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  4. Effect of Weekend Admissions on the Treatment Process and Outcomes of Internal Medicine Patients
 
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Effect of Weekend Admissions on the Treatment Process and Outcomes of Internal Medicine Patients

Journal
Medicine (United States)
Journal Volume
95
Journal Issue
6
Pages
e2643
Date Issued
2016
Author(s)
Huang C.-C.
Huang Y.-T.
NIN-CHIEH HSU  
JIN-SHING CHEN  
CHONG-JEN YU  
DOI
10.1097/MD.0000000000002643
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958259279&doi=10.1097%2fMD.0000000000002643&partnerID=40&md5=c3c4a9adc5f5c2b804ab05b49edf3eb2
https://scholars.lib.ntu.edu.tw/handle/123456789/481029
Abstract
Many studies address the effect of weekend admission on patient outcomes. This population-based study aimed to evaluate the relationship between weekend admission and the treatment process and outcomes of general internal medicine patients in Taiwan. A total of 82,340 patients (16,657 weekend and 65,683 weekday admissions) aged ?20 years and admitted to the internal medicine departments of 17 medical centers between 2007 and 2009 were identified from the Taiwan National Health Insurance Research Database. A generalized estimating equation (GEE) analysis was used to compare patients admitted on weekends and those admitted on weekdays. Patients who were admitted on weekends were more likely to undergo intubation (odds ratio [OR]: 1.27; 95% confidence interval [CI]: 1.16-1.39; P<0.001) and/or mechanical ventilation (OR, 1.25; 95% CI, 1.15-1.35; P<0.001), cardio-pulmonary resuscitation (OR: 1.45; 95% CI: 1.05-2.01; P=0.026), and be transferred to the intensive care unit (ICU) (OR: 1.16; 95% CI: 1.03-1.30; P=0.015) compared with those admitted on weekdays. Weekend-Admitted patients also had higher odds of in-hospital mortality (OR: 1.19; 95% CI: 1.09-1.30; P<0.001) and hospital treatment cost (OR: 1.04; 95% CI: 1.01-1.06; P=0.008) than weekday-Admitted patients. General internal medicine patients who were admitted on weekends experienced more intensive care procedures and higher ICU admission, in-hospital mortality, and treatment cost. Intensive care utilization may serve as early indicator of poorer outcomes and a potential entry point to offer preventive intervention before proceeding to intensive treatment. Copyright ? 2016 Wolters Kluwer Health, Inc. All rights reserved.
SDGs

[SDGs]SDG3

Other Subjects
adult; aged; Article; artificial ventilation; cellulitis; cerebrovascular accident; Charlson Comorbidity Index; chronic obstructive lung disease; congestive heart failure; cross-sectional study; female; health care cost; health care utilization; hospital admission; human; intensive care; internal medicine; intubation; ischemic heart disease; length of stay; major clinical study; male; middle aged; mortality; outcome assessment; pneumonia; population research; priority journal; resuscitation; retrospective study; Taiwan; upper gastrointestinal bleeding; urinary tract infection; weekend hospital admission; emergency treatment; hospital admission; hospital mortality; intensive care unit; internal medicine; statistics and numerical data; treatment outcome; Adult; Aged; Cross-Sectional Studies; Emergency Treatment; Female; Hospital Mortality; Humans; Intensive Care Units; Internal Medicine; Male; Middle Aged; Patient Admission; Retrospective Studies; Taiwan; Treatment Outcome
Publisher
Lippincott Williams and Wilkins
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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