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The Relationship Between Social Deprivation and a Weekend Emergency Medical Admission
Richard Conway1, Sean Cournane2, Declan Byrne1
1Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.
Background:
Deprivation increases admission rates; the specific effect of deprivation with regard to weekend admissions is unknown.
Methods:
We calculated annual weekend admission rates for each small area population unit and related these to quintiles of Deprivation Index from 2002-2014. Univariate and multivariable risk estimates were calculated using truncated Poisson regression.
Results:
There were 30,794 weekend admissions in 16,665 patients. The admission rate was substantially higher for more deprived areas, 12.7 per 1000 (95%CI 9.4, 14.7) vs 4.6 per 1000 (95%CI 3.3, 5.8). More deprived patients admitted at the weekend had a significantly lower 30-day in-hospital mortality (10.3% vs 14.5%, p<0.001).
Conclusion:
Deprivation is a powerful determinant of weekend admissions, however these comprise a group of patients with better outcomes.
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