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Admission to hospital in the UK at a weekend does not influence the prognosis of adults with community-acquired pneumonia
Thorax ( IF 9.0 ) Pub Date : 2020-03-31 , DOI: 10.1136/thoraxjnl-2019-214318
Hannah Lawrence 1, 2 , Tricia M McKeever 2 , Wei Shen Lim 3 ,
Affiliation  

Outcomes for adults with community-acquired pneumonia (CAP) admitted to hospital at the weekend were compared with those admitted during weekdays using data from the British Thoracic Society national CAP audits. Of 31 400 cases, 40.7% were weekend admissions; these patients were older (mean age 72 vs 71.3 years, p=0.001) and more likely to have high severity CAP (28.9% vs 27.1%, p trend 0.003) but had slightly lower adjusted 30-day inpatient mortality (aOR 0.94 95% CI 0.88 to 1.01) compared with those admitted during weekdays. More patients in the weekend group received antibiotics within 4 hours of admission (70.3% vs 68.7%, aOR 1.07 95% CI 1.01 to 1.12). We did not observe increased mortality for adults admitted at the weekend with CAP.

中文翻译:

英国周末入院不影响成人社区获得性肺炎预后

使用来自英国胸科学会国家 CAP 审计的数据,将周末入院的社区获得性肺炎 (CAP) 成人的结果与工作日入院的结果进行比较。在 31 400 宗个案中,40.7% 是周末入院;这些患者年龄较大(平均年龄 72 岁 vs 71.3 岁,p=0.001),更可能患有高严重度 CAP(28.9% vs 27.1%,p 趋势 0.003),但调整后的 30 天住院死亡率略低(aOR 0.94 95% CI 0.88 至 1.01) 与平日入院者相比。周末组更多患者在入院 4 小时内接受抗生素治疗(70.3% 对 68.7%,aOR 1.07 95% CI 1.01 至 1.12)。我们没有观察到周末入院的 CAP 成人死亡率增加。
更新日期:2020-03-31
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