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    Association Between Weekend and Holiday Admission with Pneumonia and Mortality in a Tertiary Center in Portugal: A Cross-Sectional Study.
    Acta Med Port 2017 May 31;30(5):361-367. Epub 2017 May 31.
    Departamento de Medicina Interna. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.
    Introduction: Acute bacterial pneumonia is a common and potentially fatal disease where early recognition and treatment are crucial. Increasing medical literature suggests worse outcomes in patients admitted for medical and surgical conditions during the weekend. Little is known about this effect in patients with acute bacterial pneumonia. Obective: The aim of this study was to evaluate the impact of weekend and holiday hospital admission on the outcomes of acute bacterial pneumonia.

    Material And Methods: Retrospective analysis of adult patients (> 18 years) with acute bacterial pneumonia collected from a tertiary referral center database. Length of stay, total cost, admission to intensive care unit, development of sepsis and organ failure, and mortality were compared between patients admitted on a weekday and patients admitted during a weekend or holiday.

    Results: We analyzed 53 854 hospital admissions from 42 512 patients (median age 84.0 years, range 18 - 118 years), corresponding to 30 554 admissions during weekdays, 21 222 at weekends and 2078 during public holidays. Weekend and holiday admission was not associated with increased costs, length of stay, intensive care unit admission, development of sepsis, organ failure, and mortality.

    Conclusion: A weekend/holiday effect in acute bacterial pneumonia was not evident in our series.

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    Association of weekend admission with hospital length of stay, time to chemotherapy, and risk for respiratory failure in pediatric patients with newly diagnosed leukemia at freestanding US children's hospitals.
    JAMA Pediatr 2014 Oct;168(10):925-31
    Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania3Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania5Department of Pediatrics, University of Pennsylvania.
    Importance: In adult patients with leukemia, weekend admission is associated with increased inpatient mortality. It is unknown whether weekend diagnostic admissions in pediatric patients with leukemia demonstrate similar adverse outcomes.

    Objective: To estimate adverse clinical outcomes associated with weekend admission in the first hospitalization of pediatric patients with newly diagnosed leukemia. Read More
    Emergency Department Weekend Presentation and Mortality in Patients With Acute Myocardial Infarction.
    Nurs Res 2017 Jan/Feb;66(1):20-27
    Pamela B. de Cordova, PhD, RN-BC, is Assistant Professor of Nursing, Rutgers, the State University of New Jersey, New Brunswick, and Research Faculty, New Jersey Collaborating Center for Nursing, Newark. Mary L. Johansen, PhD, NE-BC, is Clinical Associate Professor, Rutgers, the State University of New Jersey, New Brunswick, and Associate Director, New Jersey Collaborating Center for Nursing, Newark. Miguel E. Martinez, MA, is Senior Institutional Research Analyst, Emory University, Atlanta, Georgia. Jeannie P. Cimiotti, PhD, RN, FAAN, is Associate Professor and Dorothy M. Smith Endowed Chair Director, Florida Blue Center for Health Care Quality, University of Florida College of Nursing, Gainesville.
    Background: Patients admitted to acute care hospitals on weekends have poorer outcomes than those admitted on weekdays, and patients admitted to hospitals for acute myocardial infarction (AMI) on weekends have a higher mortality rate than those admitted during the week. Very few studies have examined weekend presentation for patients with AMI with respect to mortality in the emergency department (ED).

    Objective: The purpose of this research was to determine if weekend and holiday presentation is associated with increased mortality in EDs among patients with AMI in New Jersey. Read More
    Care and Outcomes of Patients With Cancer Admitted to the Hospital on Weekends and Holidays: A Retrospective Cohort Study.
    J Natl Compr Canc Netw 2016 Jul;14(7):867-74
    From Department of Medicine, University of Toronto; Canadian Institute for Health Information; Division of Medical Oncology and Hematology, Princess Margaret Hospital; and Department of Medicine, Mount Sinai Hospital, Toronto, Canada. From Department of Medicine, University of Toronto; Canadian Institute for Health Information; Division of Medical Oncology and Hematology, Princess Margaret Hospital; and Department of Medicine, Mount Sinai Hospital, Toronto, Canada.
    Background: Patients admitted to the hospital on weekends experience worse outcomes than those admitted on weekdays. Patients with cancer may be especially vulnerable to the effects of weekend care. Our objective was to compare the care and outcomes of patients with cancer admitted urgently to the hospital on weekends and holidays versus those of patients with cancer admitted at other times. Read More
    Emergency medical admissions, deaths at weekends and the public holiday effect. Cohort study.
    Emerg Med J 2014 Jan 23;31(1):30-4. Epub 2013 Jan 23.
    Medical Unit, Dumfries and Galloway Royal Infirmary, , Dumfries, UK.
    Objectives: To assess whether mortality of patients admitted on weekends and public holidays was higher in a district general hospital whose consultants are present more than 6 h per day on the acute medical unit with no other fixed clinical commitments.

    Design: Cohort study.

    Setting: Secondary care. Read More