TY - JOUR
T1 - Is weekend discharge associated with hospital readmission?
AU - Cloyd, Jordan M.
AU - Chen, Joy C.
AU - Ma, Yifei
AU - Rhoads, Kim F.
N1 - Publisher Copyright:
© 2015 Society of Hospital Medicine.
PY - 2015/11
Y1 - 2015/11
N2 - Background: Although recent evidence suggests worse outcomes for patients admitted to the hospital on a weekend, the impact of weekend discharge is less understood. Methods: Utilizing the 2012 California Office of Statewide Health Planning and Development database, the impact of weekend discharge on 30-day hospital readmission rates for patients admitted with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia (PNA) was investigated. Results: Out of 266,519 patients, 60,097 (22.5%) were discharged on a weekend. Unadjusted 30-day hospital readmission rates were similar between weekend and weekday discharges (AMI: 21.9% vs 21.9%; CHF: 15.4% vs 16.0%; PNA: 12.1% vs 12.4%). Patients discharged on a weekday had a longer length of stay and were more often discharged to a skilled nursing facility. However, in multivariable logistic regression models, weekend discharge was not associated with readmission (AMI: odds ratio [OR] 1.02 [95% CI: 0.98-1.06]; CHF: OR 0.99 [95% CI: 0.94-1.03]; PNA: OR 1.02 (95% CI: 0.98-1.07)). Conclusions: Among patients in California with AMI, CHF, and PNA, discharge on a weekend was not associated with an increased hospital readmission rate.
AB - Background: Although recent evidence suggests worse outcomes for patients admitted to the hospital on a weekend, the impact of weekend discharge is less understood. Methods: Utilizing the 2012 California Office of Statewide Health Planning and Development database, the impact of weekend discharge on 30-day hospital readmission rates for patients admitted with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia (PNA) was investigated. Results: Out of 266,519 patients, 60,097 (22.5%) were discharged on a weekend. Unadjusted 30-day hospital readmission rates were similar between weekend and weekday discharges (AMI: 21.9% vs 21.9%; CHF: 15.4% vs 16.0%; PNA: 12.1% vs 12.4%). Patients discharged on a weekday had a longer length of stay and were more often discharged to a skilled nursing facility. However, in multivariable logistic regression models, weekend discharge was not associated with readmission (AMI: odds ratio [OR] 1.02 [95% CI: 0.98-1.06]; CHF: OR 0.99 [95% CI: 0.94-1.03]; PNA: OR 1.02 (95% CI: 0.98-1.07)). Conclusions: Among patients in California with AMI, CHF, and PNA, discharge on a weekend was not associated with an increased hospital readmission rate.
UR - http://www.scopus.com/inward/record.url?scp=84945450273&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84945450273&partnerID=8YFLogxK
U2 - 10.1002/jhm.2406
DO - 10.1002/jhm.2406
M3 - Article
C2 - 26130366
AN - SCOPUS:84945450273
SN - 1553-5592
VL - 10
SP - 731
EP - 737
JO - Journal of hospital medicine
JF - Journal of hospital medicine
IS - 11
ER -