HRs for 30-day mortality for the pretrend and slope change related to the reconfiguration of the emergency healthcare system
Unadjusted analyses | Adjusted analyses* | |||||||
No. of unplanned contacts | HR | 95% CI | P value | No. of unplanned contacts | HR | 95% CI | P value | |
Overall | 11 367 655 | 10 717 837 | ||||||
Pretrend | 0.977 | 0.975 to 0.98 | <0.001 | 0.965 | 0.962 to 0.968 | <0.001 | ||
Slope change | 1.01 | 1.006 to 1.013 | <0.001 | 1.004 | 1 to 1.008 | 0.045 | ||
Weekday versus weekend | ||||||||
Weekday | 7 650 177 | 7 207 143 | ||||||
Pretrend | 0.98 | 0.977 to 0.983 | <0.001 | 0.966 | 0.962 to 0.97 | <0.001 | ||
Slope change | 1.009 | 1.005 to 1.013 | <0.001 | 1.004 | 0.999 to 1.009 | 0.105 | ||
Weekend | 3 717 478 | 3 510 694 | ||||||
Pretrend | 0.972 | 0.968 to 0.977 | <0.001 | 0.964 | 0.959 to 0.97 | <0.001 | ||
Slope change | 1.012 | 1.006 to 1.018 | <0.001 | 1.002 | 0.995 to 1.009 | 0.545 | ||
Time of admission | ||||||||
07:00–15:00 hours | 5 630 231 | 5 314 511 | ||||||
Pretrend | 0.977 | 0.974 to 0.981 | <0.001 | 0.965 | 0.961 to 0.97 | <0.001 | ||
Slope change | 1.012 | 1.007 to 1.017 | <0.001 | 1.008 | 1.002 to 1.013 | 0.006 | ||
15:00–23:00 hours | 4 416 266 | 4 163 653 | ||||||
Pretrend | 0.974 | 0.97 to 0.978 | <0.001 | 0.966 | 0.961 to 0.971 | <0.001 | ||
Slope change | 1.009 | 1.004 to 1.015 | 0.001 | 1.001 | 0.994 to 1.007 | 0.803 | ||
23:00–07:00 hours | 1 321 158 | 1 239 673 | ||||||
Pretrend | 0.991 | 0.983 to 0.998 | 0.009 | 0.97 | 0.961 to 0.979 | <0.001 | ||
Slope change | 0.995 | 0.985 to 1.004 | 0.284 | 0.985 | 0.975 to 0.996 | 0.007 |
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.
CCI, Charlson Comorbidity Index.