View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, April 16 (HealthDay News) -- Being admitted to the hospital on a Saturday or Sunday with acute kidney injury (AKI) is associated with an increased risk of in-hospital mortality compared to being admitted on a weekday, according to a study published online April 15 in the Journal of the American Society of Nephrology.
Matthew T. James, M.D., of the University of Calgary in Canada, and colleagues used the Nationwide Inpatient Sample database to gather information on 963,730 admissions to acute care, nonfederal hospitals in the United States for AKI between 2003 and 2006. Of these, AKI was the primary reason for admission for 22 percent.
The researchers found that, in larger hospitals, there was a 7 percent higher risk of in-hospital mortality for weekend admissions with AKI as the primary diagnosis compared to weekday admissions. In smaller hospitals, however, there was a 17 percent higher risk of in-hospital mortality for weekend admissions versus weekday admissions. In addition, the authors note that weekend admission among patients with AKI as a secondary diagnosis was also associated with increased mortality.
"On the basis of these estimates, we project that approximately 4,000 additional deaths per year occur in patients with AKI admitted on the weekend in the United States, representing one additional death for every 65 weekend admissions with AKI," the authors write.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top