hospital admission. Arch Surg; 146:545–551.2011
- Haddock R., Deighan C. et al:In-patient hospital mortality patterns by day of the week: an analysis of admissions to a regional renal unit. Scott Med. J. ; 26: 123-133.2015
- Aldridge C, Bion J, et al: Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Lancet. ; 388(10040):178-186.2016
- Concha OP, Gallego B, et al: Do variations in hospital mortality patterns after weekend admission.
- reflect reduced quality of care or different patient cohorts? A population-based study. BMJ Qual Saf. ; 23(3):215–22.2014
References
Freemantle, N., Richardson, M.,et al: Weekend hospitalisation and additional risk of death: An analysis of inpatient data. J R Soc Med.; 105(2): 74-84. 2012
Aylin , Yunus, et al: Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care; 19: 213-217. 2010
Ricciardi, R. Nelson,et al:Is the presence of medical trainees associated with increased mortality with weekend admission? BMC Med Educ. ; 14:4-14.2014
Aujesky D, Jiménez D,et al: Weekend Versus Weekday Admission And Mortality Following Acute Pulmonary Embolism. Circulation. ; 119 (7): 962-968. 2009
Reeves, M. Smith, et al: Off-hour admission and in-hospital stroke case fatality in the get with the guidelines stroke program. Stroke. 40: 596-576. 2009
Jairath, , Kahan :Mortality From Acute Upper Gastrointestinal Bleeding in the United Kingdom: Does It Display a ‘Weekend Effect’? Am J Gastroenterol. ; 106: 1621-1628. 2011
Grant, S., Hickley et al: Higher senior staffing levels at weekends and reduced mortality. BMJ. ; 344: 67-73. 2012
Patel R, Thiagarajan P.: Structured approach in improving weekend handovers in a medical high dependency unit. BMJ Quality Improvement Reports. ; 3(1): 205- 214.2014
Goddard, A., Hodgson : Impact of the EWTD on patient:doctor ratios and working practices for junior doctors England and Wales. Clin Med. ; 330-335.2010
Gerard WA, Staffer A,et al: Family physicians in emergency medicine: new opportunities and critical challenges. Annals of Family Medicine. ; 8(6):564-565. 2010
Bray, B. Ayis, Aet al: Associations between Stroke Mortality and Weekend Working by Stroke Specialist Physicians and Registered Nurses: Prospective Multicentre Cohort Study. PLOS Medicine. ; 11 (8): 13-21.2014
Meacock R., Anselmi et al: Higher mortality rates amongst emergency patients admitted to hospital at weekends reflect a lower probability of admission J Health Serv Res Policy. ; 6: 33-41.2016
Uematsu H, Kunisawa S, et alImpact of weekend admission on in-hospital mortality in severe community-acquired pneumonia patients in Japan. Respirology; 21(5): 905-910. 2016.
Mohammed MA, Sidhu KS,et al: Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency setting: a retrospective database study of national health service hospitals in England. BMC Health Services Research; 12: 87-93. 2012
Becker, D. J: Do Hospitals Provide Lower Quality Care on Weekends? Health Services Research; 42(4): 1589–1612.(2007)
Ricciardi R, Roberts PL,et al: Mortality rate after nonelective hospital admission. Arch Surg; 146:545–551.2011
Haddock R., Deighan C. et al:In-patient hospital mortality patterns by day of the week: an analysis of admissions to a regional renal unit. Scott Med. J. ; 26: 123-133.2015
Aldridge C, Bion J, et al: Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Lancet. ; 388(10040):178-186.2016
Concha OP, Gallego B, et al: Do variations in hospital mortality patterns after weekend admission.
reflect reduced quality of care or different patient cohorts? A population-based study. BMJ Qual Saf. ; 23(3):215–22.2014