TY - JOUR
T1 - Weekend versus weekday, morning versus evening admission in relationship to mortality in acute coronary syndrome patients in 6 middle Eastern Countries
T2 - Results from Gulf Race 2 registry
AU - Al-Lawati, Jawad A.
AU - Al-Zakwani, Ibrahim
AU - Sulaiman, Kadhim
AU - Al-Habib, Khalid
AU - Al Suwaidi, Jassim
AU - Panduranga, Prashanth
AU - Alsheikh-Ali, Alawi A.
AU - Almahmeed, Wael
AU - Al Faleh, Husam
AU - Al Saif, Shukri
AU - Hersi, Ahmad
AU - Asaad, Nidal
AU - Al-Motarreb, Ahmed
AU - Mikhailidis, Dimitri P.
AU - Amin, Haitham
PY - 2012
Y1 - 2012
N2 - We used prospective cohort data of patients with acute coronary syndrome (ACS) to compare their manage-ment on weekdays/mornings with weekends/nights, and the possible impact of this on 1-month and 1-year mortality. Analyses were evaluated using univariate and multivariate statistics. Of the 4,616 patients admitted to hospitals with ACS, 76% were on weekdays. There were no significant differences in 1-month (odds ratio (OR), 0.88; 95% CI: 0.68-1.14) and 1-year mortality (OR, 0.88; 95% CI: 0.70-1.10), respectively, between weekday and weekend admissions. Similarly, there were no significant differences in 1-month (OR, 0.92; 95% CI: 0.73-1.15) and 1-year mortality (OR, 0.98; 95% CI: 0.80-1.20), respectively, between nights and day admissions. In conclusion, apart from lower utilization of angiography (P <.001) at weekends, there were largely no significant discrepancies in the management and care of patients admitted with ACS on weekdays and during morning hours compared with patients admitted on weekends and night hours, and the overall 30-day and 1-year mortality was similar between both the cohorts.
AB - We used prospective cohort data of patients with acute coronary syndrome (ACS) to compare their manage-ment on weekdays/mornings with weekends/nights, and the possible impact of this on 1-month and 1-year mortality. Analyses were evaluated using univariate and multivariate statistics. Of the 4,616 patients admitted to hospitals with ACS, 76% were on weekdays. There were no significant differences in 1-month (odds ratio (OR), 0.88; 95% CI: 0.68-1.14) and 1-year mortality (OR, 0.88; 95% CI: 0.70-1.10), respectively, between weekday and weekend admissions. Similarly, there were no significant differences in 1-month (OR, 0.92; 95% CI: 0.73-1.15) and 1-year mortality (OR, 0.98; 95% CI: 0.80-1.20), respectively, between nights and day admissions. In conclusion, apart from lower utilization of angiography (P <.001) at weekends, there were largely no significant discrepancies in the management and care of patients admitted with ACS on weekdays and during morning hours compared with patients admitted on weekends and night hours, and the overall 30-day and 1-year mortality was similar between both the cohorts.
KW - Acute coronary syndrome
KW - Admission
KW - Mortality
KW - Weekday
KW - Weekend
UR - http://www.scopus.com/inward/record.url?scp=84871018814&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871018814&partnerID=8YFLogxK
U2 - 10.2174/1874192401206010106
DO - 10.2174/1874192401206010106
M3 - Article
C2 - 23002404
AN - SCOPUS:84871018814
SN - 1874-1924
VL - 6
SP - 106
EP - 112
JO - Open Cardiovascular Medicine Journal
JF - Open Cardiovascular Medicine Journal
IS - 1
ER -