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Literature DB >> 8271091

Is cardiac test availability a significant factor in weekend delays in discharge for chest pain patients?

A Sheng¹, A G Ellrodt, L Agocs, N Tankel, S Weingarten.

Abstract

The authors assessed whether the lack of weekend cardiac test availability significantly contributed to weekend delays in hospital discharge for "low-risk" chest pain patients. Mean lengths of stay were compared for late-week versus early-week admissions. Patients with late-week admissions had a 19% greater length of stay than did patients admitted earlier in the week (2.36 +/- 1.87 vs 1.91 +/- 1.21 days, p = 0.10, with p = 0.015 after adjusting for severity of illness). Cardiac diagnostic tests were ordered for only 4% of study patients. Therefore, the "weekend effect" existed in an environment where cardiac diagnostic tests were infrequently ordered.

Entities: Disease Species

Mesh：

Year: 1993 PMID： 8271091 DOI： 10.1007/bf02599642

Source DB: PubMed Journal: J Gen Intern Med ISSN： 0884-8734 Impact factor: 5.128

10 in total

1. Selecting the best triage rule for patients hospitalized with chest pain.

Authors: S R Weingarten; B Ermann; M S Riedinger; P K Shah; A G Ellrodt
Journal: Am J Med Date: 1989-11 Impact factor: 4.965

2. The cost and length of a hospital stay.

Authors: J R Lave; S Leinhardt
Journal: Inquiry Date: 1976-12 Impact factor: 1.730

3. Length of stay in the intensive care unit. Effects of practice guidelines and feedback.

Authors: K A Eagle; A G Mulley; S J Skates; V A Reder; B W Nicholson; J O Sexton; G O Barnett; G E Thibault
Journal: JAMA Date: 1990 Aug 22-29 Impact factor: 56.272

4. Early "step-down" transfer of low-risk patients with chest pain. A controlled interventional trial.

Authors: S Weingarten; B Ermann; R Bolus; M S Riedinger; H Rubin; A Green; K Karns; A G Ellrodt
Journal: Ann Intern Med Date: 1990-08-15 Impact factor: 25.391

5. The epidemiology of delays in a teaching hospital. The development and use of a tool that detects unnecessary hospital days.

Authors: H P Selker; J R Beshansky; S G Pauker; J P Kassirer
Journal: Med Care Date: 1989-02 Impact factor: 2.983

6. The course of patients with suspected myocardial infarction. The identification of low-risk patients for early transfer from intensive care.

Authors: A G Mulley; G E Thibault; R A Hughes; G O Barnett; V A Reder; E L Sherman
Journal: N Engl J Med Date: 1980-04-24 Impact factor: 91.245

7. Length-of-stay variations within ICDA-8 diagnosis-related groups.

Authors: S E Berki; M L Ashcraft; W C Newbrander
Journal: Med Care Date: 1984-02 Impact factor: 2.983

8. Determinants of resource utilization for patients admitted for evaluation of acute chest pain.

Authors: I S Udvarhelyi; L Goldman; A L Komaroff; T H Lee
Journal: J Gen Intern Med Date: 1992 Jan-Feb Impact factor: 5.128

9. Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction.

Authors: J E Brush; D A Brand; D Acampora; B Chalmer; F J Wackers
Journal: N Engl J Med Date: 1985-05-02 Impact factor: 91.245

10. Reducing lengths of stay for patients hospitalized with chest pain using medical practice guidelines and opinion leaders.

Authors: S Weingarten; L Agocs; N Tankel; A Sheng; A G Ellrodt
Journal: Am J Cardiol Date: 1993-02-01 Impact factor: 2.778

10 in total

5 in total

Is cardiac test availability a significant factor in weekend delays in discharge for chest pain patients?

1. Selecting the best triage rule for patients hospitalized with chest pain.

2. The cost and length of a hospital stay.

3. Length of stay in the intensive care unit. Effects of practice guidelines and feedback.

4. Early "step-down" transfer of low-risk patients with chest pain. A controlled interventional trial.

5. The epidemiology of delays in a teaching hospital. The development and use of a tool that detects unnecessary hospital days.

6. The course of patients with suspected myocardial infarction. The identification of low-risk patients for early transfer from intensive care.

7. Length-of-stay variations within ICDA-8 diagnosis-related groups.

8. Determinants of resource utilization for patients admitted for evaluation of acute chest pain.

9. Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction.

10. Reducing lengths of stay for patients hospitalized with chest pain using medical practice guidelines and opinion leaders.

Review 1. Variation in intensive care unit outcomes by day of week: no weak-end.

2. Weekend work. Balancing competing interests.

3. The impact of day of surgery on the length of stay for major urological procedures.

4. Hospital mortality associated with day and time of admission to intensive care units.

5. Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care.