Table 1 Patients admitted on weekends and on week days for major acute disorders across England and Wales, compared according to population admission rates, patient age, inpatient stay and number of patient co-morbidities
| Â | England | Wales | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Admission rate (per 100,000 population) | Mean patient age (years) | Median inpatient stay (days) | Mean number of patient co-morbidities | Admission rate (per 100,000 population) | Mean patient age (years) | Median inpatient stay (days) | Mean number of patient co-morbidities | |||||||||
Week day | Week end | Week day | Week end | Week day | Week end | Week day | Week end | Week day | Week end | Week day | Week end | Week day | Week end | Week day | Week end | |
Circulatory diseases: | ||||||||||||||||
 Acute myocardial infarction | 127 | 116 | 70.3 | 70.1 | 6.0 | 5.0 | 1.8 | 1.8 | 142 | 125 | 70.9 | 70.3 | 6.0 | 5.0 | 1.8 | 1.8 |
 Stroke | 174 | 153 | 75.2 | 75.7 | 9.0 | 10.0 | 2.0 | 1.9 | 190 | 151 | 75.5 | 75.6 | 10.0 | 10.0 | 2.1 | 2.1 |
 Subarachnoid haemorrhage | 8 | 7 | 59.3 | 59.4 | 4.0 | 4.0 | 1.1 | 1.1 | 9 | 7 | 61.0 | 60.9 | 2.0 | 2.0 | 1.2 | 1.1 |
 Heart failure | 130 | 85 | 78.5 | 79.3 | 8.0 | 7.0 | 2.3 | 2.3 | 162 | 93 | 78.4 | 79.0 | 8.0 | 8.0 | 2.4 | 2.5 |
 Angina | 151 | 111 | 68.2 | 69.0 | 1.0 | 2.0 | 2.1 | 2.1 | 177 | 121 | 69.7 | 70.2 | 2.0 | 2.0 | 2.2 | 2.2 |
 Valvular heart disease | 12 | 8 | 73.9 | 75.6 | 8.0 | 9.0 | 1.9 | 1.9 | 17 | 10 | 74.5 | 76.6 | 8.0 | 9.0 | 1.9 | 1.8 |
 Pulmonary embolism | 45 | 28 | 65.1 | 66.0 | 6.0 | 7.0 | 1.3 | 1.3 | 44 | 26 | 64.6 | 65.3 | 7.0 | 8.0 | 1.3 | 1.4 |
 Atrial fibrillation | 132 | 89 | 70.7 | 70.4 | 2.0 | 2.0 | 1.4 | 1.4 | 160 | 95 | 71.1 | 70.5 | 3.0 | 3.0 | 1.4 | 1.5 |
 Abdominal aortic aneurysm | 9 | 6 | 77.1 | 77.6 | 5.0 | 4.0 | 2.1 | 2.0 | 10 | 7 | 76.7 | 71.1 | 5.0 | 3.0 | 2.2 | 2.0 |
 Peripheral vascular disease | 11 | 4 | 71.4 | 73.0 | 7.0 | 6.0 | 2.2 | 2.3 | 17 | 6 | 72.1 | 71.4 | 9.0 | 9.0 | 2.4 | 2.3 |
 Arterial embolism & thrombosis | 10 | 5 | 70.9 | 72.2 | 9.0 | 9.0 | 2.1 | 2.2 | 11 | 5 | 70.4 | 71.7 | 10.0 | 9.0 | 2.1 | 2.3 |
 Phlebitis & thrombophlebitis | 59 | 20 | 61.8 | 59.7 | 0.0 | 2.0 | 1.3 | 1.3 | 42 | 18 | 63.5 | 63.0 | 2.0 | 3.0 | 1.5 | 1.5 |
 Hypertension | 27 | 15 | 63.2 | 65.1 | 2.0 | 2.0 | 1.6 | 1.6 | 34 | 16 | 65.4 | 67.3 | 2.0 | 3.0 | 1.6 | 1.7 |
Respiratory diseases: | ||||||||||||||||
 COPD | 219 | 184 | 71.8 | 71.9 | 5.0 | 4.0 | 2.2 | 2.2 | 296 | 224 | 71.7 | 71.6 | 6.0 | 5.0 | 2.3 | 2.3 |
 Pulmonary oedema | 5 | 4 | 74.5 | 75.3 | 5.0 | 5.0 | 3.2 | 3.2 | 6 | 5 | 76.1 | 76.8 | 6.0 | 5.0 | 3.3 | 3.3 |
 Pneumonia | 261 | 233 | 72.5 | 73.1 | 7.0 | 6.0 | 2.5 | 2.5 | 281 | 228 | 71.8 | 72.4 | 7.0 | 6.0 | 2.5 | 2.5 |
 Pneumonitis | 21 | 21 | 75.7 | 75.7 | 11.0 | 10.0 | 2.4 | 2.4 | 21 | 19 | 76.1 | 75.3 | 12.0 | 10.0 | 2.5 | 2.4 |
 Lower respiratory infections | 145 | 122 | 68.8 | 70.0 | 4.0 | 4.0 | 2.2 | 2.2 | 192 | 145 | 69.3 | 69.7 | 4.0 | 4.0 | 2.3 | 2.4 |
 Pleural effusion | 30 | 14 | 70.6 | 71.1 | 6.0 | 7.0 | 2.4 | 2.5 | 32 | 14 | 71.0 | 72.1 | 7.0 | 8.0 | 2.6 | 2.6 |
 Other interstitial respiratory disease | 10 | 6 | 73.4 | 74.4 | 7.0 | 7.0 | 2.2 | 2.2 | 14 | 7 | 74.3 | 75.2 | 8.0 | 8.0 | 2.2 | 2.2 |
 Respiratory failure | 11 | 9 | 69.9 | 70.5 | 8.0 | 8.0 | 2.7 | 2.7 | 9 | 6 | 69.1 | 69.0 | 9.0 | 10.0 | 2.7 | 2.6 |
Gastrointestinal disorders: | ||||||||||||||||
 Upper gastrointestinal bleeding | 66 | 53 | 61.6 | 60.8 | 3.0 | 3.0 | 1.9 | 1.8 | 69 | 50 | 62.1 | 61.1 | 3.0 | 3.0 | 1.9 | 1.9 |
 Perforated peptic ulcer & peritonitis | 12 | 10 | 62.2 | 61.7 | 8.0 | 8.0 | 1.8 | 1.8 | 11 | 9 | 64.3 | 64.2 | 9.0 | 9.0 | 2.0 | 1.8 |
 Diverticular disease | 46 | 33 | 67.9 | 68.8 | 5.0 | 4.0 | 1.8 | 1.9 | 62 | 41 | 68.1 | 68.8 | 5.0 | 4.0 | 1.9 | 2.0 |
 Intestinal obstruction | 40 | 32 | 67.3 | 67.4 | 6.0 | 6.0 | 1.9 | 1.9 | 40 | 32 | 67.7 | 67.9 | 6.0 | 5.0 | 2.0 | 1.9 |
 Herniae | 39 | 25 | 63.1 | 64.4 | 2.0 | 3.0 | 1.6 | 1.6 | 47 | 28 | 63.3 | 65.5 | 2.0 | 4.0 | 1.7 | 1.8 |
 Alcoholic liver disease | 27 | 15 | 51.6 | 51.4 | 9.0 | 9.0 | 1.7 | 1.8 | 37 | 18 | 52.3 | 51.9 | 9.0 | 9.0 | 1.6 | 1.6 |
 Other liver disease | 15 | 9 | 60.0 | 59.5 | 8.0 | 8.0 | 2.0 | 2.1 | 16 | 9 | 61.6 | 61.2 | 8.0 | 9.0 | 2.0 | 2.0 |
 Gallstone disease | 103 | 82 | 58.1 | 57.8 | 4.0 | 4.0 | 1.4 | 1.3 | 145 | 111 | 58.2 | 57.6 | 4.0 | 4.0 | 1.4 | 1.3 |
 Acute pancreatitis | 35 | 32 | 54.9 | 55.2 | 5.0 | 5.0 | 1.5 | 1.5 | 37 | 31 | 56.6 | 56.8 | 6.0 | 5.0 | 1.5 | 1.5 |
 Intestinal infections | 46 | 40 | 60.6 | 60.2 | 4.0 | 3.0 | 1.8 | 1.8 | 47 | 37 | 62.0 | 61.0 | 4.0 | 4.0 | 2.0 | 2.0 |
 Noninfective gastroenteritis | 90 | 77 | 59.5 | 59.4 | 2.0 | 2.0 | 1.8 | 1.7 | 111 | 81 | 60.7 | 60.4 | 6.0 | 5.0 | 1.9 | 1.8 |
 Constipation | 60 | 48 | 64.4 | 65.7 | 2.0 | 2.0 | 1.8 | 1.9 | 79 | 57 | 64.0 | 65.4 | 2.0 | 2.0 | 1.9 | 2.0 |
Trauma: | ||||||||||||||||
 Hip fracture | 129 | 120 | 80.9 | 80.5 | 15.0 | 15.0 | 2.0 | 2.0 | 145 | 130 | 80.7 | 79.8 | 15.0 | 13.0 | 2.2 | 2.1 |
 Traumatic brain injury | 20 | 24 | 58.6 | 51.4 | 4.0 | 3.0 | 1.3 | 1.0 | 17 | 19 | 59.8 | 53.1 | 5.0 | 4.0 | 1.5 | 1.1 |
 Other head injury | 135 | 203 | 55.3 | 47.2 | 1.0 | 1.0 | 1.1 | 0.8 | 98 | 161 | 52.1 | 43.8 | 1.0 | 1.0 | 1.1 | 0.7 |
 Shoulder & upper arm injury | 56 | 58 | 64.1 | 59.9 | 2.0 | 2.0 | 1.0 | 1.0 | 54 | 56 | 63.5 | 57.9 | 3.0 | 3.0 | 1.4 | 1.2 |
 Thoracic & abdominal injury | 50 | 58 | 54.9 | 50.1 | 2.0 | 2.0 | 1.1 | 1.0 | 49 | 57 | 55.3 | 49.7 | 3.0 | 3.0 | 1.2 | 1.0 |
 Fracture of lumbar spine & pelvis | 28 | 26 | 71.5 | 67.9 | 8.0 | 9.0 | 1.6 | 1.5 | 33 | 30 | 72.0 | 67.2 | 10.0 | 10.0 | 1.8 | 1.6 |
 Drug poisoning | 175 | 193 | 38.1 | 36.8 | 1.0 | 1.0 | 0.7 | 0.6 | 180 | 211 | 37.9 | 36.4 | 1.0 | 1.0 | 0.7 | 0.6 |
Cancers: | ||||||||||||||||
 Oesophageal | 14 | 7 | 71.2 | 71.2 | 7.0 | 7.0 | 1.5 | 1.5 | 18 | 8 | 71.3 | 71.6 | 8.0 | 7.0 | 1.5 | 1.5 |
 Gastric | 10 | 6 | 72.8 | 72.6 | 8.0 | 8.0 | 1.5 | 1.5 | 15 | 7 | 73.5 | 72.8 | 9.0 | 10.0 | 1.5 | 1.5 |
 Colorectal | 34 | 20 | 71.5 | 71.7 | 10.0 | 11.0 | 1.6 | 1.5 | 46 | 24 | 72.6 | 72.1 | 12.0 | 11.0 | 1.6 | 1.5 |
 Pancreatic | 13 | 7 | 71.3 | 71.0 | 10.0 | 10.0 | 1.6 | 1.5 | 17 | 7 | 71.7 | 71.9 | 10.0 | 10.0 | 1.6 | 1.5 |
 Liver | 6 | 3 | 70.0 | 69.6 | 10.0 | 10.0 | 2.0 | 2.1 | 7 | 3 | 71.6 | 71.4 | 11.0 | 9.0 | 2.0 | 2.0 |
 Breast | 16 | 9 | 62.2 | 62.2 | 5.0 | 5.0 | 0.9 | 0.9 | 14 | 7 | 67.9 | 67.3 | 8.0 | 6.0 | 1.2 | 1.2 |
 Lung | 50 | 31 | 70.8 | 71.2 | 8.0 | 8.0 | 1.6 | 1.7 | 68 | 34 | 71.1 | 71.4 | 9.0 | 9.0 | 1.7 | 1.8 |
 Prostate | 16 | 9 | 76.2 | 76.7 | 7.0 | 7.0 | 1.6 | 1.7 | 23 | 12 | 76.9 | 77.0 | 8.0 | 8.0 | 1.7 | 1.7 |
 Ovarian | 9 | 5 | 66.0 | 65.9 | 7.0 | 7.0 | 1.1 | 1.1 | 10 | 5 | 67.2 | 65.7 | 9.0 | 8.0 | 1.2 | 1.1 |
 Lymphomas | 47 | 22 | 64.6 | 64.4 | 6.0 | 7.0 | 1.4 | 1.5 | 48 | 21 | 65.9 | 65.7 | 6.0 | 6.0 | 1.4 | 1.5 |
 Bladder | 10 | 6 | 75.9 | 76.5 | 9.0 | 9.0 | 2.0 | 2.0 | 13 | 7 | 76.3 | 76.6 | 10.0 | 9.0 | 2.0 | 2.3 |
 Kidney | 5 | 3 | 68.7 | 69.1 | 8.0 | 9.0 | 1.6 | 1.6 | 7 | 3 | 70.5 | 70.0 | 10.0 | 10.0 | 1.6 | 1.7 |
 Brain | 9 | 6 | 60.0 | 59.7 | 9.0 | 8.0 | 1.0 | 0.9 | 9 | 5 | 60.7 | 60.1 | 9.0 | 9.0 | 1.1 | 1.1 |
Ageing-related disorders: | ||||||||||||||||
 Alzheimer’s disease | 10 | 6 | 80.8 | 81.6 | 28.0 | 17.0 | 2.2 | 2.3 | 17 | 6 | 81.2 | 82.0 | 31.0 | 22.0 | 2.2 | 2.4 |
 Dementia | 28 | 18 | 82.3 | 83.3 | 24.0 | 17.0 | 1.7 | 1.8 | 46 | 19 | 82.0 | 83.0 | 32.0 | 22.0 | 1.7 | 1.8 |
 Age-related physical debility | 57 | 50 | 83.8 | 84.1 | 6.0 | 5.0 | 2.4 | 2.4 | 54 | 40 | 83.7 | 83.9 | 10.0 | 9.0 | 2.7 | 2.6 |
Other acute disorders: | ||||||||||||||||
 Urinary tract infections | 251 | 223 | 67.8 | 68.8 | 4.0 | 4.0 | 2.1 | 2.1 | 261 | 206 | 67.3 | 67.5 | 4.0 | 5.0 | 2.1 | 2.1 |
 Acute renal failure | 44 | 27 | 74.8 | 75.7 | 8.0 | 9.0 | 2.6 | 2.6 | 44 | 24 | 75.0 | 75.1 | 8.0 | 9.0 | 2.7 | 2.7 |
 Diabetes | 68 | 45 | 53.4 | 51.1 | 3.0 | 3.0 | 1.7 | 1.6 | 83 | 49 | 55.6 | 52.6 | 5.0 | 4.0 | 1.9 | 1.8 |
 Septicaemia | 41 | 36 | 71.8 | 72.2 | 8.0 | 7.0 | 2.6 | 2.6 | 52 | 41 | 71.9 | 72.2 | 8.0 | 7.0 | 2.7 | 2.7 |
 Skin infections | 196 | 130 | 53.5 | 52.2 | 2.0 | 2.0 | 1.4 | 1.3 | 197 | 121 | 54.2 | 53.2 | 3.0 | 3.0 | 1.5 | 1.4 |
 Anaemias | 87 | 35 | 66.6 | 62.0 | 2.0 | 3.0 | 2.2 | 2.1 | 95 | 28 | 71.6 | 71.7 | 4.0 | 5.0 | 2.5 | 2.5 |
 Pressure lower limb ulcers | 24 | 10 | 71.3 | 71.7 | 11.0 | 11.0 | 2.6 | 2.6 | 30 | 9 | 73.1 | 73.8 | 13.0 | 13.0 | 2.8 | 2.8 |
 Disorientation - unspecified | 32 | 26 | 76.8 | 76.6 | 5.0 | 4.0 | 2.3 | 2.2 | 32 | 25 | 77.7 | 76.9 | 7.0 | 5.0 | 2.6 | 2.5 |
 Malaise & fatigue | 19 | 13 | 65.3 | 66.5 | 1.0 | 1.0 | 1.9 | 2.0 | 22 | 12 | 70.9 | 72.0 | 3.0 | 3.0 | 2.2 | 2.2 |
 Syncope & collapse | 142 | 137 | 67.7 | 68.0 | 1.0 | 1.0 | 1.9 | 1.9 | 150 | 140 | 68.1 | 68.3 | 1.0 | 1.0 | 2.1 | 2.0 |