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Bion J, Aldridge C, Beet C, et al. Increasing specialist intensity at weekends to improve outcomes for patients undergoing emergency hospital admission: the HiSLAC two-phase mixed-methods study. Southampton (UK): NIHR Journals Library; 2021 Jul. (Health Services and Delivery Research, No. 9.13.)
Increasing specialist intensity at weekends to improve outcomes for patients undergoing emergency hospital admission: the HiSLAC two-phase mixed-methods study.
Show detailsCharacteristics | Case notes review data, n (%) | All trusts/hospitals data,a n (%) | ||||
---|---|---|---|---|---|---|
Total | Weekend | Weekday | Total | Weekend | Weekday | |
Total, N | 4000 | 2000 | 2000 | 5,818,430 | 1,411,394 | 4,407,036 |
Age | ||||||
Mean (SD) | 61 (22.310) | 62 (22.379) | 61 (22.271) | 61 (22.350) | 61 (22.780) | 61 (22.190) |
Median (IQR) | 65 (43–81) | 66 (44–81) | 64 (42–80) | 65 (43–80) | 66 (43–81) | 65 (43–80) |
Gender, n (%) | ||||||
Male | 1869 (46.7) | 938 (46.9) | 931 (46.6) | 2,639,489 (45.4) | 645,166 (45.7) | 1,994,323 (45.3) |
Female | 2131 (53.3) | 1062 (53.1) | 1069 (53.5) | 3,178,941 (54.6) | 766,228 (54.3) | 2,412,713 (54.7) |
Ethnicity, n (%) | ||||||
White | 3140 (78.5) | 1584 (79.2) | 1556 (77.8) | 4,918,775 (84.5) | 1,191,464 (84.4) | 3,727,311 (84.6) |
Non-white | 818 (20.5) | 396 (19.8) | 422 (21.1) | 526,384 (9.0) | 128,736 (9.1) | 397,648 (9.0) |
Unknown | 42 (1.1) | 20 (1.0) | 22 (1.1) | 373,271 (6.4) | 91,194 (6.5) | 282,077 (6.4) |
Top five primary discharge diagnoses (SHMI grouping), n (%) | ||||||
Non-specific chest pain | 227 (5.7) | 116 (5.8) | 111 (5.6) | 326,876 (5.6) | 72,314 (5.1) | 254,562 (5.8) |
Pneumonia (excluding TB/STD) | 186 (4.7) | 105 (5.3) | 81 (4.1) | 322,014 (5.5) | 85,643 (6.1) | 236,371 (5.4) |
Urinary tract infections | 176 (4.4) | 100 (5.0) | 76 (3.8) | 235,612 (4.0) | 64,076 (4.5) | 171,536 (3.9) |
Abdominal pain | 156 (3.9) | 70 (3.5) | 86 (4.3) | 243,013 (4.2) | 54,697 (3.9) | 188,316 (4.3) |
COPD and bronchiectasis | 128 (3.2) | 67 (3.4) | 61 (3.1) | 193,168 (3.3) | 48,288 (3.4) | 144,880 (3.3) |
Other | 3127 (78.2) | 1542 (77.1) | 1585 (79.3) | 4,497,747 (77.3) | 1,086,376 (77.0) | 3,411,371 (77.4) |
Length of stay (days) | ||||||
Median (IQR) | 2 (0–5) | 2 (0–5) | 1 (0–4) | 1 (0–5) | 2 (0–5) | 1 (0–5) |
Z-LOS, n (%) | ||||||
1107 (27.7) | 512 (25.6) | 595 (29.8) | 1,739,129 (29.9) | 388,274 (27.5) | 1,350,757 (30.7) | |
In-hospital mortality, n (%) | ||||||
Died | 168 (4.2) | 90 (4.5) | 78 (3.9) | 239,719 (4.1) | 63,372 (4.5) | 176,281 (4.0) |
STD, sexually transmitted disease; TB, tuberculosis.
- a
From HES, of those trusts who participated in HiSLAC specialty intensity prevalence survey from 2014 to 2018 financial years.
- Characteristics of study population compared with background population - Increa...Characteristics of study population compared with background population - Increasing specialist intensity at weekends to improve outcomes for patients undergoing emergency hospital admission: the HiSLAC two-phase mixed-methods study
- RNA polymerase [Volepox virus]RNA polymerase [Volepox virus]gi|1070099165|ref|YP_009281891.1|Protein
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