Key result
Weekend discharge was not associated with increased 30-day hospital readmission for patients with AMI (OR 1.02; 95% CI 0.98-1.06), CHF (OR 0.99), or pneumonia (OR 1.02).
Why the study?
Does weekend discharge increase 30-day hospital readmission rates in patients admitted with AMI, CHF, or PNA?
Observational (n=266,519)
Yes
Does weekend discharge increase 30-day hospital readmission rates in patients admitted with AMI, CHF, or PNA?
Odds Ratio: 1.02 (95% CI 0.98–1.06)
Absolute Event Rate: 21.9% vs 21.9%
Discharging patients with AMI, CHF, or pneumonia on a weekend does not increase their risk of 30-day hospital readmission compared to weekday discharge.
Weekend discharge may be considered without added readmission risk in AMI, CHF, or pneumonia; leaves open need for randomized confirmation.
BACKGROUND: Although recent evidence suggests worse outcomes for patients admitted to the hospital on a weekend, the impact of weekend discharge is less understood. METHODS: Utilizing the 2012 California Office of Statewide Health Planning and Development database, the impact of weekend discharge on 30-day hospital readmission rates for patients admitted with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia (PNA) was investigated. RESULTS: Out of 266,519 patients, 60,097 (22.5%) were discharged on a weekend. Unadjusted 30-day hospital readmission rates were similar between weekend and weekday discharges (AMI: 21.9% vs 21.9%; CHF: 15.4% vs 16.0%; PNA: 12.1% vs 12.4%). Patients discharged on a weekday had a longer length of stay and were more often discharged to a skilled nursing facility. However, in multivariable logistic regression models, weekend discharge was not associated with readmission (AMI: odds ratio [OR] 1.02 [95% CI: 0.98-1.06]; CHF: OR 0.99 [95% CI: 0.94-1.03]; PNA: OR 1.02 (95% CI: 0.98-1.07)). CONCLUSIONS: Among patients in California with AMI, CHF, and PNA, discharge on a weekend was not associated with an increased hospital readmission rate.
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Cloyd et al. (2015) conducted an observational in Acute myocardial infarction, congestive heart failure, or pneumonia (n=266,519). Weekend discharge vs. Weekday discharge was evaluated on 30-day hospital readmission for AMI (OR 1.02, 95% CI 0.98-1.06). Weekend discharge was not associated with increased 30-day hospital readmission for patients with AMI (OR 1.02; 95% CI 0.98-1.06), CHF (OR 0.99), or pneumonia (OR 1.02).
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