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Association of weekend effect with early mortality in severe sepsis patients over time
- Source :
- The Journal of infection. 74(4)
- Publication Year :
- 2016
-
Abstract
- Summary Background The aim of this study is to investigate the "weekend effect" and early mortality of patients with severe sepsis. Methods Using the Taiwanese National Healthcare Insurance Research Database, all patients who were hospitalized for the first time with an episode of severe sepsis between January 2000 and December 2011 were identified and the short-term mortality of patients admitted on weekdays was compared to those admitted on weekends. The primary endpoint was 7-day mortality. The secondary endpoints were 14 and 28-day mortality. Results A total of 398,043 patients were identified to have had the diagnosis of severe sepsis. Compared with patients admitted on weekends, patients admitted on weekdays had a lower 7-day mortality rate (adjusted odds ratio [OR] 0.89, 95% confidential interval [CI] 0.87–0.91), 14-day mortality rate (adjusted OR 0.92, 95% CI 0.90–0.93), and 28-day mortality rate (adjusted OR 0.97, 95% CI 0.95–0.98). This "weekend effect" was maintained every year throughout the 11-year study period. Conclusions Patients with severe sepsis are more likely to die in the hospital if they were admitted on weekends than if they were admitted on weekdays.
- Subjects :
- Microbiology (medical)
Male
medicine.medical_specialty
Time Factors
Weekend effect
education
Taiwan
Confidential interval
Sepsis
03 medical and health sciences
Young Adult
0302 clinical medicine
Patient Admission
Clinical endpoint
Odds Ratio
Medicine
Humans
030212 general & internal medicine
Hospital Mortality
Intensive care medicine
Severe sepsis
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Mortality rate
030208 emergency & critical care medicine
Odds ratio
Middle Aged
medicine.disease
Hospitalization
Infectious Diseases
Emergency medicine
Female
Health Services Research
business
Database research
Subjects
Details
- ISSN :
- 15322742
- Volume :
- 74
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The Journal of infection
- Accession number :
- edsair.doi.dedup.....92254a9077f27003f1475caaa0a6c8b2