Effect of weekend hospital admission on gastrointestinal hemorrhage outcomes.

摘要: To determine whether outcomes for patients admitted with UGIH differ depending on weekend versus weekday admission, and any such differences are mediated by discrepancies in the use timing of endoscopy. This was a cross-sectional comparison mortality, resource use, utilization esophagogastroduodenoscopy (EGD) among upper gastrointestinal hemorrhage (UGIH) weekends to those weekday. Hospitals 31 states from Nationwide Inpatient Sample between 1998 2003 were included. resulted 75,636 during week 23,339 UGIH. Multivariable analyses conducted evaluate effect admission outcomes. Compared weekday, weekend: in-hospital mortality higher (unadjusted 3.76 vs. 3.33%; P = 0.003; adjusted HR = 1.09, 95% CI = 1.00–1.18); length stay 1.7% longer (P = 0.0098); charges 3.3% (P = 0.0038). Although these less likely undergo endoscopy (adjusted OR = 0.94; P = 0.004) waited this procedure HR = 0.87; P < 0.001), did not fully explain their inferior Weekend is associated an increased risk death, slightly lengths stay, marginally in-patient charges. Discrepancies do account differences.