Mortality Among Kenyan Children Admitted to a Rural District Hospital on Weekends as Compared With Weekdays

To the Editor .— Arias et al1 and Bell and Redelmeier2 recently identified associations between timing of admission and mortality rates in North America. Such studies highlight potential areas for improvement in health care delivery. Hospitals in less-developed countries are typically under-resourced and understaffed all of the time.3 However, similar to North America, there may be differences in health care delivery outside of office hours. We previously conducted a prospective study of 12 893 consecutive admissions of children ≥90 days old to our own district hospital in Kenya and developed prognostic scores for inpatient deaths occurring <4 hours after admission (very early), 4 to 48 hours after admission (early), …