ORs for in-hospital mortality for the pretrend and slope change related to the reconfiguration of the emergency healthcare system
Unadjusted analyses | Adjusted analyses* | |||||||
No. of unplanned contacts | OR | 95% CI | P value | No. of unplanned contacts | OR | 95% CI | P value | |
Overall | 11 367 655 | 10 178 821 | ||||||
Pretrend | 0.96 | 0.928 to 0.993 | 0.018 | 0.945 | 0.932 to 0.958 | <0.001 | ||
Slope change | 1 | 0.951 to 1.051 | 0.997 | 0.989 | 0.968 to 1.01 | 0.285 | ||
Weekday versus weekend | ||||||||
Weekday | 7 650 177 | 7 207 136 | ||||||
Pretrend | 0.962 | 0.935 to 0.989 | 0.007 | 0.944 | 0.931 to 0.957 | <0.001 | ||
Slope change | 1.003 | 0.96 to 1.046 | 0.908 | 0.992 | 0.971 to 1.013 | 0.44 | ||
Weekend | 3 717 478 | 3 510 680 | ||||||
Pretrend | 0.957 | 0.916 to 1.001 | 0.054 | 0.947 | 0.929 to 0.963 | <0.001 | ||
Slope change | 0.995 | 0.934 to 1.061 | 0.888 | 0.982 | 0.959 to 1.005 | 0.127 | ||
Time of admission | ||||||||
07:00–15:00 hours | 5 630 231 | 5 314 487 | ||||||
Pretrend | 0.959 | 0.931 to 0.987 | 0.005 | 0.942 | 0.929 to 0.956 | <0.001 | ||
Slope change | 1.006 | 0.961 to 1.053 | 0.804 | 0.995 | 0.974 to 1.017 | 0.669 | ||
15:003–23:00 hours | 4 416 266 | 4 163 647 | ||||||
Pretrend | 0.958 | 0.918 to 0.998 | 0.042 | 0.947 | 0.93 to 0.964 | <0.001 | ||
Slope change | 0.995 | 0.939 to 1.054 | 0.865 | 0.985 | 0.959 to 1.011 | 0.242 | ||
23:00–07:00 hours | 1 321 158 | 1 239 667 | ||||||
Pretrend | 0.974 | 0.936 to 1.014 | 0.205 | 0.952 | 0.933 to 0.972 | <0.001 | ||
Slope change | 0.994 | 0.938 to 1.052 | 0.827 | 0.973 | 0.945 to 1.003 | 0.077 |
Adjusted analyses were performed on a complete case basis.
*Adjusted for seasonality, the changes in the out-of-hours system in the Capital Region, the implementation of a referral system to emergency departments, sex, age, Charlson Comorbidity Index, ethnicity, education and income level.