Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan
Abstract Background Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to explore the weekend effect in four major cardiovascular emergencies in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-06553-7 |
| _version_ | 1818832136797421568 |
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| author | Chao-Lun Lai Raymond Nien-Chen Kuo Ting-Chuan Wang K. Arnold Chan |
| author_facet | Chao-Lun Lai Raymond Nien-Chen Kuo Ting-Chuan Wang K. Arnold Chan |
| author_sort | Chao-Lun Lai |
| collection | DOAJ |
| description | Abstract Background Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to explore the weekend effect in four major cardiovascular emergencies in Taiwan. Methods The Taiwan National Health Insurance (NHI) claims database between 2005 and 2015 was used. We extracted 3811 incident cases of ruptured aortic aneurysm, 184,769 incident cases of acute myocardial infarction, 492,127 incident cases of ischemic stroke, and 15,033 incident cases of pulmonary embolism from 9,529,049 patients having at least one record of hospitalization in the NHI claims database within 2006 ~ 2014. Patients were classified as weekends or weekdays admission groups. Dates of in-hospital mortality and one-year mortality were obtained from the Taiwan National Death Registry. Results We found no difference in in-hospital mortality between weekend group and weekday group in patients with ruptured aortic aneurysm (45.4% vs 45.3%, adjusted odds ratio [OR] 1.01, 95% confidence interval [CI] 0.87–1.17, p = 0.93), patients with acute myocardial infarction (15.8% vs 16.2%, adjusted OR 0.98, 95% CI 0.95–1.00, p = 0.10), patients with ischemic stroke (4.1% vs 4.2%, adjusted OR 0.99, 95% CI 0.96–1.03, p = 0.71), and patients with pulmonary embolism (14.6% vs 14.6%, adjusted OR 1.02, 95% CI 0.92–1.15, p = 0.66). The results remained for 1 year in all the four major cardiovascular emergencies. Conclusions We found no difference in either short-term or long-term mortality between patients admitted on weekends and patients admitted on weekdays in four major cardiovascular emergencies in Taiwan. |
| first_indexed | 2024-12-19T01:58:14Z |
| format | Article |
| id | doaj.art-97a702911d0b4eb795460b6b5ea475e5 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-19T01:58:14Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-97a702911d0b4eb795460b6b5ea475e52022-12-21T20:41:08ZengBMCBMC Health Services Research1472-69632021-05-012111710.1186/s12913-021-06553-7Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in TaiwanChao-Lun Lai0Raymond Nien-Chen Kuo1Ting-Chuan Wang2K. Arnold Chan3Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu BranchInstitute of Health Policy and Management, College of Public Health, National Taiwan UniversityHealth Data Research Center, National Taiwan UniversityHealth Data Research Center, National Taiwan UniversityAbstract Background Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to explore the weekend effect in four major cardiovascular emergencies in Taiwan. Methods The Taiwan National Health Insurance (NHI) claims database between 2005 and 2015 was used. We extracted 3811 incident cases of ruptured aortic aneurysm, 184,769 incident cases of acute myocardial infarction, 492,127 incident cases of ischemic stroke, and 15,033 incident cases of pulmonary embolism from 9,529,049 patients having at least one record of hospitalization in the NHI claims database within 2006 ~ 2014. Patients were classified as weekends or weekdays admission groups. Dates of in-hospital mortality and one-year mortality were obtained from the Taiwan National Death Registry. Results We found no difference in in-hospital mortality between weekend group and weekday group in patients with ruptured aortic aneurysm (45.4% vs 45.3%, adjusted odds ratio [OR] 1.01, 95% confidence interval [CI] 0.87–1.17, p = 0.93), patients with acute myocardial infarction (15.8% vs 16.2%, adjusted OR 0.98, 95% CI 0.95–1.00, p = 0.10), patients with ischemic stroke (4.1% vs 4.2%, adjusted OR 0.99, 95% CI 0.96–1.03, p = 0.71), and patients with pulmonary embolism (14.6% vs 14.6%, adjusted OR 1.02, 95% CI 0.92–1.15, p = 0.66). The results remained for 1 year in all the four major cardiovascular emergencies. Conclusions We found no difference in either short-term or long-term mortality between patients admitted on weekends and patients admitted on weekdays in four major cardiovascular emergencies in Taiwan.https://doi.org/10.1186/s12913-021-06553-7Mortality; weekend; weekdayCardiovascular emergencyAortic aneurysmMyocardial infarctionIschemic strokePulmonary embolism |
| spellingShingle | Chao-Lun Lai Raymond Nien-Chen Kuo Ting-Chuan Wang K. Arnold Chan Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan BMC Health Services Research Mortality; weekend; weekday Cardiovascular emergency Aortic aneurysm Myocardial infarction Ischemic stroke Pulmonary embolism |
| title | Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan |
| title_full | Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan |
| title_fullStr | Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan |
| title_full_unstemmed | Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan |
| title_short | Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan |
| title_sort | mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in taiwan |
| topic | Mortality; weekend; weekday Cardiovascular emergency Aortic aneurysm Myocardial infarction Ischemic stroke Pulmonary embolism |
| url | https://doi.org/10.1186/s12913-021-06553-7 |
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