Fatal Fridays

June 24, 2002

Friday is the most common day for patients to be discharged from hospital. A study in this issue of CMAJ indicates that patients sent home on Friday are also more likely to die or be readmitted to the hospital.

Carl van Walraven and Chaim Bell examined associations between discharge day and rates of death and readmission within 30 days of discharge among adults discharged from Ontario hospitals between Mar. 1, 1990, and Mar. 1, 2000. They found that patients released on Fridays "were significantly more likely to have an event" causing death or readmission to hospital than patients in the reference group (people discharged on Wednesdays). Among the more than 2.4 million eligible patients, the authors controlled for potential confounders including age, sex, comorbidities, prior nonelective admissions, length of stay, whether a procedure was performed and whether a complication occurred in hospital.

The authors speculate that the increased risk may be due to delays in providing social services or to the provision of incomplete discharge information due to increased demands on hospital staff at the end of the week. Regardless of the reason, the authors "suggest that clinicians keep this observation [about Friday discharges] in mind if they consider pushing to get patients home for the weekend."
p. 1672 Risk of death or readmission among people discharged from hospital on Fridays
-- C. van Walraven, C.M. Bell

Canadian Medical Association Journal

Related Death Articles from Brightsurf:

Recommendations to improve consensus of determining brain death, death by neurologic criteria
International professional societies developed recommendations for minimum clinical standards to determine brain death/death by neurologic criteria in adults and children to improve the consistency of these criteria within and among countries.

Silicones may lead to cell death
Silicone molecules from breast implants can initiate processes in human cells that lead to cell death.

Sleep, death and ... the gut?
A new study finds a causal link between sleep deprivation and death.

Risk of death from stroke falls by 24%
Thousands more patients each year are surviving strokes, as the risk of death and disability after a stroke fell significantly between 2000 and 2015, according to analysis by Guy's and St Thomas' researchers.

Cells control their dance of death
La Trobe University researchers have revealed for the first time how white blood cells control the final moments of their death, helping their own removal from the human body.

Predicting frailty, disability and death
In a study led by investigators from Brigham and Women's Hospital, researchers analyzed patterns of movement among elderly study participants and found that irregular, spontaneous fluctuations could predict a person's risk of frailty, disability and death years later.

One in 10 people have 'near-death' experiences, according to new study
The new findings were presented at the 5th European Academy of Neurology (EAN) Congress.

Jobs vs. death toll: Calculating corporate death penalties
What misdeeds warrant corporate death penalties? A new study explores two case studies focused on industries that kill more people than they employ.

New role for death molecule
To unravel programmed cell death pathways, investigators examine a molecule deemed unimportant, and find new function.

Death near the shoreline, not life on land
Our understanding of when the very first animals started living on land is helped by identifying trace fossils--the tracks and trails left by ancient animals--in sedimentary rocks that were deposited on the continents.

Read More: Death News and Death Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.