open access

Vol 44, No 4 (2012 Oct-Dec)
Original and clinical articles
Published online: 2012-01-04
Submitted: 2013-01-07
Accepted: 2013-01-07
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Weekend admissions to paediatric/neonatal intensive care units are associated with longer hospitalisation time but not with greater mortality

Wojciech Fendler, Justyna Klobusinska, Łukasz Walenciak, Wojciech Młynarski, Andrzej Piotrowski
Anaesthesiol Intensive Ther 2012;44(4):230-233.

open access

Vol 44, No 4 (2012 Oct-Dec)
Original and clinical articles
Published online: 2012-01-04
Submitted: 2013-01-07
Accepted: 2013-01-07

Abstract

BACKGROUND: To evaluate the impact on mortality and duration of stay of weekend admission of paediatric patients to the Paediatric/Neonatal Intensive Care Unit (PNICU).

METHODS: Retrospective, nine-year cohort study. The study was performed in a tertiary level PNICU between 1 January 1999 and 31 December 2007. Data about the day of admission, diagnosis, outcome, and duration of stay was collected using a computerised database.

RESULTS: 2,223 out of 2,240 patients treated in the PNICU during the analysed period were enrolled to the analysis. 61.9% of the group were newborns. Overall mortality equalled 10.9% and did not differ depending on weekend or weekday admission (10.95% vs. 10.86% respectively, P = 0.96). A negative trend of mortality in both groups was observed (P < 0.001). The frequency of deaths occurring during the initial 48 hours of treatment also did not differ between weekend and weekday admissions (4.1% vs. 3.3%, P = 0.52). Overall duration of PNICU stay was significantly longer for weekend admissions (median 10 vs. 8 days, P = 0.01). The difference was absent in the neonatal group (12 vs. 11 days; P = 0.9) but was evident in children (median 6 vs. 5 days P = 0.002) regardless of primary diagnosis. The difference was the greatest in children with sepsis and/or haematological malignancy (five days in both subgroups, P = 0.01 and 0.002 respectively).

CONCLUSIONS: No day-of-admission-dependent differences of mortality were detected in the analysed group. Weekend admissions were associated with longer duration of PNICU stay in children.

Abstract

BACKGROUND: To evaluate the impact on mortality and duration of stay of weekend admission of paediatric patients to the Paediatric/Neonatal Intensive Care Unit (PNICU).

METHODS: Retrospective, nine-year cohort study. The study was performed in a tertiary level PNICU between 1 January 1999 and 31 December 2007. Data about the day of admission, diagnosis, outcome, and duration of stay was collected using a computerised database.

RESULTS: 2,223 out of 2,240 patients treated in the PNICU during the analysed period were enrolled to the analysis. 61.9% of the group were newborns. Overall mortality equalled 10.9% and did not differ depending on weekend or weekday admission (10.95% vs. 10.86% respectively, P = 0.96). A negative trend of mortality in both groups was observed (P < 0.001). The frequency of deaths occurring during the initial 48 hours of treatment also did not differ between weekend and weekday admissions (4.1% vs. 3.3%, P = 0.52). Overall duration of PNICU stay was significantly longer for weekend admissions (median 10 vs. 8 days, P = 0.01). The difference was absent in the neonatal group (12 vs. 11 days; P = 0.9) but was evident in children (median 6 vs. 5 days P = 0.002) regardless of primary diagnosis. The difference was the greatest in children with sepsis and/or haematological malignancy (five days in both subgroups, P = 0.01 and 0.002 respectively).

CONCLUSIONS: No day-of-admission-dependent differences of mortality were detected in the analysed group. Weekend admissions were associated with longer duration of PNICU stay in children.

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Keywords

pediatric intensive care unit; prognosis; mortality

About this article
Title

Weekend admissions to paediatric/neonatal intensive care units are associated with longer hospitalisation time but not with greater mortality

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 4 (2012 Oct-Dec)

Pages

230-233

Published online

2012-01-04

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(4):230-233.

Keywords

pediatric intensive care unit
prognosis
mortality

Authors

Wojciech Fendler
Justyna Klobusinska
Łukasz Walenciak
Wojciech Młynarski
Andrzej Piotrowski

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