The Indian Journal of Pediatrics

, Volume 75, Issue 7, pp 691–694

Admission time and mortality rates

  • Ali Ertug Arslankoylu
  • Benan Bayrakci
  • Yesim Oymak
Original Article

Abstract

Objective

The objective of this study was to determine whether there there are any associations between time of admission and mortality rates in the pediatric intensive care unit.

Methods

We analyzed retrospectively 210 consecutive admissions to the PICU from November 2005 to April 2006 for patients aged 1 mth to 18 yr.

Results

There was no significant difference for overall mortality rates between weekend and weekday admissions (12.2% vs 17.4%, p=0.245), and daytime and evening admissions (11.3 % vs 15.4%, p=0.254). There was also no significant difference between different admission times for within 24 hours, 48 hours and 72 hours mortality rates.

Conclusions

In respect of the overall mortality rates, it can be said that in a closed system PICU management under the control of a pediatric intensivist there is no association between time of admission and mortality rates.

Key words

Admission time Intensive care unit Mortality 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Carmel S, Rowan K. Variation in intensive care unit outcomes: a search for the evidence on organizational factors. Curr Opin Crit Care 2001; 7: 284–296.PubMedCrossRefGoogle Scholar
  2. 2.
    Blunt MC, Burchett KR. Out of hours consultant cover and case-mix-adjusted mortality in intensive care. Lancet 2000; 356: 735–736.PubMedCrossRefGoogle Scholar
  3. 3.
    Goh AY, Lum LC, Abdel-Latif ME. Impact of 24 hour critical care physician staffing on case-mix adjusted mortality in paediatric intensive care. Lancet 2001; 357: 445–446.PubMedCrossRefGoogle Scholar
  4. 4.
    Carson SS, Stocking C, Podsadecki T, Christenson J, Pohlman A, MacRae S et al. Effects of organizational change in the medical intensive care unit of a teaching hospital: a comprasion of “open” and “closed” formats. J Am Med Assoc 1996; 276: 322–328.CrossRefGoogle Scholar
  5. 5.
    Stephansson O, Dickman PW, Johansson ALV, Kieler H, Cnattingius S. Time of birth and risk of intrapartum and early neonatal death. Epidemiology 2003; 14: 218–222.PubMedCrossRefGoogle Scholar
  6. 6.
    Hamilton P, Restrepo E. Weekend birth and higher neonatal mortality: a problem of patient acuity or quality of care? J Obstet Gynecol Neonatal Nurs 2003; 32: 724–733PubMedCrossRefGoogle Scholar
  7. 7.
    Domenighetti G, Paccaud F. The night—a dangerous time to be born? Br J Obstet Gynaecol 1986; 12: 1262–1267.Google Scholar
  8. 8.
    Hendry RA. The weekend—a dangerous time to be born? Br J Obstet Gynaecol 1981; 88: 1200–1203.PubMedGoogle Scholar
  9. 9.
    Morales IJ, Peters SG, Afessa B. Hospital mortality rate and length of stay in patients admitted at night to the intensive care unit. Crit Care Med 2003; 31: 858–863.PubMedCrossRefGoogle Scholar
  10. 10.
    Wunsch H, Mapstone J, Brady T, Hanks R, Rowan K. Hospital mortality associated with day and time of admission o intensive care units. Intensive Care Med 2004; 30: 895–901.PubMedCrossRefGoogle Scholar
  11. 11.
    Barnett MJ, Kaboli PJ, Sirio CA et al. Day of the week of intensive care admission and patient outcomes: A multisite regional evaluation. Med Care 2002; 40: 530–539.PubMedCrossRefGoogle Scholar
  12. 12.
    Bell CM, Redelmeier DA. Mortality among patients admitted to hospital on weekends as compared with weekdays. N Engl J Med 2001; 345: 663–668.PubMedCrossRefGoogle Scholar
  13. 13.
    Hixson ED, Davis S, Morris S, Harrison AM. Do weekends or evenings matter in a pediatric intensive care unit? Pediatr Crit Care Med 2005; 6: 523–530.PubMedCrossRefGoogle Scholar
  14. 14.
    Arias Y, Taylor DS, Marcin JP. Association between evening admission and higher mortality rates in the pediatric intensive care unit. Pediatrics 2004; 113: 530–534.CrossRefGoogle Scholar
  15. 15.
    Slater A, Shann F, Pearson G. Pediatric Index of Mortality (PIM) Study Group. PIM2: a revised version of the pediatric index of mortality. Intensive Care Med 2003; 29: 278–285.PubMedGoogle Scholar
  16. 16.
    Hosmer DW, Lemeshow S. Applied Loistic Regression. 2nd ed. New York; Wiley, 2000.Google Scholar
  17. 17.
    Fogelholm R, Murros K, Rissanen A, Ilmavirta M. Factors delaying hospital admission after acute stroke. Stroke 1996; 27: 398–400.PubMedGoogle Scholar
  18. 18.
    Ottesen MM, Kober L, Jorgensen S, Topr-Pedersen C. Determinanats of delay between symptoms and hospital admission in 5978 patients with myocardial infarction. Eur Heart J 1996; 17: 429–437.PubMedGoogle Scholar
  19. 19.
    Mitra AK, Rahman MM, Fuchs GJ. Risk factors and gender differentials for death among children hospitalized with diarrhoea in Bangladesh. J Health Popul Nutr 2000; 18: 151–156.PubMedGoogle Scholar
  20. 20.
    Turkey Demographic and Health Survey TDHS-2003. Hacettepe University institute of population studies. http://www.hips.hacettepe.edu.tr/tnsa2003eng

Copyright information

© Dr. K C Chaudhuri Foundation 2008

Authors and Affiliations

  • Ali Ertug Arslankoylu
    • 1
  • Benan Bayrakci
    • 1
  • Yesim Oymak
    • 1
  1. 1.Department of PediatricsHacettepe University Faculty of Medicine, Ihsan Dogramaci Chidren’s Hospital, Pediatric Intensive Care UnitAnkaraTurkey
  2. 2.Department of Pediatrics, Pediatric Intensive Care UnitMersin University Faculty of MedicineMersinTurkey

Personalised recommendations