Table 2 Numbers of admissions, mortality rates, weekend mortality effects and reductions in admission rates at weekends for major acute disorders across England and Wales
England | Wales | |||||||
|---|---|---|---|---|---|---|---|---|
Number of admissions | Mortality rate (30 days) | % increased mortality for weekend admissions (based on odds ratios, 95% CI) | % reduced admission rate at weekends | Number of admissions | Mortality rate (30 days) | % increased mortality for weekend admissions (based on odds ratios, 95% CI) | % reduced admission rate at weekends | |
Circulatory diseases: | ||||||||
Acute myocardial infarction | 462 983 | 12.3% | 5.9 (3.7, 8.2) | 9 | 30 045 | 13.7% | 4.0 (-4.0, 12.6) | 12 |
Stroke | 627 553 | 19.8% | 11.5 (9.9, 13.2) | 12 | 38 954 | 20.5% | 19.3 (12.5, 26.5) | 20 |
Subarachnoid haemorrhage | 28 699 | 32.0% | 13.5 (6.8, 20.6) | 9 | 1765 | 35.5% | 25.2 (-2.1, 60.1) | 16 |
Heart failure | 434 672 | 17.1% | 13.4 (11.2, 15.6) | 34 | 30 908 | 17.2% | 9.2 (1.1, 17.8) | 43 |
Angina | 519 591 | 1.5% | 22.1 (15.9, 28.5) | 26 | 35 065 | 2.0% | 23.8 (4.0, 47.3) | 32 |
Valvular heart disease | 41 644 | 7.8% | 13.0 (3.3, 23.7) | 37 | 3288 | 7.3% | 19.0 (-14.0, 64.7) | 43 |
Pulmonary embolism | 149 107 | 8.3% | 19.7 (14.4, 25.2) | 37 | 8394 | 7.9% | 24.5 (2.1, 51.8) | 40 |
Atrial fibrillation | 445 430 | 2.3% | 15.9 (10.5, 21.6) | 32 | 30 726 | 1.9% | 3.0 (-16.5, 27.0) | 41 |
Abdominal aortic aneurysm | 29 988 | 39.5% | 51.0 (42.4, 60.1) | 27 | 1984 | 40.9% | 94.5 (54.8, 144) | 27 |
Peripheral vascular disease | 33 025 | 13.4% | 49.4 (36.5, 63.7) | 58 | 3000 | 10.9% | 89.7 (36.1, 164) | 67 |
Arterial embolism & thrombosis | 30 161 | 9.8% | 34.4 (21.5, 41.8) | 51 | 2042 | 12.0% | 113 (51.2, 199) | 52 |
Phlebitis & thrombophlebitis | 175 390 | 2.1% | 49.3 (36.4, 63.5) | 66 | 7612 | 2.6% | 8.7 (-26.7, 61.1) | 58 |
Hypertension | 87 451 | 5.1% | 17.5 (8.7, 26.9) | 47 | 6305 | 4.9% | 1.5 (-26.2, 39.5) | 53 |
Respiratory diseases: | ||||||||
COPD | 783 360 | 7.6% | 3.5 (1.5, 5.6) | 16 | 60 472 | 7.1% | 6.7 (-1.0, 15.0) | 24 |
Pulmonary oedema | 18 665 | 15.7% | 1.2 (-8.1, 11.5) | 14 | 1271 | 19.0% | 10.2 (-22.0, 55.6) | 15 |
Pneumonia | 950 207 | 25.3% | 3.7 (2.5, 4.9) | 11 | 58 392 | 24.5% | 9.2 (4.3, 14.5) | 19 |
Pneumonitis | 79 303 | 45.7% | 0.8 (-2.5, 4.2) | 4 | 4388 | 48.2% | 22.9 (11.7, 35.2) | 11 |
Lower respiratory infections | 520 206 | 7.7% | 5.7 (3.1, 8.3) | 16 | 39 158 | 6.9% | 0.1 (-9.0, 10.1) | 24 |
Pleural effusion | 94 263 | 12.3% | 41.5 (34.3, 49.2) | 54 | 5778 | 13.1% | 44.6 (17.6, 77.9) | 57 |
Other interstitial respiratory disease | 33 787 | 24.6% | 42.4 (33.8, 51.5) | 38 | 2584 | 24.3% | 21.2 (-4.2, 53.4) | 46 |
Respiratory failure | 37 538 | 37.2% | 7.8 (2.2, 13.7) | 17 | 1746 | 36.9% | 3.6 (-19.8, 33.8) | 32 |
Gastrointestinal disorders: | ||||||||
Upper gastrointestinal bleeding | 232 762 | 7.7% | 9.9 (6.0, 14.1) | 19 | 13 861 | 7.5% | -3.5 (-17.7, 13.2) | 27 |
Perforated peptic ulcer & peritonitis | 42 303 | 22.4% | 8.0 (1.7, 14.6) | 19 | 2365 | 25.4% | -0.3 (-22.2, 27.7) | 20 |
Diverticular disease | 158 390 | 3.9% | 11.7 (5.1, 18.8) | 28 | 12 171 | 3.2% | 13.1 (-11.8, 45.0) | 33 |
Intestinal obstruction | 139 882 | 11.0% | 7.8 (3.5, 12.3) | 19 | 8264 | 11.7% | 2.5 (-13.3, 21.1) | 22 |
Herniae | 128 755 | 3.3% | 27.7 (18.6, 37.6) | 36 | 9213 | 3.5% | 13.2 (-14.4, 49.9) | 40 |
Alcoholic liver disease | 88 589 | 17.8% | 27.4 (21.8, 33.3) | 45 | 6821 | 16.9% | 26.2 (6.1, 50.0) | 53 |
Other liver disease | 48 405 | 15.8% | 26.4 (18.7, 34.6) | 42 | 3066 | 16.7% | 37.1 (6.9, 75.8) | 47 |
Gallstone disease | 361 616 | 1.2% | -0.2 (-7.2, 7.3) | 20 | 29 498 | 1.2% | 24.2 (-3.5, 59.7) | 24 |
Acute pancreatitis | 128 885 | 4.1% | 3.3 (-20.1, 33.7) | 10 | 7686 | 4.9% | 3.9 (-19.7, 34.3) | 16 |
Intestinal infections | 166 662 | 4.4% | -5.4 (-10.6, 0.1) | 13 | 9561 | 4.6% | -11.8 (-30.9, 12.5) | 21 |
Noninfective gastroenteritis | 322 727 | 3.2% | 3.9 (-0.8, 8.8) | 15 | 21 811 | 2.9% | 15.0 (-4.8, 38.9) | 27 |
Constipation | 211 598 | 3.1% | 0.6 (-5.1, 6.6) | 20 | 15 835 | 2.9% | 6.3 (-15.1, 33.1) | 28 |
Trauma: | ||||||||
Hip fracture | 472 153 | 8.0% | 1.9 (-0.6, 4.4) | 7 | 30 786 | 7.3% | 8.6 (-1.7, 20.0) | 10 |
Traumatic brain injury | 79 496 | 14.4% | 6.5 (1.7, 11.4) | -23 | 3818 | 16.2% | 12.8 (-7.6, 37.8) | -14 |
Other head injury | 579 485 | 1.3% | 2.3 (-2.8, 7.7) | -51 | 25 448 | 1.1% | -4.8 (-27.4, 24.8) | -64 |
Shoulder & upper arm injury | 211 342 | 2.0% | 5.5 (-1.6, 13.0) | -5 | 11 967 | 1.7% | -16.9 (-41.0, 17.2) | -2 |
Thoracic & abdominal injury | 196 541 | 2.1% | 1.5 (-5.4, 11.9) | -16 | 11 283 | 1.8% | -3.9 (-30.7, 33.1) | -16 |
Fracture of lumbar spine & pelvis | 102 544 | 3.4% | 9.4 (1.2, 18.3) | 5 | 7033 | 3.3% | -14.1 (-38.4, 19.6) | 10 |
Drug poisoning | 672 803 | 0.7% | -5.5 (-11.9, 1.4) | -10 | 41 374 | 0.6% | -6.5 (-29.8, 24.7) | -17 |
Cancers: | ||||||||
Oesophageal | 44 574 | 29.1% | 29.4 (22.7, 36.4) | 47 | 3291 | 28.9% | 34.2 (8.8, 65.6) | 57 |
Gastric | 33 861 | 30.3% | 18.5 (14.3, 22.8) | 45 | 2798 | 31.8% | 39.7 (11.7, 74.8) | 57 |
Colorectal | 111 162 | 23.0% | 26.2 (18.9, 34.1) | 42 | 8532 | 23.6% | 26.0 (10.4, 43.9) | 48 |
Pancreatic | 41 646 | 37.0% | 28.8 (22.0, 35.8) | 48 | 3034 | 36.3% | 20.0 (-3.0, 48.6) | 56 |
Liver | 17 915 | 36.5% | 28.8 (15.2, 35.5) | 47 | 1197 | 38.3% | 36.3 (-2.0, 89.4) | 55 |
Breast | 51 353 | 23.8% | 19.0 (12.8, 25.5) | 44 | 2634 | 29.8% | 4.3 (-16.8, 30.8) | 47 |
Lung | 165 263 | 39.7% | 28.1 (24.9, 31.3) | 39 | 12 691 | 41.0% | 22.9 (11.7, 35.2) | 49 |
Prostate | 53 016 | 24.5% | 20.2 (14.3, 26.5) | 46 | 4262 | 24.6% | 3.8 (-13.9, 25.2) | 48 |
Ovarian | 29 024 | 22.4% | 29.9 (20.6, 40.0) | 50 | 1838 | 25.6% | 20.0 (-10.5, 60.9) | 50 |
Lymphomas | 147 400 | 16.4% | 44.4 (39.1, 49.9) | 53 | 8716 | 17.3% | 30.9 (11.9, 53.0) | 57 |
Bladder | 33 738 | 21.6% | 5.0 (-1.7, 12.3) | 40 | 2489 | 21.4% | -5.6 (-27.5, 22.9) | 46 |
Kidney | 17 723 | 25.8% | 8.0 (-1.1, 17.9) | 43 | 1348 | 25.9% | 14.5 (-19.8, 61.4) | 53 |
Brain | 29 276 | 17.0% | 17.2 (8.9, 26.0) | 29 | 1773 | 18.2% | -22.6 (-44.9, 8.7) | 44 |
Ageing-related disorders: | ||||||||
Alzheimer's disease | 32 124 | 9.3% | 36.2 (24.3, 49.3) | 43 | 3027 | 7.8% | 66.0 (16.5, 136) | 63 |
Dementia | 92 558 | 10.0% | 24.6 (18.1, 31.3) | 37 | 8450 | 6.8% | 48.0 (19.8, 82.8) | 59 |
Age-related physical debility | 204 767 | 5.2% | -5.8 (-10.0, -1.3) | 12 | 10 899 | 4.5% | 6.4 (-14.3, 32.1) | 26 |
Other acute disorders: | ||||||||
Urinary tract infections | 907 855 | 4.5% | 0.4 (-1.9, 2.7) | 11 | 53 585 | 3.8% | 3.1 (-7.2, 14.6) | 21 |
Acute renal failure | 147 012 | 23.3% | 31.4 (27.4, 35.5) | 39 | 8238 | 24.1% | 20.3 (5.1, 37.6) | 45 |
Diabetes | 229 430 | 2.5% | 25.9 (18.1, 34.2) | 34 | 16 036 | 2.4% | 14.0 (-12.1, 47.9) | 41 |
Septicaemia | 147 156 | 34.9% | 2.0 (-0.7, 4.7) | 13 | 10 611 | 34.6% | 6.1 (-4.0, 17.3) | 21 |
Skin infections | 657 895 | 1.3% | 10.8 (5.0, 17.0) | 34 | 38 083 | 1.2% | 18.4 (-5.8, 49.0) | 39 |
Anaemias | 266 850 | 3.8% | 18.9 (12.2, 16.1) | 60 | 16 034 | 4.2% | 31.0 (3.4, 66.0) | 71 |
Pressure lower limb ulcers | 75 760 | 7.4% | 17.6 (9.1, 26.8) | 57 | 5146 | 6.9% | 44.4 (5.4, 91.7) | 70 |
Disorientation - unspecified | 113 080 | 4.4% | -3.6 (-9.9, 3.2) | 17 | 6321 | 4.6% | 19.2 (-10.2, 58.3) | 21 |
Malaise & fatigue | 65 050 | 5.4% | -5.3 (-13.0, 3.2) | 30 | 4113 | 7.6% | 7.1 (-21.0, 45.3) | 46 |
Syncope & collapse | 524 994 | 2.2% | -1.9 (-5.9, 2.2) | 4 | 32 184 | 1.9% | 1.9 (-15.2, 22.4) | 7 |