Weekend Versus Weekday, Morning Versus Evening Admission in Relationship to Mortality in Acute Coronary Syndrome Patients in 6 Middle Eastern Countries: Results from Gulf Race 2 Registry
Jawad A Al-Lawati 1, Ibrahim Al-Zakwani*, 2, 3, Kadhim Sulaiman 4, Khalid Al-Habib 5, Jassim Al Suwaidi 6, Prashanth Panduranga 4, Alawi A Alsheikh-Ali 7, 8, Wael Almahmeed 7, Husam Al Faleh5, Shukri Al Saif 9, Ahmad Hersi 5, Nidal Asaad 6, 10, Ahmed Al-Motarreb 11, Dimitri P Mikhailidis 12, Haitham Amin 13
Identifiers and Pagination:Year: 2012
First Page: 106
Last Page: 112
Publisher Id: TOCMJ-6-106
Article History:Received Date: 4/6/2012
Acceptance Date: 15/7/2012
Electronic publication date: 7/9/2012
Collection year: 2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
We used prospective cohort data of patients with acute coronary syndrome (ACS) to compare their management on weekdays/mornings with weekends/nights, and the possible impact of this on 1-month and 1-year mortality. Analyses were evaluated using univariate and multivariate statistics. Of the 4,616 patients admitted to hospitals with ACS, 76% were on weekdays. There were no significant differences in 1-month (odds ratio (OR), 0.88; 95% CI: 0.68-1.14) and 1-year mortality (OR, 0.88; 95% CI: 0.70-1.10), respectively, between weekday and weekend admissions. Similarly, there were no significant differences in 1-month (OR, 0.92; 95% CI: 0.73-1.15) and 1-year mortality (OR, 0.98; 95% CI: 0.80-1.20), respectively, between nights and day admissions. In conclusion, apart from lower utilization of angiography (P < .001) at weekends, there were largely no significant discrepancies in the management and care of patients admitted with ACS on weekdays and during morning hours compared with patients admitted on weekends and night hours, and the overall 30-day and 1-year mortality was similar between both the cohorts.