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Objective To examine the associations between day of week and time of admission and day mortality for six clinical conditions: ischaemic and haemorrhagic stroke, acute myocardial infarction, pneumonia, chronic obstructive pulmonary disease and congestive heart failure.
Design Retrospective population-based cohort analyses. Hospitalisation records were linked to emergency department and deaths data. Random-effect logistic regression models were used, adjusting for casemix and taking into account clustering within hospitals. Participants Patients admitted to hospital with a primary diagnosis for one of the six clinical conditions examined. Outcome measures Adjusted ORs for all-cause mortality within 30 days of admission, by day of week and time of day.
Day of week of admission was not associated with significantly higher likelihood of death for five of the six conditions after adjusting for casemix. There was significant variation in mortality for chronic obstructive pulmonary disease by day of week; however, this was not consistent with a strict weekend effect Thursday: OR 1.
There was evidence for a night effect for patients admitted for stroke ischaemic: OR 1. Conclusions Mortality outcomes for these conditions, adjusted for casemix, do not vary in accordance with the weekend effect hypothesis.