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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Cen, Steven Y. Ng, Alvin Kim-tenser, May Mack, William J. Wen, Timothy Sanossian, Nerses Attenello, Frank J. Amar, Arun P. |
Spatial Coverage | United States |
Description | Author Affiliation: Attenello FJ ( Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.); Wen T ( Keck School of Medicine, University of Southern California, USA wentimot@usc.edu.); Cen SY ( Department of Neurology, Keck School of Medicine, University of Southern California, USA Department of Radiology, Keck School of Medicine, University of Southern California, USA.); Ng A ( Department of Preventive Medicine, Keck School of Medicine, University of Southern California, USA.); Kim-Tenser M ( Department of Neurology, Keck School of Medicine, University of Southern California, USA.); Sanossian N ( Department of Neurology, Keck School of Medicine, University of Southern California, USA.); Amar AP ( Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.); Mack WJ ( Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.); |
Abstract | Objective To evaluate the association between weekend admission to hospital and 11 hospital acquired conditions recently considered by the Centers for Medicare and Medicaid as “never events” for which resulting healthcare costs are not reimbursed. Design National analysis. Setting US Nationwide Inpatient Sample discharge database. Participants 351 million patients discharged from US hospitals, 2002-10. Main outcome measures Univariate rates and multivariable likelihood of hospital acquired conditions among patients admitted on weekdays versus weekends, as well as the impacts of these events on prolonged length of stay and total inpatient charges. Results From 2002 to 2010, 351 170 803 patients were admitted to hospital, with 19% admitted on a weekend. Hospital acquired conditions occurred at an overall frequency of 4.1% (5.7% among weekend admissions versus 3.7% among weekday admissions). Adjusting for patient and hospital cofactors the probability of having one or more hospital acquired conditions was more than 20% higher in weekend admissions compared with weekday admissions (odds ratio 1.25, 95% confidence interval 1.24 to 1.26, P<0.01). Hospital acquired conditions have a negative impact on both hospital charges and length of stay. At least one hospital acquired condition was associated with an 83% (1.83, 1.77 to 1.90, P<0.01) likelihood of increased charges and 38% likelihood of prolonged length of stay (1.38, 1.36 to 1.41, P<0.01). Conclusion Weekend admission to hospital is associated with an increased likelihood of hospital acquired condition, cost, and length of stay. Future protocols and staffing regulations must be tailored to the requirements of this high risk subgroup. |
ISSN | 09598138 |
e-ISSN | 17561833 |
Journal | BMJ (British Medical Journal) |
Volume Number | 350 |
Language | English |
Publisher | British Medical Journal Publishing Group |
Publisher Date | 2015-04-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Open |
Subject Keyword | After-Hours Care Hospitalization Statistics & Numerical Data Iatrogenic Disease Epidemiology Medical Errors Postoperative Complications Adolescent Analysis Of Variance Cross-Sectional Studies Hospital Costs Length Of Stay Time Factors Medicine |
Content Type | Text |
Resource Type | Article |
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