WEATHER AUTHORITY : Dense Fog Advisory View Alerts

Holiday hospitalization carries higher risks, study says

Research has shown that going to the hospital in July or over the weekend can be riskier for patients becaus...

Posted: Dec 11, 2018 8:24 AM
Updated: Dec 11, 2018 8:24 AM

Research has shown that going to the hospital in July or over the weekend can be riskier for patients because of factors such as medical errors, understaffing or staff fatigue. The holiday period can also be added to the list, according to a new study.

"In taking care of patients who are admitted over the December holiday period, I had noticed, along with my colleagues -- we all kind of had this anecdotal experience, or maybe just more of a myth -- that discharging patients over the holidays was a little riskier," said Dr. Lauren Lapointe-Shaw, one of the authors of the study, published Monday in the BMJ.

Christmas

Holidays and observances

Business and industry sectors

Business, economy and trade

Health and medical

Health care

Health care facilities

Hospitals

Lapointe-Shaw is also a Ph.D. student at the University of Toronto and a general internist physician at Toronto General Hospital.

She and her co-authors looked at the records of 670,946 patients discharged from acute-care hospitals in Ontario between April 1, 2002, and January 31, 2016. They compared discharges in three periods: the Christmas period, which included Christmas and New Year's, and two control periods, two-week stretches four weeks before and after the holidays.

The researchers also looked at the scheduling of follow-up appointments within seven and 14 days and the risk of death or readmission to the hospital within seven, 14 and 30 days.

Roughly a third of the patients -- 217,305 -- were discharged during the holiday period. "They had a small increased risk, and they were considerably less likely to have the follow-up with the physician," Lapointe-Shaw said.

Patients who were discharged in the holiday period had a 36.3% chance of a physician follow-up in seven days and a 59.5% chance of a physician follow-up in 14 days. For those in the control groups, the rates were 47.8% and 68.7%, respectively.

When it came to death or readmission, the patients discharged during the Christmas period were 13.3% more likely to be readmitted or to die within seven days, 18.6% in 14 days and 25.9% in 30 days. For the control groups, the risk rates were 11.7%, 17% and 24.7%, respectively.

The study found that "per 100,000 patients, 26 excess deaths, 188 excess rehospitalizations, 483 excess visits to an emergency department, and 2,999 fewer follow up appointments could be attributed to being discharged from hospital during the December holidays."

"Something is happening differently for these patients," Lapointe-Shaw said. "They are at higher risk, and despite that, they are not getting as much of the optimal transitional care that we would like them to get."

Dr. Seth Goldstein, an associate professor of surgery at Northwestern University Feinberg School of Medicine, noted that "over the past few years, there's been a bit of a spotlight on hospital systems and how to maintain quality of care 24/7.

"I think what this study does is points out that it's not unique to nights and weekends," he said. He believes that reduced hospital staffing, and a time when patients are less likely to want to be in the hospital, could have this effect.

Goldstein, who was not involved in the study, is also a pediatric general and thoracic surgeon at the Ann & Robert H. Lurie Children's Hospital of Chicago.

"I think the effect is probably real, and there are potential patient factors and hospital factors that can play a role" in these increased risks, Goldstein said.

Patient factors include an unwillingness to be in the hospital during the holidays and a change in routine, including eating and drinking habits, he said. Hospital factors could include lower numbers of staff and quicker discharges of patients so they can be home for the holidays.

Goldstein says solutions for hospitals include ensuring that safety and quality mechanisms are in place and, for patients, "seek urgent, emergency care when the condition arises, and you shouldn't try to wait it out at home because it's Christmas."

The fact that researchers are looking into the issue is also important to him.

"It's a good study, because awareness is the first step of anything you'd ever do to try to tackle the problem a little more head-on," he said.

Mississippi Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 35419

Reported Deaths: 1230
CountyConfirmedDeaths
Hinds290851
DeSoto190019
Madison144638
Jones120349
Harrison113616
Rankin108715
Neshoba104577
Forrest99343
Lauderdale96381
Scott81915
Jackson77519
Washington72213
Copiah65315
Leake63520
Lee61222
Oktibbeha61128
Grenada5949
Warren59421
Holmes58641
Wayne56218
Yazoo5536
Lowndes54813
Lamar5347
Leflore53156
Lincoln52935
Pike49920
Lafayette4974
Sunflower4778
Monroe45635
Panola4486
Covington4355
Bolivar40518
Simpson3933
Attala38424
Newton37510
Tate35213
Adams35120
Pontotoc3466
Marion32712
Claiborne30111
Chickasaw29719
Winston29511
Pearl River28832
Noxubee2788
Jasper2776
Marshall2773
Walthall2627
Clay25811
Union25211
Smith24612
Clarke22325
Coahoma2226
Lawrence2092
Yalobusha2079
Tallahatchie1954
Kemper18414
Carroll18111
Montgomery1713
Calhoun1645
Humphreys16310
Itawamba1468
Tippah14511
Hancock14413
Webster13411
Jefferson1263
Tunica1233
Jefferson Davis1204
Prentiss1204
George1163
Greene11310
Amite1103
Alcorn1002
Quitman991
Wilkinson989
Tishomingo971
Perry874
Choctaw754
Stone742
Franklin542
Sharkey480
Benton460
Issaquena101
Unassigned00

Alabama Coronavirus Cases

Confirmed Cases: 49892

Reported Deaths: 1077
CountyConfirmedDeaths
Jefferson6433170
Mobile4753139
Montgomery4430112
Tuscaloosa263253
Madison21199
Marshall192611
Shelby164225
Lee157237
Morgan12695
Baldwin120711
Walker106131
Elmore102920
Dallas9969
Etowah95114
DeKalb9417
Franklin93216
Autauga67614
Russell6750
Chambers67427
Unassigned65328
Butler65129
Tallapoosa62869
Limestone6223
Houston5857
Cullman5716
Lauderdale5686
St. Clair5133
Colbert4956
Calhoun4905
Lowndes48122
Escambia4808
Pike4725
Coffee4244
Jackson4182
Covington41412
Barbour3942
Dale3911
Talladega3897
Bullock37710
Marengo35211
Hale34823
Chilton3232
Clarke3126
Wilcox3038
Blount2961
Winston2965
Sumter29113
Marion27514
Pickens2696
Randolph2589
Monroe2553
Perry2362
Conecuh2308
Bibb2211
Macon2159
Choctaw21212
Greene1959
Henry1533
Washington1418
Crenshaw1273
Lawrence1250
Cherokee1237
Geneva960
Lamar871
Clay852
Fayette821
Coosa651
Cleburne421
Out of AL00
Tupelo
Clear
75° wxIcon
Hi: 93° Lo: 70°
Feels Like: 75°
Columbus
Broken Clouds
73° wxIcon
Hi: 92° Lo: 70°
Feels Like: 73°
Oxford
Clear
72° wxIcon
Hi: 91° Lo: 68°
Feels Like: 72°
Starkville
Clear
70° wxIcon
Hi: 90° Lo: 67°
Feels Like: 70°
WTVA Radar
WTVA Temperatures
WTVA Severe Weather