Effect of weekend admission on mortality associated with severe acute kidney injury in England: A propensity score matched, population-based study.

ABSTRACT:

Background

Increased in-hospital mortality associated with weekend admission has been reported for many acute conditions, but no study has investigated "weekend effect" for acute kidney injury requiring dialysis (AKI-D).

Methods

In this large, propensity score matched cohort of AKI-D, we examined the impact of weekend admission and in-centre nephrology services in 53,170 AKI-D admissions between 1st April 2003 and 31st March 2015 using a hospital episode statistic dataset. Propensity score matching (PSM) was performed to match 4284 weekend admissions with AKI-D with 14,788 admissions on weekdays.

Results

Of the 53,170 admissions with AKI-D in the whole dataset, 12,357 (23%) were at weekends. The unadjusted mortality for weekend admissions was significantly higher comp

SUBMITTER: Kolhe NV 

PROVIDER: S-EPMC5634642 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature