@article{ref1,
title="The weekend effect: short-term mortality following admission with a hip fracture",
journal="Bone and joint journal",
year="2014",
author="Thomas, C. J. and Smith, Ron P. and Uzoigwe, C. E. and Braybrooke, J. R.",
volume="96-B",
number="3",
pages="373-378",
abstract="We retrospectively reviewed 2989 consecutive patients with a mean age of 81 (21 to 105) and a female to male ratio of 5:2 who were admitted to our hip fracture unit between July 2009 and February 2013. We compared weekday and weekend admission and weekday and weekend surgery 30-day mortality rates for hip fractures treated both surgically and conservatively. After adjusting for confounders, weekend admission was independently and significantly associated with a rise in 30-day mortality (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.02 to 1.9; p = 0.039) for patients undergoing hip fracture surgery. There was no increase in mortality associated with weekend surgery (OR 1.2, 95% CI 0.8 to 1.7; p = 0.39). All hip fracture patients, whether managed surgically or conservatively, were more likely to die as an inpatient when admitted at the weekend (OR 1.4, 95% CI 1.02 to 1.80; p = 0.032), despite our unit having a comparatively low overall inpatient mortality (8.7%). Hip fracture patients admitted over the weekend appear to have a greater risk of death despite having a consultant-led service.<p /> <p>Language: en</p>",
language="en",
issn="2049-4394",
doi="10.1302/0301-620X.96B3.33118",
url="http://dx.doi.org/10.1302/0301-620X.96B3.33118"
}