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

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    mohammed_et_al_2017.pdf (328.2Kb)
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    Publication date
    2017-10-01
    Author
    Mohammed, Mohammed A.
    Faisal, Muhammad
    Richardson, D.
    Howes, R.
    Beatson, K.
    Wright, J.
    Speed, K.
    Keyword
    Emergency admission
    Hospital mortality
    Illness severity
    National early warning score
    Vital signs
    Weekend admission
    Weekend effect
    Rights
    (c) 2017 The Authors.
    Peer-Reviewed
    Yes
    
    Metadata
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    Abstract
    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
    URI
    http://hdl.handle.net/10454/18011
    Version
    Accepted manuscript
    Citation
    Mohammed MA, Faisal M, Richardson D et al (2017) Impact of the level of sickness on higher mortality in emergency medical admissions to hospital at weekends. Journal of Health Services Research and Policy. 22(4): 236-242.
    Link to publisher’s version
    https://doi.org/10.1177%2F1355819617720955
    Type
    Article
    Collections
    Health Studies Publications

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