- Re: Significant or meaningful ?Show More
Dr. Ellrodt is correct when he points out the absolute differences in adjusted 30-day death or urgent readmission between Wednesday and Friday is small. Overall, the event rate was 7.1%. A 4% relative increase brings the event rate up to 7.2% This is a small increase. The table in our study shows that day of discharge has a weaker association with outcome than the other factors that we studied.
We believe th...
Competing Interests: None declared. - Significant or meaningful ?Show More
van Walraven and Bell have studied more than 2.4 million patient discharges from hospital. They found that those patients discharged on Fridays were significantly more likely to have an event (hazard ratio 1.04, 95% confidence interval 1.02–1.05).
Maybe I'm overlooking something but a hazard ratio of 1.04 does not look so much important although the huge number of patients makes it significant. The hazard is t...
Competing Interests: None declared. - surgery on Friday??Show More
I was extremely interested in your report on discharges on Fridays.I would be inclined to think that patients are probably rushed through with less attention paid to details for their homecare.Why not order a VON visit on the weekend to counteract this problem? I would also like to know if the same authors of this report might consider studying the effects of major surgery being done on Fridays. I had complications af...
Competing Interests: None declared.
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