Abstract：
OBJECTIVES:To examine the effects of holiday and weekend admission on in-hospital mortality for patients with acute myocardial infarction (AMI) in China. METHODS:Patients with AMI in 31 tertiary hospitals in Shanxi, China from 2014 to 2017 were included (N = 54,968). Multivariable logistic regression models were used to examine the effects of holiday and weekend admission on in-hospital mortality. RESULTS:Compared to non-holiday and weekday admissions, holiday and weekend admissions, respectively, were associated with increases in risk-adjusted mortality rates. Chinese National Day was associated with an additional 10 deaths per 1000 admissions (95% confidence interval (CI): (0, 20))-a relative increase from baseline mortality of 64% (95% CI: (1%, 128%)). Sunday was associated with an additional 4 deaths per 1000 admissions (95% CI: (0, 7))-a relative increase from baseline mortality of 23% (95% CI: (3%, 45%)). We found no evidence of gender differences in holiday or weekend effects on mortality. CONCLUSIONS:Holiday and weekend admissions were associated with in-hospital AMI mortality. The admissions on Chinese National Day and Sunday contributed to the observed "holiday effect" and "weekend effect," respectively.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Lin X,Green JC,Xian H,Cai M,Skrzypek J,Tao Hdoi
10.1007/s00038-020-01443-xsubject
Has Abstractpub_date
2020-07-01 00:00:00pages
847-857issue
6eissn
1661-8556issn
1661-8564pii
10.1007/s00038-020-01443-xjournal_volume
65pub_type
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