{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:25:38Z","timestamp":1765758338448},"reference-count":26,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2012,11,26]]},"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess whether mortality of patients admitted on weekends and public holidays was higher in a district general hospital whose consultants are present more than 6\u2005h per day on the acute medical unit with no other fixed clinical commitments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Secondary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>All emergency medical admissions to Dumfries and Galloway Royal Infirmary between 1 January 2008 and 31 December 2010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined 7 and 30\u2005day mortality for all weekend and for all public holiday admissions, using all weekday and non-public holiday admissions, respectively, as comparators. We adjusted mortality for age, gender, comorbidity, deprivation, diagnosis and year of admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>771 (3.8%) of 20\u2005072 emergency admissions died within 7\u2005days of admission and 1780 (8.9%) within 30\u2005days. Adjusted weekend mortality in the all weekend versus all other days analysis was not significantly higher at 7\u2005days (OR 1.10, 95% CI 0.92 to 1.31; p=0.312) or at 30\u2005days (OR 1.07, 95% CI 0.94 to 1.21; p=0.322). By contrast, adjusted public holiday mortality in the all public holidays versus all other days analysis was 48% higher at 7\u2005days (OR 1.48, 95% CI 1.12 to 1.95; p=0.006) and 27% higher at 30\u2005days (OR 1.27, 95% CI 1.02 to 1.57; p=0.031). Interactions between the weekend variable and the public holiday variable were not statistically significant for mortality at either 7 or 30\u2005days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients admitted as emergencies to medicine on public holidays had significantly higher mortality at 7 and 30\u2005days compared with patients admitted on other days of the week.<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2012-201881","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T09:51:13Z","timestamp":1359021073000},"page":"30-34","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Emergency medical admissions, deaths at weekends and the public holiday effect. 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