Imperial College London
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Dr Kate Honeyford

Faculty of Medicine, School of Public Health

Honorary Research Associate
 
 
 
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Contact

 

k.honeyford

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Honeyford:2018:10.1186/s12913-018-3688-3,
author = {Honeyford, C and Cecil, E and Lo, M and Bottle, R and Aylin, P},
doi = {10.1186/s12913-018-3688-3},
journal = {BMC Health Services Research},
title = {The weekend effect: does hospital mortality differ by day of the week? A systematic review and meta-analysis},
url = {http://dx.doi.org/10.1186/s12913-018-3688-3},
volume = {18},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundThe concept of a weekend effect, poorer outcomes for patients admitted to hospitals at the weekend is not new, but is the focus of debate in England. Many studies have been published which consider outcomes for patients on admitted at the weekend. This systematic review and meta-analysis aims to estimate the effect of weekend admission on mortality in UK hospitals.MethodsThis is a systematic review and meta-analysis of published studies on the weekend effect in UK hospitals. We used EMBASE, MEDLINE, HMIC, Cochrane, Web of Science and Scopus to search for relevant papers. We included systematic reviews, randomised controlled trials and observational studies) on patients admitted to hospital in the UK and published after 2001. Our outcome was death; studies reporting mortality were included. Reviewers identified studies, extracted data and assessed the quality of the evidence, independently and in duplicate. Discrepancy in assessment was considered by a third reviewer. All meta-analyses were performed using a random-effects meta-regression to incorporate the heterogeneity into the weighting.ResultsForty five articles were included in the qualitative synthesis. 53% of the articles concluded that outcomes for patients either undergoing surgery or admitted at the weekend were worse. We included 39 in the meta-analysis which contributed 50 separate analyses. We found an overall effect of 1.07 [odds ratio (OR)] (95%CI:1.03–1.12), suggesting that patients admitted at the weekend had higher odds of mortality than those admitted during the week. Sub-group analyses suggest that the weekend effect remained when measures of case mix severity were included in the models (OR:1.06 95%CI:1.02–1.10), but that the weekend effect was not significant when clinical registry data was used (OR:1.03 95%CI: 0.98–1.09). Heterogeneity was high, which may affect generalisability.ConclusionsDespite high levels of heterogeneity, we found evidence of a weekend effect in
AU  - Honeyford,C
AU  - Cecil,E
AU  - Lo,M
AU  - Bottle,R
AU  - Aylin,P
DO  - 10.1186/s12913-018-3688-3
PY  - 2018///
SN  - 1472-6963
TI  - The weekend effect: does hospital mortality differ by day of the week? A systematic review and meta-analysis
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-018-3688-3
UR  - http://hdl.handle.net/10044/1/66151
VL  - 18
ER  -
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