Mortality Among Patients Admitted To Intensive Care Unit On Weekends And Holidays Compared With Weekdays
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
The first few hours after intensive care unit admission, are crucial to patient outcome. The availability and quality of personnel and technology are often different during weekday as compared to weekends and holidays. So, the current study was undertaken to investigate mortality among patients admitted to intensive care unit on weekends and holidays as compared with weekdays. Data of all the patients admitted on weekends and holidays as well as weekdays were retrieved from the medical records of intensive care unit. Out of 288 admissions in intensive care unit, 12.8% of the patients were admitted on the weekends and holidays. A total of 72 patients (25%) died in one year. Maximum death (52.8%) occurred during night time. In multivariable analyses controlling for the factors associated with mortality, such as age, gender, patients admitted to the intensive care unit on the weekends and holidays had significantly higher adjusted odds of death (OR = 2.49; 95% CI =1.19-5.22), compared with those admitted in the weekdays (OR = 1), and patients admitted in the night time had significantly higher adjusted odds of death (OR= 2.11; 95% CI = 1.21-3.66), compared to those admitted in the day time (OR= 1). So, it was concluded that patients admitted on weekends and holidays to intensive care unit were associated with increased mortality, as opposed to patients admitted to intensive care unit during weekdays.
Authors and Affiliations
Rajesh Panda, L. Deban Singh, Priyadarshani Padhihari, L. Pradip Kumar Singh, N. Ratan Singh, A. Jack Meitei
Keywords
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- EP ID EP590688
- DOI 10.9790/0853-1601095760.
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