Table 2

Variation in specialist respiratory care by time and day of admission

Day of week of admissionDiffer­ence by day of week
p Value
Monday–Friday 09:00–17:00Monday–Thursday
00:00–08:59
17:01–23:59
Friday 17:01–23:59
Saturday 00:00–23:59
Sunday 00:00–23:59
Difference by time of day
p Value
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Admitted under a respiratory consultant16%
384/2343
18%
382/2073
17%
314/1868
17%
299/1811
17%
292/1721
19%
327/1720
19%
359/1878
0.0816%
698/4385
18%
872/4849
19%
787/4180
0.001
Seen by a respiratory consultant55%
1253/2265
58%
1178/2027
57%
1024/1806
58%
1021/1768
58%
964/1675
58%
959/1666
58%
1054/1823
0.5757%
2444/4258
57%
2678/4720
58%
2331/4052
0.72
Median (IQR) hours*22 (13–47)22 (12–45)23 (13–44)22 (12–86)30 (12–71)27 (12–51)19 (10–40)<0.00123 (17–66)18 (11–48)22 (12–50)<0.001
If seen, was seen ≤24 hours57%
544/959
54%
489/901
53%
418/784
58%
442/766
47%
351/752
47%
353/746
59%
484/822
<0.00155%
1025/1861
53%
1094/2054
53%
962/1815
0.38
Seen by a respiratory nurse/member of the COPD/respiratory team65%
1457/2228
65%
1283/1983
64%
1140/1786
62%
1067/1711
55%
896/1623
54%
884/1625
65%
1156/1784
<0.00162%
2591/4157
64%
2976/4629
59%
2316/3954
<0.001
Median (IQR) hours*23 (16–46)23 (14–45)22 (14–45)22 (15–89)66 (16–87)49 (39–72)26 (17–50)<0.00125 (20–68)18 (12–45)42 (21–66)<0.001
If seen, was seen ≤24 hours52%
594/1138
53%
540/1019
56%
514/912
57%
493/870
33%
227/687
16%
112/690
45%
422/944
<0.00147%
957/2041
57%
1361/2384
32%
584/1835
<0.001
Seen by a respiratory consultant OR a respiratory nurse/member of the COPD/respiratory team81%
1841/2286
81%
1641/2026
80%
1464/1821
80%
1410/1771
76%
1277/1676
77%
1273/1661
81%
1481/1834
<0.00179%
3385/4273
81%
3835/4740
78%
3167/4062
0.003
Median (IQR) hours*20 (13–40)19 (11–38)20 (12–36)19 (12–33)27 (11–71)39 (15–54)21 (13–38)<0.00123 (18–47)16 (11–37)25 (14–50)<0.001
If seen, was seen ≤24 hours62%
971/1572
62%
877/1412
63%
788/1247
66%
794/1210
47%
505/1075
39%
420/1084
58%
740/1284
<0.00159%
1690/2869
63%
2093/3308
48%
1312/2707
<0.001
Decision on ceiling of care within 24 hours—respiratory consultant involved29%
187/647
29%
168/578
31%
162/516
30%
159/526
32%
150/475
30%
147/498
32%
161/501
0.8630%
369/1222
30%
412/1367
31%
353/1152
0.96
Smoking cessation advice given to current smokers59%
462/780
57%
393/695
57%
364/634
60%
375/623
53%
313/596
55%
307/558
62%
396/642
0.0256%
799/1431
59%
1008/1698
57%
803/1399
0.14
Under care of respiratory consultant at discharge/death50%
1169/2343
53%
1103/2073
51%
951/1868
52%
947/1811
51%
880/1721
50%
853/1720
50%
936/1878
0.1952%
2259/4385
52%
2502/4849
50%
2078/4180
0.14
NIV patient seen by respiratory team†95%
261/276
95%
229/241
93%
177/191
93%
219/235
90%
163/182
89%
190/214
93%
235/253
0.1094%
466/494
93%
540/582
91%
468/516
0.09
Patient managed at some time on a respiratory ward and/or medical/respiratory HDU43%
1001/2343
45%
924/2073
45%
838/1868
47%
853/1811
46%
793/1721
42%
729/1720
42%
789/1878
0.00945%
1969/4385
45%
2180/4849
43%
1778/4180
0.04
Suitable for pulmonary rehabilitation programme at discharge41%
910/2241
41%
815/1995
41%
740/1790
40%
690/1747
36%
593/1643
37%
611/1634
44%
778/1788
<0.00139%
1646/4192
41%
1919/4670
40%
1572/3976
0.16
Suitable and accepted for pulmonary rehabilitation programme at discharge15%
337/2241
15%
294/1995
15%
264/1790
15%
258/1747
13%
215/1643
15%
240/1634
15%
273/1788
0.6715%
647/4192
14%
654/4670
15%
580/3976
0.16
Discharged to an early/supported discharge scheme (EDS)42%
950/2241
42%
840/1995
42%
744/1790
41%
724/1747
35%
582/1643
37%
606/1634
41%
733/1788
<0.00140%
1676/4192
42%
1970/4670
39%
1533/3976
0.002
  • *p Values from Kruskal-Wallis test; otherwise χ2 test.

  • †Respiratory consultant or a respiratory nurse/member of the COPD/respiratory team.

  • COPD, chronic obstructive pulmonary disease; HDU, high dependency unit; NIV, non-invasive ventilation.