Weekend mortality for emergency admissions. A large, multicentre study.
Setting of Care
Differences in weekend care for hospitalized patients have been reported. These differences include not only overall complications but also delays in undergoing urgent procedures, survival from in-hospital cardiac arrest, and mortality from acute myocardial infarction. This study adds to the existing literature by analyzing more than 4 million emergency department admissions to provide a broader view of the relationship between weekend admissions and clinical outcomes. Investigators discovered that patients admitted during the weekend experienced a 10% higher odds of death. The study also reported that for the 50 diagnosis groups with the highest number of deaths, 17 were associated with a significantly higher odds of mortality if admitted on a weekend. The authors estimate that nearly 3400 excess deaths during 2005-2006 could be attributed to weekend care, which exceeds the number of deaths from road accidents in Great Britain in 2006—an admittedly crude but striking comparison.