Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter
Historically, acute medical staffing numbers have been lower on weekends and in winter numbers of medical admissions rise. An analysis of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) admissions to Portsmouth Hospitals over a seven-year period was undertaken to examine the ef...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Published: |
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/23525 |
| _version_ | 1848751175364509696 |
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| author | Brims, Fraser Asiimwe, A. Andrews, N. Prytherch, D. Higgins, B. Kilburn, S. Chauhan, A. |
| author_facet | Brims, Fraser Asiimwe, A. Andrews, N. Prytherch, D. Higgins, B. Kilburn, S. Chauhan, A. |
| author_sort | Brims, Fraser |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Historically, acute medical staffing numbers have been lower on weekends and in winter numbers of medical admissions rise. An analysis of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) admissions to Portsmouth Hospitals over a seven-year period was undertaken to examine the effects of admission on a weekend, of winter, and with the opening of a medical admissions unit (MAU). In total, 9,915 admissions with AECOPD were identified. Weekend admissions accounted for 2,071 (20.9%) of cases, winter accounted for 3,026 (30.5%) admissions, and 522 (34.4%) deaths. Adjusted odds ratio (OR) for death on day 1 after winter weekend admission was 2.89 (95% confidence interval (CI) 1.035 to 8.076). After opening the MAU, the OR for death day 1 after weekend winter admission fell from 3.63 (95% CI 1.15 to 11.5) to 1.65 (95% CI 0.14 to 19.01). AECOPD patients have an increased risk of death after admission over a weekend in winter and this effect was reduced by opening a MAU. These findings have implications for the planning of acute care provision in different seasons. © Royal College of Physicians, 2011. All rights reserved. |
| first_indexed | 2025-11-14T07:48:33Z |
| format | Journal Article |
| id | curtin-20.500.11937-23525 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:48:33Z |
| publishDate | 2011 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-235252017-09-13T13:59:39Z Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter Brims, Fraser Asiimwe, A. Andrews, N. Prytherch, D. Higgins, B. Kilburn, S. Chauhan, A. Historically, acute medical staffing numbers have been lower on weekends and in winter numbers of medical admissions rise. An analysis of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) admissions to Portsmouth Hospitals over a seven-year period was undertaken to examine the effects of admission on a weekend, of winter, and with the opening of a medical admissions unit (MAU). In total, 9,915 admissions with AECOPD were identified. Weekend admissions accounted for 2,071 (20.9%) of cases, winter accounted for 3,026 (30.5%) admissions, and 522 (34.4%) deaths. Adjusted odds ratio (OR) for death on day 1 after winter weekend admission was 2.89 (95% confidence interval (CI) 1.035 to 8.076). After opening the MAU, the OR for death day 1 after weekend winter admission fell from 3.63 (95% CI 1.15 to 11.5) to 1.65 (95% CI 0.14 to 19.01). AECOPD patients have an increased risk of death after admission over a weekend in winter and this effect was reduced by opening a MAU. These findings have implications for the planning of acute care provision in different seasons. © Royal College of Physicians, 2011. All rights reserved. 2011 Journal Article http://hdl.handle.net/20.500.11937/23525 10.7861/clinmedicine.11-4-334 fulltext |
| spellingShingle | Brims, Fraser Asiimwe, A. Andrews, N. Prytherch, D. Higgins, B. Kilburn, S. Chauhan, A. Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title | Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title_full | Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title_fullStr | Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title_full_unstemmed | Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title_short | Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| title_sort | weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter |
| url | http://hdl.handle.net/20.500.11937/23525 |