fevereiro 21, 2008

Pacientes com paragem cardiaca no hospital sobrevivem menos durante a noite e fins de semana

Using national registry data on nearly 87,000 adult cardiac arrests occurring between 2000 and 2007, researchers characterized the events by time-of-day and day-of-week.
When compared with arrests that occurred during the day or evening hours, nighttime events (11 p.m. to 7 a.m.) showed significantly lower rates of survival . Rates on weekends were similar to those on weekday nights.

The authors write that, in searching for causes, "it is reasonable to focus on the potential for decreased physical and psychological performance on the part of the health care worker, different staffing patterns, and less patient surveillance during nights and weekends."
JAMA article

(Free abstract; full text requires subscription)
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