https://scholars.lib.ntu.edu.tw/handle/123456789/481029
標題: | Effect of Weekend Admissions on the Treatment Process and Outcomes of Internal Medicine Patients | 作者: | Huang C.-C. Huang Y.-T. NIN-CHIEH HSU JIN-SHING CHEN CHONG-JEN YU |
公開日期: | 2016 | 出版社: | Lippincott Williams and Wilkins | 卷: | 95 | 期: | 6 | 起(迄)頁: | e2643 | 來源出版物: | Medicine (United States) | 摘要: | 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. |
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 |
ISSN: | 0025-7974 | DOI: | 10.1097/MD.0000000000002643 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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