Quote:
Originally Posted by TheDaddy
Oh right that's the reason
And it does matter because this whole sorry mess could've been avoided if they're right.
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Avoided? Based on the banners, there's meant to be more to it than that. There are to be restrictions on how much Saturday work they are allowed to do, a 30% addition for working a 2nd Saturday in a month, along with the 13.5% overall pay increase to covered reduced weekend rates. Why are Saturdays a problem for the BMA?
So all these studies over the years, by so many organisations, around the world are all skewed? Many have focussed on a single medical condition, often where there is NO question about whether somebody should be admitted or not.
Quote:
Higher mortality in patients hospitalized for acute aortic rupture or dissection during weekends.
BACKGROUND:
The management of acute aortic aneurysm rupture or dissection (AARD) requires specific medical expertise, diagnostic techniques, and therapeutic options, not always available in all hospitals through the entire week. The aim of our study was to evaluate whether an association exists between weekday (WD) or weekend (WE) admission and mortality for patients with ARRD.
CONCLUSIONS:
Our findings show that hospitalization for AARD on WE is associated with a significantly higher mortality rate than hospitalization on WD. Further studies are needed to investigate whether ensuring optimal diagnostic and therapeutic approaches during the entire week might improve the overall survival of patients with ARRD.
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The Lancet, May 2015
Quote:
Increased mortality for hospital admissions at weekends has been reported for emergency admissions overall and for specific disorders, although the size of this effect varies across reports.
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The sizes of the weekend effects on mortality in England and Wales were consistent for all 15 disorders and the Pearson's correlation for each disorder across the two countries was 0·57.The weekend effect was strongest for abdominal aortic aneurysm followed by other disorders with very high mortality during the acute phase; pulmonary embolism, stroke, and subarachnoid haemorrhage. Little or no weekend effect was observed for acute myocardial infarction and less acute disorders; chronic obstructive pulmonary disease, pneumonia, hip fracture, acute pancreatitis, and inflammatory bowel disease. No significant variation was observed in the weekend effect over time or across patient age groups.
These data provide new evidence as to the emergency disorders that are most strongly affected by the weekend effect and show that findings are quite consistent across two health-care systems. The weekend effect is most apparent for disorders with very high mortality that often require access to specialist investigation and care during critical acute phases.
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