Research Article

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

Table 2

Patient outcomes by admission time period.

Variable nameOverall n = 14,265 (100%)Daytime hours (08:00–16:59) n = 4,352 (30.3%)Nighttime hours (17:00–07:59) n = 9,913 (69.5%) value

Invasive mechanical ventilation, n (%)6,293 (44.1)1,967 (45.2)4,326 (43.6)0.084
Dialysis, n (%)1,284 (9.0)425 (9.8)859 (8.7)0.035
ICU LOS days, mean (SD)7.3 (11.6)8.0 (14.1)7.1 (10.2)<0.001
Duration of invasive mechanical ventilation, days, mean (SD)3.4 (7.)3.8 (9.0)3.2 (6.2)<0.001
Mortality, total, n (%)3,021 (21.2)978 (22.5)2,043 (20.6)0.012
Mortality at ICU, n (%)2570 (18.0)836 (19.2)1734 (17.5)0.662
Discharged home with no support services, n (%)5,094 (35.7)1,493 (34.3)3,601 (36.3)0.020
Discharged home, support services required, n (%)2,326 (16.3)613 (14.1)1,713 (17.3)<0.001
Transferred to an acute care inpatient institution, n (%)1,856 (13.0)617 (14.2)1,239 (12.5)0.006
Transferred to continuing care, n (%)1,787 (12.5)588 (13.5)1,199 (12.1)0.019
Patient safety indicators, n (%)
 Any adverse event5,005 (35.1)1,391 (32.0)3,614 (36.5)<0.001
 Cardiac complication1160 (8.1)315 (7.2)845 (8.5)0.010
 Drug-related adverse event193 (1.4)57 (1.3)136 (1.4)0.767
 Traumatic injury arising in hospital45 (0.3)13 (0.3)32 (0.3)0.813
 Hospital acquired infection2,279 (16.0)666 (15.3)1,613 (16.3)0.146
 Surgical complication779 (5.5)176 (4.0)603 (6.1)<0.001
 Death in low risk patients96 (0.7)33 (0.8)63 (0.6)0.409