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Burns : journal of the International Society for Burn Injuries v.43 no.8, 2017년, pp.1654 - 1661   SCIE
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Impact of weekend admission on mortality and other outcomes among patients with burn injury: A nationwide analysis

Peluso, Heather (Department of Surgery, University of South Carolina, Greenville Health System, 701 Grove Road, Greenville, SC 29605, United States ) ; Abougergi, Marwan S. (Catalyst Medical Consulting, 722 Elmbrook Drive, Simpsonville, SC 29681, United States ) ; Caffrey, Julie (Department of Plastic and Reconstructive Surgery, Johns Hopkins University Medical Center, Burn Unit, Bayview Campus, 4940 Eastern Ave, Baltimore, MD 21224, United States ) ;
  • 초록  

    Abstract Objective To study the relationship between day of admission and important outcomes among patients with burn injuries. Methods The 2014 National Inpatient Sample database was used. Inclusion criterion was a principal diagnosis of burn injury. Exclusion criteria were age Results A total of 21,665 patients were included, 29% of whom were admitted on weekends. Weekend admission was an independent predictor of mortality only among patients >65years old (adjusted odds ratio (aOR): 2.66 (1.13–4.51), p=0.02). Although rates of septic shock were similar for both groups (aOR): 1.25 (0.74–2.09, p=0.40), weekends were associated with higher odds of prolonged mechanical ventilation (aOR: 1.28 (1.06–1.55), p=0.01). Time to surgery (adjusted mean difference (amDiff): 0.91 (−0.07 to 1.88) days, p=0.07) and time to P/E-nutrition (amDiff: 0.40 (−3.51 to 4.30) days, p=0.80) were similar for both groups. Finally, LOS was longer for weekend admission (amDiff: 1.36 (0.09–2.63) days, p=0.04), but total charges and costs were similar for both groups (amDiff: $16,268 ($-5093–$37,629), p=0.13 and $3275 ($-2337–$8888), p=0.25). Conclusions Weekend admission is associated with increased mortality among patients with burn injury >65years old. Weekend admission is also associated with increased morbidity and prolonged length of stay. Highlights Weekend admission is associated with higher mortality for patients >65years old. Weekend admission is associated with higher morbidity (prolonged intubation time). Resource utilization is higher for weekend admissions (longer length of hospital stay).


  • 주제어

    Burn injury .   Weekend .   Outcomes .   Mortality .   Resource utilization.  

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