Memo to Patients: Don't Get Admitted to The Hospital on a Weekend
Patients admitted to the hospital on weekends are 30 percent more likely to die there than those who arrive on weekdays. And guess why? It turns out that most doctors are reluctant to work irregular hours, which in turn delays care for weekend patients.
According to a new study from the Agency for Healthcare Research and Quality (AHRQ), delays in treating conditions such as heart attacks, angina, gall bladder problems and complicated hernias were much more common for patients admitted on weekends than for those hospitalized during the week. Just 36 percent of weekend-admitted patients received major procedures on the day of admission, versus 65 percent of those admitted on weekdays.
Of the 19 percent of all hospitalized patients who were admitted on the weekend, 2.4 percent died during their stay. In contrast, only 1.8 percent of patients admitted on weekdays died in the hospital. To some extent, this reflects the fact that far more patients admitted on weekends (65 percent) than on weekdays (44 percent) came in as emergency cases, rather than scheduled admissions.
But both sets of patients had similar characteristics, and their average lengths of stay and costs per admission were close. So the higher number of emergency cases on weekends does not fully explain the higher mortality rate among those patients. Moreover, emergency cases usually require more prompt attention than patients who come in for elective procedures. Delays in providing treatment may “be an indicator of
quality of care,” the researchers said.
http://industry.bnet.com/healthcare/10002014/memo-to-patients-dont-get-admitted-to-the-hospital-on-a-weekend/