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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

From: Weekend admissions and mortality for major acute disorders across England and Wales: record linkage cohort studies

 

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

  1. Bold values for % increased mortality for weekend admissions denote large significant weekend mortality effects (>20%)
  2. Bold values for reduced admissions at weekends denote large reductions (>40%)
  3. Weekend mortality effects are based on odds ratios, obtained through multiple logistic regression modelling