Holiday and weekend effects on mortality for acute myocardial infarction in Shanxi, China: a cross-sectional study release_rev_1b9921a4-3bb1-4c36-91b6-3e1e01549c43

by Xiaojun Lin, Jeremy C. Green, Hong Xian, Miao Cai, Julia Skrzypek, Hongbing Tao

Published in International Journal of Public Health by Springer Science and Business Media LLC.

2020  

Abstract

To examine the effects of holiday and weekend admission on in-hospital mortality for patients with acute myocardial infarction (AMI) in China. Patients with AMI in 31 tertiary hospitals in Shanxi, China from 2014 to 2017 were included (Nā€‰=ā€‰54,968). Multivariable logistic regression models were used to examine the effects of holiday and weekend admission on in-hospital mortality. Compared to non-holiday and weekday admissions, holiday and weekend admissions, respectively, were associated with increases in risk-adjusted mortality rates. Chinese National Day was associated with an additional 10 deaths per 1000 admissions (95% confidence interval (CI): (0, 20))-a relative increase from baseline mortality of 64% (95% CI: (1%, 128%)). Sunday was associated with an additional 4 deaths per 1000 admissions (95% CI: (0, 7))-a relative increase from baseline mortality of 23% (95% CI: (3%, 45%)). We found no evidence of gender differences in holiday or weekend effects on mortality. Holiday and weekend admissions were associated with in-hospital AMI mortality. The admissions on Chinese National Day and Sunday contributed to the observed "holiday effect" and "weekend effect," respectively.
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Date   2020-07-31
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ISSN-L:  1661-8556
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