Volume 388, Issue 10040, Pages (July 2016)

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Volume 388, Issue 10040, Pages 178-186 (July 2016) Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study Cassie Aldridge, PhD, Prof Julian Bion, MD, Amunpreet Boyal, MSc, Yen-Fu Chen, PhD, Mike Clancy, MSc, Prof Tim Evans, FMedSci, Alan Girling, MA, Joanne Lord, PhD, Prof Russell Mannion, PhD, Peter Rees, MA, Chris Roseveare, BM, Gavin Rudge, MSc, Jianxia Sun, MSc, Carolyn Tarrant, PhD, Mark Temple, MD, Sam Watson, PhD, Prof Richard Lilford, DSc The Lancet Volume 388, Issue 10040, Pages 178-186 (July 2016) DOI: 10.1016/S0140-6736(16)30442-1 Copyright © 2016 Aldridge et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 1 Specialist hours, specialist intensity, and emergency admissions The figure shows the estimated total hours for specialists attending emergency admissions on Wednesday, June 18, 2014 (A), and Sunday, June 15, 2014 (C), against the mean number of emergency admissions for Wednesdays or Sundays in 2013–14, for the 115 trusts responding to the point prevalence survey; and the specialist intensity measure (hours per ten emergency admissions) against the mean number of admissions for Wednesdays or Sundays (B, D). Pearson correlations (r) and p values are shown. The Lancet 2016 388, 178-186DOI: (10.1016/S0140-6736(16)30442-1) Copyright © 2016 Aldridge et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 2 Specialist intensity by trust For each trust, the bars represent specialist hours per ten emergency admissions from the point prevalence survey for Wednesday, June 18, 2014, and Sunday, June 15, 2014. Trusts are shown in decreasing order of the plotted intensity ratios, defined as the relative sizes of the bars. The Lancet 2016 388, 178-186DOI: (10.1016/S0140-6736(16)30442-1) Copyright © 2016 Aldridge et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 3 Trust-specific weekend mortality Mortality odds ratios (in increasing order) for weekend to weekday admissions for the 115 trusts contributing to the point prevalence survey. Bars show 95% CIs from logistic regression analysis. The Lancet 2016 388, 178-186DOI: (10.1016/S0140-6736(16)30442-1) Copyright © 2016 Aldridge et al. Open Access article distributed under the terms of CC BY Terms and Conditions

Figure 4 Weekend mortality effects and specialist intensity ratios Mortality odds ratios for weekend to weekday admissions, and specialist intensity ratios for the 115 trusts contributing to the point prevalence survey. Pearson correlations (r) and p values are shown. The Lancet 2016 388, 178-186DOI: (10.1016/S0140-6736(16)30442-1) Copyright © 2016 Aldridge et al. Open Access article distributed under the terms of CC BY Terms and Conditions