Is weekend discharge associated with hospital readmission?

被引：15
作者：
Cloyd, Jordan M. [1 ]
Chen, Joy C. [1 ]
Ma, Yifei [1 ]
Rhoads, Kim F. [1 ]
机构：
[1] Stanford Univ, Dept Surg, Stanford, CA 94305 USA
来源：
JOURNAL OF HOSPITAL MEDICINE | 2015年 / 10卷 / 11期
关键词：
INTENSIVE-CARE-UNIT; MYOCARDIAL-INFARCTION; AFTER-DISCHARGE; HEART-FAILURE; MORTALITY; OUTCOMES; ADMISSION; TIME; INTERVENTIONS; SURGERY;
D O I：
10.1002/jhm.2406
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BACKGROUNDAlthough recent evidence suggests worse outcomes for patients admitted to the hospital on a weekend, the impact of weekend discharge is less understood. METHODSUtilizing the 2012 California Office of Statewide Health Planning and Development database, the impact of weekend discharge on 30-day hospital readmission rates for patients admitted with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia (PNA) was investigated. RESULTSOut of 266,519 patients, 60,097 (22.5%) were discharged on a weekend. Unadjusted 30-day hospital readmission rates were similar between weekend and weekday discharges (AMI: 21.9% vs 21.9%; CHF: 15.4% vs 16.0%; PNA: 12.1% vs 12.4%). Patients discharged on a weekday had a longer length of stay and were more often discharged to a skilled nursing facility. However, in multivariable logistic regression models, weekend discharge was not associated with readmission (AMI: odds ratio [OR] 1.02 [95% CI: 0.98-1.06]; CHF: OR 0.99 [95% CI: 0.94-1.03]; PNA: OR 1.02 (95% CI: 0.98-1.07)). CONCLUSIONSAmong patients in California with AMI, CHF, and PNA, discharge on a weekend was not associated with an increased hospital readmission rate. Journal of Hospital Medicine 2015;10:731-737. (c) 2015 Society of Hospital Medicine
引用
收藏
页码：731 / 737
页数：7
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