Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan

Abstract We aimed to determine whether hospital admissions during an extended holiday period (Chinese New Year) and weekends were associated with increased mortality risk from pulmonary embolism (PE), compared to admissions on weekdays. We conducted a nationwide retrospective cohort study using Taiw...

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Autores principales:	Duan-Pei Hung, Shu-Man Lin, Peter Pin-Sung Liu, I-Min Su, Jin-Yi Hsu, Ting-Yu Wu, Chu-Chun Lin, Huei-Kai Huang, Ching-Hui Loh
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1946f9cd0dc04a21a1b07393ebb9951c
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spelling	oai:doaj.org-article:1946f9cd0dc04a21a1b07393ebb9951c2021-12-02T18:51:08ZEvaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan10.1038/s41598-021-98845-52045-2322https://doaj.org/article/1946f9cd0dc04a21a1b07393ebb9951c2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98845-5https://doaj.org/toc/2045-2322Abstract We aimed to determine whether hospital admissions during an extended holiday period (Chinese New Year) and weekends were associated with increased mortality risk from pulmonary embolism (PE), compared to admissions on weekdays. We conducted a nationwide retrospective cohort study using Taiwan’s National Health Insurance Research Database. Data of newly diagnosed PEs during the months of January and February from 2001 to 2017 were obtained from patient records and classified into three admission groups: Chinese New Year (≥ 4 consecutive holiday days), weekends, and weekdays. The adjusted odds ratios (aORs) (95% confidence intervals [CIs]) for 7-day and in-hospital mortality were calculated using multivariable logistic regression models. The 7-day and in-hospital mortality risks were higher for patients admitted during the Chinese New Year holiday (10.6% and 18.7%) compared to those admitted on weekends (8.4% and 16.1%) and weekdays (6.6% and 13.8%). These higher mortality risks for holiday admissions compared to weekday admissions were confirmed by multivariable analysis (7-day mortality: aOR = 1.68, 95% CI 1.15–2.44, P = 0.007; in-hospital mortality: aOR = 1.41, 95% CI 1.05–1.90, P = 0.022), with no subgroup effects by sex or age. Hospital admission for PE over an extended holiday period, namely Chinese New Year, was associated with an increased risk of mortality.Duan-Pei HungShu-Man LinPeter Pin-Sung LiuI-Min SuJin-Yi HsuTing-Yu WuChu-Chun LinHuei-Kai HuangChing-Hui LohNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Duan-Pei Hung Shu-Man Lin Peter Pin-Sung Liu I-Min Su Jin-Yi Hsu Ting-Yu Wu Chu-Chun Lin Huei-Kai Huang Ching-Hui Loh Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
description	Abstract We aimed to determine whether hospital admissions during an extended holiday period (Chinese New Year) and weekends were associated with increased mortality risk from pulmonary embolism (PE), compared to admissions on weekdays. We conducted a nationwide retrospective cohort study using Taiwan’s National Health Insurance Research Database. Data of newly diagnosed PEs during the months of January and February from 2001 to 2017 were obtained from patient records and classified into three admission groups: Chinese New Year (≥ 4 consecutive holiday days), weekends, and weekdays. The adjusted odds ratios (aORs) (95% confidence intervals [CIs]) for 7-day and in-hospital mortality were calculated using multivariable logistic regression models. The 7-day and in-hospital mortality risks were higher for patients admitted during the Chinese New Year holiday (10.6% and 18.7%) compared to those admitted on weekends (8.4% and 16.1%) and weekdays (6.6% and 13.8%). These higher mortality risks for holiday admissions compared to weekday admissions were confirmed by multivariable analysis (7-day mortality: aOR = 1.68, 95% CI 1.15–2.44, P = 0.007; in-hospital mortality: aOR = 1.41, 95% CI 1.05–1.90, P = 0.022), with no subgroup effects by sex or age. Hospital admission for PE over an extended holiday period, namely Chinese New Year, was associated with an increased risk of mortality.
format	article
author	Duan-Pei Hung Shu-Man Lin Peter Pin-Sung Liu I-Min Su Jin-Yi Hsu Ting-Yu Wu Chu-Chun Lin Huei-Kai Huang Ching-Hui Loh
author_facet	Duan-Pei Hung Shu-Man Lin Peter Pin-Sung Liu I-Min Su Jin-Yi Hsu Ting-Yu Wu Chu-Chun Lin Huei-Kai Huang Ching-Hui Loh
author_sort	Duan-Pei Hung
title	Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
title_short	Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
title_full	Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
title_fullStr	Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
title_full_unstemmed	Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan
title_sort	evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in taiwan
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/1946f9cd0dc04a21a1b07393ebb9951c
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Evaluating the “holiday season effect” of hospital care on the risk of mortality from pulmonary embolism: a nationwide analysis in Taiwan

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