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    Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter

    245716_245716.pdf (308.8Kb)
    Access Status
    Open access
    Authors
    Brims, Fraser
    Asiimwe, A.
    Andrews, N.
    Prytherch, D.
    Higgins, B.
    Kilburn, S.
    Chauhan, A.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Brims, F. and Asiimwe, A. and Andrews, N. and Prytherch, D. and Higgins, B. and Kilburn, S. and Chauhan, A. 2011. Weekend admission and mortality from acute exacerbations of chronic obstructive pulmonary disease in winter. Clinical Medicine. 11 (4): pp. 334-339.
    Source Title
    Clinical Medicine, Journal of the Royal College of Physicians of London
    DOI
    10.7861/clinmedicine.11-4-334
    ISSN
    1470-2118
    School
    Curtin Medical School
    Remarks

    Copyright © 2011 Royal College of Physicians

    URI
    http://hdl.handle.net/20.500.11937/23525
    Collection
    • Curtin Research Publications
    Abstract

    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.

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