Kevin B Laupland1, Pamela C Kibsey, John C Galbraith. 1. Departments of Medicine, Critical Care Medicine, Community Health Sciences, and Pathology and Laboratory Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta;
Abstract
BACKGROUND/ OBJECTIVE: Patients admitted to hospital during the 'after hours' (weekends and evenings) may be at increased risk for adverse outcome. The objective of the present study was to assess whether community-onset bloodstream infections presenting in the after hours are associated with death. METHODS: All patients in the Victoria area of British Columbia, who had first admissions with community-onset bloodstream infections between 1998 and 2005 were included. The day of admission to hospital, the day and time of culture draw, and all-cause, in-hospital mortality were ascertained. RESULTS: A total of 2108 patients were studied. Twenty-six per cent of patients were admitted on a weekend. Blood cultures were drawn on a weekend in 27% of cases and, in 43%, 33%, and 25% of cases, cultures were drawn during the day (08:00 to 17:59), the evening (18:00 to 22:59) and night (23:00 to 07:59), respectively. More than two-thirds (69%) of index cultures were drawn during the after hours (any time Saturday or Sunday and weekdays 18:00 to 07:59). The overall in-hospital case fatality rate was 13%. No difference in mortality was observed in relation to the day of the week of admission or time period of sampling. After-hours sampling was not associated with mortality in a multivariable logistic regression model examining factors associated with death. CONCLUSION: Presentation with community-onset, bloodstream infection during the after hours does not increase the risk of death.
BACKGROUND/ OBJECTIVE:Patients admitted to hospital during the 'after hours' (weekends and evenings) may be at increased risk for adverse outcome. The objective of the present study was to assess whether community-onset bloodstream infections presenting in the after hours are associated with death. METHODS: All patients in the Victoria area of British Columbia, who had first admissions with community-onset bloodstream infections between 1998 and 2005 were included. The day of admission to hospital, the day and time of culture draw, and all-cause, in-hospital mortality were ascertained. RESULTS: A total of 2108 patients were studied. Twenty-six per cent of patients were admitted on a weekend. Blood cultures were drawn on a weekend in 27% of cases and, in 43%, 33%, and 25% of cases, cultures were drawn during the day (08:00 to 17:59), the evening (18:00 to 22:59) and night (23:00 to 07:59), respectively. More than two-thirds (69%) of index cultures were drawn during the after hours (any time Saturday or Sunday and weekdays 18:00 to 07:59). The overall in-hospital case fatality rate was 13%. No difference in mortality was observed in relation to the day of the week of admission or time period of sampling. After-hours sampling was not associated with mortality in a multivariable logistic regression model examining factors associated with death. CONCLUSION: Presentation with community-onset, bloodstream infection during the after hours does not increase the risk of death.
Authors: Jenine Leal; Daniel B Gregson; Terry Ross; Ward W Flemons; Deirdre L Church; Kevin B Laupland Journal: Infect Control Hosp Epidemiol Date: 2010-07 Impact factor: 3.254
Authors: Matthew T James; Ron Wald; Chaim M Bell; Marcello Tonelli; Brenda R Hemmelgarn; Sushrut S Waikar; Glenn M Chertow Journal: J Am Soc Nephrol Date: 2010-04-15 Impact factor: 10.121
Authors: M Tsuboi; K Hayakawa; K Mezaki; Y Katanami; K Yamamoto; S Kutsuna; N Takeshita; N Ohmagari Journal: Eur J Clin Microbiol Infect Dis Date: 2017-05-25 Impact factor: 3.267
Authors: Martin Hoenigl; Jasmin Wagner; Reinhard B Raggam; Florian Prueller; Juergen Prattes; Susanne Eigl; Eva Leitner; Katharina Hönigl; Thomas Valentin; Ines Zollner-Schwetz; Andrea J Grisold; Robert Krause Journal: PLoS One Date: 2014-08-08 Impact factor: 3.240