Pediatric weekend admission and increased unplanned readmission rates
Address for correspondence and reprint requests: Katherine Auger, MD, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 9016, Cincinnati, OH 45229; Telephone: 513‐636‐3753; Fax: 513‐636‐4402; E‐mail: firstname.lastname@example.org
Outcomes for patients hospitalized on weekends are often worse for adults—the so‐called “weekend effect.” Less is known about the weekend effect for children. We examined 55,383 hospitalizations at a tertiary care children's hospital. We used logistic regression to examine the associations of weekend admission and weekend discharge with unplanned 30‐day readmission. We adjusted analyses for patient and hospitalization characteristics including number of complex chronic conditions, technology dependency, and length of stay. The 30‐day unplanned readmission rate was 10.3%. Children admitted on the weekend had significantly higher odds of unplanned readmission compared to children admitted on weekdays (adjusted odds ratio = 1.09 [95% confidence interval: 1.004‐1.18]). In contrast, being discharged on the weekend was not associated with readmission. In conclusion, children admitted on the weekend have higher rates of 30‐day unplanned readmission than children admitted during the week, suggesting care differences on the weekend related to initial clinical management rather than discharge planning. Journal of Hospital Medicine 2015;10:743–745. © 2015 Society of Hospital Medicine
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