周末作用的发病机制和影响因素  

Pathogenesis and Influencing Factors of the Weekend Effect

作　　者：路雅宁[1] 刘富强[1] 林黎明[1] 赵雪霞[1] 

机构地区：[1]包头市第四医院神经内科,内蒙古包头014030

出　　处：《医学综述》2018年第2期352-356,共5页Medical Recapitulate

摘　　要：周末作用(WE)主要是指周末期间住院(AWE)患者较正常工作日住院患者的预后更差。虽然目前WE已在临床广为熟知,但其发病机制仍不清楚。WE是一种比较复杂的现象,不是单一因素所致,所以受其影响的疾病通常病情危重需要及时诊断和治疗。且WE引发AWE患者病死率高的途径多样,可因疾病不同而存在差异。同时,不同疾病相关的WE的作用时间也存在差异。周末期间医疗质量下降及AWE患者病情更严重是WE的最重要病因。因此,阐明其发病机制有助于从诊断及预防方面对WE进行分析并提出控制WE的有效措施。The weekend effect( WE) mainly refers to the worse prognosis of patients admitted on weekend( AWE) than admitted on weekdays. Although the WE has been widely known in clinical,its pathogenesis is still unclear. WE is a relatively complex phenomenon,not caused by a single reason,so the affected disease is usually critical and needs to be diagnosed and treated in time. And WE leads to a high mortality rate in AWE patients,which varies for different diseases. At the same time,the effecting time of WE of different diseases is also different. The most important caused of WE are the decline in medical quality and the illness is more severe in AWE patients. Therefore,the clarification of its pathogenesis will contribute to the analysis of WE and put forward effective measures to control WE from the diagnosis and prevention.

关 键 词：周末 正常工作日 住院时间 病死率 发病机制 

分 类 号：R44[医药卫生—诊断学]