What question did this study set out to answer?

The study aims to compare clinical outcomes of adults managed through same-day emergency care with those admitted for short stays.

July 3, 2026BMJ OpenOpen Access

Clinical outcomes of adults accessing acute medical same-day emergency care in the NHS: a retrospective cohort study across two hospitals

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Retrospective cohort study shows lower 30-day mortality in same-day emergency care compared with short-stay admissions.

The study aims to compare clinical outcomes of adults managed through same-day emergency care with those admitted for short stays.
Retrospective cohort study examining 43,970 adults across two NHS hospital sites from April 2021 to March 2025.
Outcomes measured include conversion to inpatient admission, 30-day reattendance, and 30-day mortality.
Multivariable analyses were used to assess relationships between demographics and outcomes.
SDEC patients demonstrated a 5.8% conversion rate to inpatient admission; lower odds of reattendance (OR 0.26, 95% CI 0.19 to 0.36).
30-day mortality was significantly lower at 0.6% in SDEC patients compared to 8.2% in short-stay admissions (OR 0.05, 95% CI 0.04 to 0.07).
Factors such as increasing age and male sex were associated with higher odds of admission and mortality.

Dean et al. (2026) studied this question.

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