Journal of Critical Care
Volume 23, Issue 3 , Pages 317-324 , September 2008

Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings

  • Kevin B. Laupland, MD, MSc

      Affiliations

    • Department of Critical Care Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9
    • Department of Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9
    • Corresponding Author InformationCorresponding author. North Tower, Foothills Medical Centre, Calgary, Alberta, Canada T2N 2T9. Tel.: +1 403 944 5808; fax: +1 403 944 3199.
    • ,
  • Reza Shahpori, BSc

      Affiliations

    • Department of Critical Care Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9
    • ,
  • Andrew W. Kirkpatrick, MD, MSc

      Affiliations

    • Department of Critical Care Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9
    • Department of Surgery, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9
    • ,
  • H. Thomas Stelfox, MD, PhD

      Affiliations

    • Department of Critical Care Medicine, University of Calgary and Calgary Health Region, Calgary, Alberta, Canada T2N 2T9

References 

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  3. Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus weekday admission and mortality from myocardial infarction. N Engl J Med. 2007;356(11):1099–1109
  4. Clark K, Normile LB. Influence of time-to-interventions for emergency department critical care patients on hospital mortality. J Emerg Nurs. 2007;33(1):6–13
  5. Barba R, Losa JE, Velasco M, et al. Mortality among adult patients admitted to the hospital on weekends. Eur J Intern Med. 2006;17(5):322–324
  6. Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117(3):151–157
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  10. Ensminger SA, Morales IJ, Peters SG, et al. The hospital mortality of patients admitted to the ICU on weekends. Chest. 2004;126(4):1292–1298
  11. Arabi Y, Alshimemeri A, Taher S. Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage. Crit Care Med. 2006;34(3):605–611
  12. Weng L, Meng YL, Lu MS, et al. Association between hospital mortality and day of week of intensive care unit admission. Zhonghua Yi Xue Za Zhi. 2006;86(26):1841–1844
  13. Wunsch H, Mapstone J, Brady T, et al. Hospital mortality associated with day and time of admission to intensive care units. Intensive Care Med. 2004;30(5):895–901
  14. Luyt CE, Combes A, Aegerter P, et al. Mortality among patients admitted to intensive care units during weekday day shifts compared with “off” hours. Crit Care Med. 2007;35(1):3–11
  15. Bell CM, Scales DC. Variation in intensive care unit outcomes by day of week: no weak-end. Intensive Care Med. 2004;30(5):739–741
  16. Goldfrad C, Rowan K. Consequences of discharges from intensive care at night. Lancet. 2000;355(9210):1138–1142
  17. Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946–2951
  18. Zygun D, Berthiaume L, Laupland K, et al. SOFA is superior to MOD score for the determination of non-neurologic organ dysfunction in patients with severe traumatic brain injury: a cohort study. Crit Care. 2006;10(4):R115;[D. Cullen]
  19. Civetta J, Briggs B, et al. Therapeutic interventions scoring system: a method of quantitative comparison of patient care. Crit Care Med. 1974;2:57–60
  20. Knaus WA, Draper EA, Wagner DP, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13(10):818–829
  21. Laupland KB. Population-based epidemiology of intensive care: critical importance of ascertainment of residency status. Crit Care. 2004;8(6):R431–R436
  22. Schmulewitz L, Proudfoot A, Bell D. The impact of weekends on outcome for emergency patients. Clin Med. 2005;5(6):621–625
  23. Peets AD, Boiteau PJ, Doig CJ. Effect of critical care medicine fellows on patient outcome in the intensive care unit. Acad Med. 2006;81(10 Suppl):S1–S4

☆ No external funding was received for this study. None of the authors have financial or professional conflicts of interest that would influence the conduct or reporting of this study.

PII: S0883-9441(07)00147-5

doi: 10.1016/j.jcrc.2007.09.001

Journal of Critical Care
Volume 23, Issue 3 , Pages 317-324 , September 2008

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