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首页> 外文期刊>Journal of health services research & policy >A study of community mortality at the weekend versus during the week. Is there a correlation with in-hospital mortality?
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A study of community mortality at the weekend versus during the week. Is there a correlation with in-hospital mortality?

机译：本周周末与周末的社区死亡率研究。 是否存在与住院中的死亡率相关？

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Objective A so-called 'weekend effect' has been described in which mortality among those admitted to hospital at a weekend is higher than among those admitted on weekdays. The causes for the weekend effect remain unclear. This study examined patterns of community mortality to explore whether a shift from the community to hospital may account for observed differences in hospital mortality rates across the week. Methods The annual number of deaths in the community was compared to that in hospitals in England and Wales during 2012 to 2014 using data from the Office for National Statistics. Analyses included the mean annual deaths, by age group and by cause of death in the community and hospital and comparison of the proportion of deaths on each day of the week to the expected number of deaths. Results The observed and expected total number of deaths in the community were broadly similar on the weekend and weekday (P = 0.386). There was no difference between observed and expected rates when comparing average daily weekday deaths to the average daily weekend deaths in the community (P = 0.434). In addition, there was no difference in the proportion of deaths in the community on the weekend when compared to the expected rate for those aged under 65, 75-84 and 85+ years. People were more likely to die on the weekend (rather than the weekday) in the community from neoplasms (P = 0.009) but less likely to die from cardiovascular disease (P = 0.012) or those aged 65-74 years. Conclusion We found no evidence of a significant difference in the risk of dying in the community at the weekend compared to during the week, or between the observed and expected deaths on each day. The lower risk of dying in the community at the weekend from cardiovascular diseases and among those aged 65-74 years and the higher risk for neoplasms are of interest but marginal. We found no evidence of a shift in deaths from the community to hospital at weekends.
机译：目的已经描述了所谓的“周末效应”，其中在周末入住医院的人之间的死亡率高于平日录取的人。周末效果的原因仍不清楚。本研究审查了社区死亡率的模式，以探索从社区到医院的转变可能会占本周医院死亡率的差异。方法将社区的年终死亡人数与2012年至2014年在2012年至2014年的医院中，使用来自国家统计办公室的数据。分析包括根据社区和医院的年龄组和死因的平均年终，并在一周内每天的死亡比例与预期的死亡人数进行比较。结果观察和预期社区中的死亡总数在周末和平日广泛相似（P = 0.386）。观察和预期率之间没有差异，当时每天平均日期与社区的平均每日周末死亡（P = 0.434）进行比较。此外，与65岁以下的人数减少75-84和85岁以上的人的预期税率相比，社区死亡比例没有差异。来自肿瘤的社区中的周末（而不是工作日）更有可能死亡（P = 0.009），但不太可能死于心血管疾病（P = 0.012）或65-74岁的人。结论我们发现没有证据表明周末在周末在社区中死亡的风险有显着差异，而每周则在每天的观察到和预期的死亡之间。在心血管疾病的周末和65-74岁的人中，在社区中死亡的风险较低，肿瘤的风险较高，但营养不良。我们发现没有证据表明，周末将在社区中的死亡转移到医院。

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