Document Detail


Changes in mortalities and hospital admissions associated with holidays and respiratory illness: implications for medical services.
MedLine Citation:
PMID:  15869557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE AND OBJECTIVES: To see whether net mortalities increase during and after reductions in medical services, either at average weekends, or at Christmas when pressure from illness is unusually high. METHODS: (1) Paired t-tests to compare mean daily deaths and hospital admissions during and after weekends (Saturday-Tuesday) with means for the week, in south-east England; (2) Linear regressions to see whether trends of daily deaths change when admissions are reduced at Christmas. RESULTS: Neither mean daily all-cause, respiratory or ischaemic heart deaths exceeded weekly averages during weekends, or during Saturday-Monday or Saturday-Tuesday, despite falls in daily elective and daily emergency hospital admissions at weekends that averaged 61-72% and 14-22%, respectively. During 19-24 December, daily deaths were above annual means, respiratory deaths by 49% (29, 1-58), but elective admissions fell and although emergency admissions tended to rise, total admissions rose only for respiratory disease, and only by 33% (376, -47 to 799). On Christmas Day (25 December), even emergency admissions fell sharply below previous trends, respiratory emergency admissions by 18% (P<0.01). Respiratory deaths alone then immediately increased (P<0.01) above trend, by 5.9% (5.8 deaths/day) on 26 December and by 12.9% (12.9) on 27 December. CONCLUSIONS: No adverse effect on mortality was apparent within 2 days from reduction in medical services at weekends. However, respiratory deaths accelerated sharply after reduction in elective and emergency admissions at Christmas, when rates of infection and mortality from respiratory disease were high. Implications for medical services during respiratory epidemics are discussed.
Authors:
W R Keatinge; G C Donaldson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of evaluation in clinical practice     Volume:  11     ISSN:  1356-1294     ISO Abbreviation:  J Eval Clin Pract     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609066     Medline TA:  J Eval Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  275-81     Citation Subset:  IM    
Affiliation:
Queen Mary College, London, UK. w.r.keatinge@qmul.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Cause of Death
Emergency Service, Hospital / manpower*,  statistics & numerical data,  utilization
England / epidemiology
Holidays*
Hospital Mortality / trends*
Hospitals, Public / manpower*,  statistics & numerical data,  utilization
Humans
Myocardial Ischemia / mortality*
Patient Admission / trends*
Respiratory Tract Infections / mortality*
Surgical Procedures, Elective / mortality,  utilization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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