Voltz R, Kamps R, Greinwald R, Hellmich M, Hamacher S, Becker G, Kuhr K, Gaertner J. Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care.
BMJ 2014;
349:g7370. [PMID:
25515670 PMCID:
PMC4267701 DOI:
10.1136/bmj.g7370]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE
To compare the mortality of patients in a palliative care unit on working days with that on weekends and public holidays.
DESIGN
Retrospective database study.
SETTING
Palliative care unit in Germany.
POPULATION
All admissions to palliative care unit between 1 January 1997 and 31 December 2008.
MAIN OUTCOME MEASURE
The impact of day type (working days or weekends and public holidays) on mortality was analysed using Poisson regression models.
RESULTS
A total of 2565 admitted patients and 1325 deaths were recorded. Of the deaths, 448 (33.8%) occurred on weekends and public holidays. The mortality rate on weekends and public holidays was 18% higher than that on working days (mortality rate ratio 1.18, 95% confidence interval 1.05 to 1.32; P=0.005).
CONCLUSION
Patients in the palliative care unit were at higher risk of dying on weekends and public holidays. In the absence of a prospective study, the exact reasons for this correlation are unclear.
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