Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029 |
Resumo: | Introduction: Acute bacterial pneumonia is a common and potentially fatal disease where early recognition and treatment are crucial. Increasing medical literature suggests worse outcomes in patients admitted for medical and surgical conditions during the weekend. Little is known about this effect in patients with acute bacterial pneumonia.Objective: The aim of this study was to evaluate the impact of weekend and holiday hospital admission on the outcomes of acute bacterial pneumonia.Material and Methods: Retrospective analysis of adult patients (> 18 years) with acute bacterial pneumonia collected from a tertiary referral center database. Length of stay, total cost, admission to intensive care unit, development of sepsis and organ failure, and mortality were compared between patients admitted on a weekday and patients admitted during a weekend or holiday.Results: We analyzed 53 854 hospital admissions from 42 512 patients (median age 84.0 years, range 18 - 118 years), corresponding to 30 554 admissions during weekdays, 21 222 at weekends and 2078 during public holidays. Weekend and holiday admission was not associated with increased costs, length of stay, intensive care unit admission, development of sepsis, organ failure, and mortality.Conclusion: A weekend/holiday effect in acute bacterial pneumonia was not evident in our series. |
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Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional StudyAssociação Entre os Internamentos ao Fim-De-Semana e Feriados por Pneumonia e a Mortalidade num Centro Terciário em Portugal: Um Estudo TransversalHolidaysHospital MortalityHospitalization/statistics & numerical dataPatient Admission/statistics & numerical dataPneumoniaPortugalTime FactorsAdmissão do Doente/estatística & dados numéricosFactores de TempoFériasHospitalização/estatística & dados numéricosMortalidade HospitalarPeriodicidadePneumoniaPortugalIntroduction: Acute bacterial pneumonia is a common and potentially fatal disease where early recognition and treatment are crucial. Increasing medical literature suggests worse outcomes in patients admitted for medical and surgical conditions during the weekend. Little is known about this effect in patients with acute bacterial pneumonia.Objective: The aim of this study was to evaluate the impact of weekend and holiday hospital admission on the outcomes of acute bacterial pneumonia.Material and Methods: Retrospective analysis of adult patients (> 18 years) with acute bacterial pneumonia collected from a tertiary referral center database. Length of stay, total cost, admission to intensive care unit, development of sepsis and organ failure, and mortality were compared between patients admitted on a weekday and patients admitted during a weekend or holiday.Results: We analyzed 53 854 hospital admissions from 42 512 patients (median age 84.0 years, range 18 - 118 years), corresponding to 30 554 admissions during weekdays, 21 222 at weekends and 2078 during public holidays. Weekend and holiday admission was not associated with increased costs, length of stay, intensive care unit admission, development of sepsis, organ failure, and mortality.Conclusion: A weekend/holiday effect in acute bacterial pneumonia was not evident in our series.Introdução: A pneumonia aguda bacteriana é uma entidade comum e potencialmente fatal em que o diagnóstico e tratamento precoces são cruciais. A literatura médica, de forma crescente, reporta piores resultados clínicos em doentes admitidos por doenças médicas e cirúrgicas durante o fim-de-semana. Pouco se sabe deste efeito em doentes com pneumonia aguda bacteriana.Objetivo: O objetivo deste estudo foi avaliar o impacto das admissões durante o fim-de-semana e feriados nos resultados clínicos de doentes admitidos com pneumonia aguda.Material e Métodos: Análise retrospetiva de doentes adultos (> 18 anos) com pneumonia aguda bacteriana recolhidos de uma base de dados de um centro hospitalar terciário. A duração do internamento, custos, admissão em unidade de cuidados intensivos, desenvolvimento de sépsis ou lesão de órgão alvo e mortalidade foram comparados entre doentes admitidos durante a semana e doentes admitidos durante o fim-de-semana ou feriados.Resultados: Verificaram-se 53 854 admissões hospitalares correspondendo a 42 512 doentes (idade mediana 84,0 anos, 18 - 118 anos). Um total de 30 554 admissões ocorreram durante os dias da semana, 21 222 durante o fim-de-semana e 2078 durante feriados. A admissão durante o fim-de-semana ou feriado não se associou a custos mais elevados, internamentos mais prolongados, maior admissão em unidade de cuidados intensivos, desenvolvimento de sépsis ou lesão de órgão alvo e mortalidade.Conclusão: A hipótese dos internamentos durante o fim-de-semana e feriados se associarem a piores resultados clínicos não se verificou no nosso estudo.Ordem dos Médicos2017-05-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegimage/jpegapplication/mswordapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029oai:ojs.www.actamedicaportuguesa.com:article/8029Acta Médica Portuguesa; Vol. 30 No. 5 (2017): May; 361-367Acta Médica Portuguesa; Vol. 30 N.º 5 (2017): Maio; 361-3671646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/5041https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/5040https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8604https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8605https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8606https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8654https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/9019https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/9095Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessCortes, Margarida BarretoFernandes, Samuel RaimundoAranha, PatriciaAvô, Luís BritoFalcão, Luís Menezes2022-12-20T11:05:23Zoai:ojs.www.actamedicaportuguesa.com:article/8029Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:32.118834Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study Associação Entre os Internamentos ao Fim-De-Semana e Feriados por Pneumonia e a Mortalidade num Centro Terciário em Portugal: Um Estudo Transversal |
title |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
spellingShingle |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study Cortes, Margarida Barreto Holidays Hospital Mortality Hospitalization/statistics & numerical data Patient Admission/statistics & numerical data Pneumonia Portugal Time Factors Admissão do Doente/estatística & dados numéricos Factores de Tempo Férias Hospitalização/estatística & dados numéricos Mortalidade Hospitalar Periodicidade Pneumonia Portugal |
title_short |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
title_full |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
title_fullStr |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
title_full_unstemmed |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
title_sort |
Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study |
author |
Cortes, Margarida Barreto |
author_facet |
Cortes, Margarida Barreto Fernandes, Samuel Raimundo Aranha, Patricia Avô, Luís Brito Falcão, Luís Menezes |
author_role |
author |
author2 |
Fernandes, Samuel Raimundo Aranha, Patricia Avô, Luís Brito Falcão, Luís Menezes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cortes, Margarida Barreto Fernandes, Samuel Raimundo Aranha, Patricia Avô, Luís Brito Falcão, Luís Menezes |
dc.subject.por.fl_str_mv |
Holidays Hospital Mortality Hospitalization/statistics & numerical data Patient Admission/statistics & numerical data Pneumonia Portugal Time Factors Admissão do Doente/estatística & dados numéricos Factores de Tempo Férias Hospitalização/estatística & dados numéricos Mortalidade Hospitalar Periodicidade Pneumonia Portugal |
topic |
Holidays Hospital Mortality Hospitalization/statistics & numerical data Patient Admission/statistics & numerical data Pneumonia Portugal Time Factors Admissão do Doente/estatística & dados numéricos Factores de Tempo Férias Hospitalização/estatística & dados numéricos Mortalidade Hospitalar Periodicidade Pneumonia Portugal |
description |
Introduction: Acute bacterial pneumonia is a common and potentially fatal disease where early recognition and treatment are crucial. Increasing medical literature suggests worse outcomes in patients admitted for medical and surgical conditions during the weekend. Little is known about this effect in patients with acute bacterial pneumonia.Objective: The aim of this study was to evaluate the impact of weekend and holiday hospital admission on the outcomes of acute bacterial pneumonia.Material and Methods: Retrospective analysis of adult patients (> 18 years) with acute bacterial pneumonia collected from a tertiary referral center database. Length of stay, total cost, admission to intensive care unit, development of sepsis and organ failure, and mortality were compared between patients admitted on a weekday and patients admitted during a weekend or holiday.Results: We analyzed 53 854 hospital admissions from 42 512 patients (median age 84.0 years, range 18 - 118 years), corresponding to 30 554 admissions during weekdays, 21 222 at weekends and 2078 during public holidays. Weekend and holiday admission was not associated with increased costs, length of stay, intensive care unit admission, development of sepsis, organ failure, and mortality.Conclusion: A weekend/holiday effect in acute bacterial pneumonia was not evident in our series. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-05-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029 oai:ojs.www.actamedicaportuguesa.com:article/8029 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/8029 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/5041 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/5040 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8604 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8605 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8606 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/8654 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/9019 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8029/9095 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf image/jpeg image/jpeg application/msword application/pdf application/msword application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 5 (2017): May; 361-367 Acta Médica Portuguesa; Vol. 30 N.º 5 (2017): Maio; 361-367 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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