...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of health services research & policy >Impact of the level of sickness on higher mortality in emergency medical admissions to hospital at weekends
【24h】

Impact of the level of sickness on higher mortality in emergency medical admissions to hospital at weekends

机译：疾病水平对周末医院应急医疗录取较高死亡率的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective Routine administrative data have been used to show that patients admitted to hospitals over the weekend appear to have a higher mortality compared to weekday admissions. Such data do not take the severity of sickness of a patient on admission into account. Our aim was to incorporate a standardized vital signs physiological-based measure of sickness known as the National Early Warning Score to investigate if weekend admissions are: sicker as measured by their index National Early Warning Score; have an increased mortality; and experience longer delays in the recording of their index National Early Warning Score. Methods We extracted details of all adult emergency medical admissions during 2014 from hospital databases and linked these with electronic National Early Warning Score data in four acute hospitals. We analysed 47,117 emergency admissions after excluding 1657 records, where National Early Warning Score was missing or the first (index) National Early Warning Score was recorded outside ±24?h of the admission time. Results Emergency medical admissions at the weekend had higher index National Early Warning Score (weekend: 2.53 vs. weekday: 2.30, p ??0.001) with a higher mortality (weekend: 706/11,332 6.23% vs. weekday: 2039/35,785 5.70%; odds ratio?=?1.10, 95% CI 1.01 to 1.20, p ?=?0.04) which was no longer seen after adjusting for the index National Early Warning Score (odds ratio?=?0.99, 95% CI 0.90 to 1.09, p ?=?0.87). Index National Early Warning Score was recorded sooner (?0.45?h, 95% CI ?0.52 to ?0.38, p ??0.001) for weekend admissions. Conclusions Emergency medical admissions at the weekend with electronic National Early Warning Score recorded within 24?h are sicker, have earlier clinical assessments, and after adjusting for the severity of their sickness, do not appear to have a higher mortality compared to weekday admissions. A larger definitive study to confirm these findings is needed. ]]>
机译：客观的常规行政数据已被用来表明，与周天录取相比，周末录取医院的患者似乎具有更高的死亡率。这些数据不会考虑患者的疾病严重程度。我们的宗旨是纳入一个标准化的生命迹象，作为国家早期预警分数的基于生理的疾病衡量，以调查周末录取是：因其指数国家预警评分而衡量的病情;死亡率增加;在录制其指数的国家预警分数时经历更长的延误。方法从医院数据库中提取2014年所有成人紧急医疗录取的详细信息，并将这些与四个急性医院的电子国家预警分数数据联系起来。除了1657条记录之后，我们分析了47,117次应急招生，其中缺少国家预警得分或第一个（指数）国家预警评分录制在入场时的±24？H之外。结果周末应急医疗录取较高指标国家预警成绩（周末：2.53与平日：2.30，P？0.001），死亡率较高（周末：706 / 11,332 6.23％与平日：2039 / 35,785 5.70％;赔率比？=？1.10,95％CI 1.01至1.20，p？= 0.04），在调整指数国家预警评分后不再看到（赔率比？= 0.99,95％CI 0.90至0.90 1.09，p？=？0.87）。索引国家预警分数较早记录（？0.45？H，95％CI？0.52至Δ0.38，p？0.001）周末入院。结论周末应急医疗招生，电子国家预警成绩记录在24？H中的录制，较早的临床评估，并在调整疾病的严重程度后，与平日招生相比，死亡率较高。需要更大的明确研究以确认这些发现。 ]]>

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号