Critical Care Medicine. 27 Nov 2017
- Analysis of 16 studies of the impact of out-of-hours adult general ICU admission on patient mortality (16 studies n=902,551). Fourteen studies (n=717,331 patients) reported mortality rates by time of admission and 11 studies (n=835,032 patients) by day of admission.
- Findings included:
- Admission to ICU at night was not associated with an increased odds of mortality compared with admissions during the day
- Admissions during the weekend were associated with an increased odds of death compared with ICU admissions during weekdays
- Absence of a routine overnight on-site intensivist was associated with increased mortality among weekend ICU admissions compared with weekday ICU admissions and nighttime admissions compared with daytime ICU admissions.
