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Correspondence
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Volume 346:1500-1501 May 9, 2002 Number 19
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Mortality among Patients Admitted to Hospitals on Weekends as Compared with Weekdays

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To the Editor: Bell and Redelmeier (Aug. 30 issue)1 have quantified something that clinicians have long suspected: it gets tough in hospitals over the weekend. Their study has enormous implications for hospital staffing and therefore deserves careful scrutiny. The authors suggest that the higher mortality observed on weekends as compared with weekdays is not explained by greater severity of illness in patients presenting on the weekends. However, the Charlson comorbidity index may not be sensitive enough to discern important differences in the severity of disease.

If weekend staffing were the problem, admission at 6 p.m. on Friday would be the . . . [Full Text of this Article]

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