Universität zu Köln

Voltz, Raymond, Kamps, Robert, Greinwald, Ralf, Hellmich, Martin, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Becker, Gerhild, Kuhr, Kathrin and Gaertner, Jan (2014). CHRISTMAS 2014: ON THE WARDS, IN THE SURGERY Silent night: retrospective database study assessing possibility of weekend effect in palliative care. BMJ-British Medical Journal, 349. LONDON: BMJ PUBLISHING GROUP. ISSN 1756-1833

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED Kamps, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Greinwald, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Becker, Gerhild UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhr, Kathrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Gaertner, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-420169
DOI:	10.1136/bmj.g7370
Journal or Publication Title:	BMJ-British Medical Journal
Volume:	349
Date:	2014
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	1756-1833
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MORTALITY; DEATH; ADMISSION; ASSOCIATION; HOSPITALS; SERVICE; STROKE; RISK Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42016