Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort

Abstract Aim This study aimed to describe the circadian characteristics of hospitalized mortality in order to provide nursing guidance for preventing in‐hospital mortality. Design A retrospective analysis on inpatient information was implemented. Methods Harmonic Analysis of Time Series was applied...

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Main Authors: Miao Fang, Shunju Xiang, Xiaoqiang Xiao, Qianning Mo, Yang Si
Format: Article
Language:English
Published: Wiley 2023-07-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1711
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author Miao Fang
Shunju Xiang
Xiaoqiang Xiao
Qianning Mo
Yang Si
author_facet Miao Fang
Shunju Xiang
Xiaoqiang Xiao
Qianning Mo
Yang Si
author_sort Miao Fang
collection DOAJ
description Abstract Aim This study aimed to describe the circadian characteristics of hospitalized mortality in order to provide nursing guidance for preventing in‐hospital mortality. Design A retrospective analysis on inpatient information was implemented. Methods Harmonic Analysis of Time Series was applied to quantify the periodic structure of the frequency of the occurrence of death. Results A total of 3300 cases were included in the present study (male, 63.4% and median age 73 years), including 1540 (46.7%) ICU patients. Incidence of overall hospitalized death exhibited a circadian pattern, presenting peaks from 07:00 to 12:00 and 15:00 to 20:00 P.M., with 21.5% and 13.1% increase above the average at those peak points, respectively. Similarly, the incidence of sudden cardiac death (SCD) showed peaks between 06:00–12:00 and 15:00–20:00, with a 34.7% and 28.0% increase above the average at peak time, respectively. The distribution of death incidence revealed no statistical difference between SCD and non‐SCD (p = 0.525).
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spelling doaj.art-a11db5b4c1ec4f218e74e2bb71d1e1b22023-08-28T06:26:26ZengWileyNursing Open2054-10582023-07-011074630463610.1002/nop2.1711Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohortMiao Fang0Shunju Xiang1Xiaoqiang Xiao2Qianning Mo3Yang Si4Department of Neurology Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital Chengdu ChinaDepartment of Anesthesiology, West China Hospital Sichuan University Chengdu ChinaSichuan Provincial Center for Mental Health, The Center of Psychosomatic Medicine of Sichuan Provincial People's Hospital University of Electronic Science and Technology of China Chengdu ChinaDepartment of Medical Administration Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital Chengdu ChinaDepartment of Neurology Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital Chengdu ChinaAbstract Aim This study aimed to describe the circadian characteristics of hospitalized mortality in order to provide nursing guidance for preventing in‐hospital mortality. Design A retrospective analysis on inpatient information was implemented. Methods Harmonic Analysis of Time Series was applied to quantify the periodic structure of the frequency of the occurrence of death. Results A total of 3300 cases were included in the present study (male, 63.4% and median age 73 years), including 1540 (46.7%) ICU patients. Incidence of overall hospitalized death exhibited a circadian pattern, presenting peaks from 07:00 to 12:00 and 15:00 to 20:00 P.M., with 21.5% and 13.1% increase above the average at those peak points, respectively. Similarly, the incidence of sudden cardiac death (SCD) showed peaks between 06:00–12:00 and 15:00–20:00, with a 34.7% and 28.0% increase above the average at peak time, respectively. The distribution of death incidence revealed no statistical difference between SCD and non‐SCD (p = 0.525).https://doi.org/10.1002/nop2.1711circadian rhythmdeathinpatientsmortalitynursing care
spellingShingle Miao Fang
Shunju Xiang
Xiaoqiang Xiao
Qianning Mo
Yang Si
Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
Nursing Open
circadian rhythm
death
inpatients
mortality
nursing care
title Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
title_full Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
title_fullStr Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
title_full_unstemmed Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
title_short Circadian aspects of mortality in hospitalized patients: A retrospective observation from a large cohort
title_sort circadian aspects of mortality in hospitalized patients a retrospective observation from a large cohort
topic circadian rhythm
death
inpatients
mortality
nursing care
url https://doi.org/10.1002/nop2.1711
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AT xiaoqiangxiao circadianaspectsofmortalityinhospitalizedpatientsaretrospectiveobservationfromalargecohort
AT qianningmo circadianaspectsofmortalityinhospitalizedpatientsaretrospectiveobservationfromalargecohort
AT yangsi circadianaspectsofmortalityinhospitalizedpatientsaretrospectiveobservationfromalargecohort