Research Article

Examination of Impact of After-Hours Admissions on Hospital Resource Use, Patient Outcomes, and Costs

Table 1

Patient characteristics by admission time period.

Variable nameOverall n= 14,265 (100%)Daytime hours (08:00–16:59) n= 4,352 (30.5%)Nighttime hours (17:00–07:59) n= 9,913 (69.5%) value

Age at admission, years, mean (SD)63.74 (17.07)63.35 (17.22)63.91 (17.00)0.076
Gender, male sex, n (%)8,061 (56.5%)2,419 (55.6%)5,642 (56.9%)0.140
Previous location before first ICU, n (%)
 Direct admission (home)2,284 (16.0)914 (21.0)1,370 (13.8)<0.001
 Emergency department6,765 (47.4)2,113 (48.6)4,652 (46.9)0.074
 Surgical ward952 (6.7)63 (1.4)889 (9.0)<0.001
 Medical ward4,264 (29.9)1,262 (29.0)3,002 (30.3)0.123
Transfer from other institutions, n (%)4875 (34.2)1622 (37.3)3253 (32.8)<0.001
Elixhauser comorbidities, n (%)
 Congestive heart failure1,805 (12.7)566 (13.0)1,239 (12.5)0.402
 Arrhythmia2,377 (16.7)713 (16.4)1,664 (16.8)0.552
 Valvular disease330 (2.3)123 (2.8)207 (2.1)0.007
 Peripheral vascular disease1,104 (7.7)218 (5.0)886 (8.9)<0.001
 Hypertension, total4,357 (30.5)1,345 (30.9)3,012 (30.4)0.534
 Chronic obstructive pulmonary disease1,470 (10.3)485 (11.1)985 (9.9)0.029
 Diabetes mellitus, total4,239 (29.7)1,316 (30.2)2,923 (29.5)0.365
 Renal failure713 (5.0)232 (5.3)481 (4.9)0.227
 Liver disease610 (4.3)164 (3.8)446 (4.5)0.047
 Metastatic cancer854 (6.0)253 (5.8)601 (6.1)0.563
 Haematological malignancy334 (2.3)113 (2.6)221 (2.2)0.182
Elixhauser comorbidity score, mean (SD)5.35 (6.3)5.2 (6.1)5.3 (6.3)0.223
Average MODS, mean (SD)3.9 (2.9)4.0 (3.0)3.8 (2.9)0.046
Most responsible diagnosis (ICD diagnosis), n (%)
 Diseases of the respiratory system1,558 (10.9)539 (12.4)1,019 (10.3)<0.001
 Diseases of the circulatory system4,753 (33.3)1,482 (34.1)3,271 (33.0)0.218
 Diseases of the nervous system391 (2.7)133 (3.1)258 (2.6)0.127
 Mental and behavioural disorders98 (0.7)21 (0.5)77 (0.8)0.050
 Injury, poisoning, and other external causes1,863 (13.1)584 (13.4)1,279 (12.9)0.399
 Other5,602 (39.3)1,593 (36.6)4,009 (40.4)<0.001