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Weekend mortality for emergency admissions. A large, multicentre study.

Paul Aylin¹, A Yunus, A Bottle

¹Dr Foster Unit at Imperial College, Department of Primary Care and Social Medicine, Imperial College London, London SW7 2AZ, UK. p.aylin@imperial.ac.uk

Quality & Safety in Health Care

|January 30, 2010

Summary

This summary is machine-generated.

Patients admitted to the hospital on weekends have a higher risk of in-hospital death. This large-scale study on weekend mortality highlights concerns in acute care delivery.

Related Experiment Videos

Area of Science:

Healthcare quality and safety
Public health research
Epidemiology

Background:

Previous studies suggest higher mortality for weekend emergency admissions.
Existing research often has limited sample sizes or focuses on specific conditions.

Purpose of the Study:

To investigate in-hospital mortality rates for emergency admissions across all public acute hospitals in England.
To determine if weekend admission is associated with increased odds of death compared to weekday admission.

Main Methods:

Utilized routinely collected hospital administrative data from 2005/2006.
Analyzed in-hospital deaths for all emergency inpatient admissions.
Adjusted mortality odds for age, sex, socioeconomic deprivation, comorbidity, and diagnosis.

Main Results:

Examined 4,317,866 emergency admissions with 215,054 in-hospital deaths (crude mortality rate 5.0%).
Weekend admissions showed a crude mortality rate of 5.2% versus 4.9% for weekday admissions.
Adjusted odds of death were 10% higher for weekend emergency admissions (OR 1.10, 95% CI 1.08 to 1.11, p<0.001).

Conclusions:

This study represents the largest investigation into weekend mortality.
The findings indicate a significant association between weekend emergency admission and increased in-hospital death risk.
Results underscore a critical area for improvement in the delivery of acute hospital services.