Weekend versus weekday admission and mortality from myocardial infarction

William J. Kostis, Kitaw Demissie, Stephen W. Marcella, Yu Hsuan Shao, Alan C. Wilson, Abel E. Moreyra

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Abstract

BACKGROUND: Management of acute myocardial infarction requires urgent diagnostic and therapeutic procedures, which may not be uniformly available throughout the week. METHODS: We examined differences in mortality between patients admitted on weekends and those admitted on weekdays for a first acute myocardial infarction, using the Myocardial Infarction Data Acquisition System. All such admissions in New Jersey from 1987 to 2002 (231,164) were included and grouped in 4-year intervals. RESULTS: There were no significant differences in demographic characteristics, coexisting conditions, or infarction site between patients admitted on weekends and those admitted on weekdays. However, patients admitted on weekends were less likely to undergo invasive cardiac procedures, especially on the first and second days of hospitalization (P

Original languageEnglish
Pages (from-to)1099-1109
Number of pages11
JournalNew England Journal of Medicine
Volume356
Issue number11
DOIs
Publication statusPublished - Mar 15 2007
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kostis, W. J., Demissie, K., Marcella, S. W., Shao, Y. H., Wilson, A. C., & Moreyra, A. E. (2007). Weekend versus weekday admission and mortality from myocardial infarction. New England Journal of Medicine, 356(11), 1099-1109. https://doi.org/10.1056/NEJMoa063355