Associations of day of week and time of day of ICU admission with hospital mortality in Malawi

被引：2

作者：

Prin, Meghan ^{[1
]}

Ji, Ruoyu ^{[2
]}

Kadyaudzu, Clement ^{[3
]}

Li, Guohua ^{[4
,5
]}

Charles, Anthony ^{[6
]}

机构：

[1] Univ Colorado, Dept Anesthesiol, Med Ctr, Aurora, CO 80045 USA

[2] Columbia Univ, Dept Biostat, Mailman Sch Publ Hlth, New York, NY USA

[3] Kamuzu Cent Hosp, Dept Anesthesiol, Lilongwe, Malawi

[4] Columbia Univ Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA

[5] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USA

[6] Univ N Carolina, Dept Surg, Chapel Hill, NC 27515 USA

来源：

TROPICAL DOCTOR | 2020年 / 50卷 / 04期

关键词：

Outcomes; global health; Intensive Care Unit organisation; INTENSIVE-CARE-UNIT; PATIENT OUTCOMES; COHORT;

D O I：

10.1177/0049475520936011

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This prospective cohort study evaluated the associations of day and time of admission to the Intensive Care Unit (ICU) with hospital mortality at a referral hospital in Malawi, a low-income country in sub-Saharan Africa. Patients admitted to the ICU during the day (08:00-16:00) were compared to those admitted at night (16:01-07:59); patients admitted on weekdays (Monday-Friday) were compared to admissions on weekends/holidays. The primary outcome was hospital mortality. Most patients were admitted during daytime (56%) and on weekdays (72%). There was no difference in mortality between night and day admissions (58% vs. 56%,P = 0.8828; hazard ratio [HR] = 1.09, 95% confidence interval [CI = 0.82-1.44,P = 0.5614) or weekend/holiday versus weekday admissions (56% vs. 57%,P = 0.9011; HR = 0.87, 95% CI = 0.62-1.21,P = 0.4133). No interaction between time and day was found. These results may be affected by high overall hospital mortality.

引用

页码：303 / 311

页数：9

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