The rule will require employers to notify OSHA of work-related fatalities within eight hours and work-related in-patient hospitalizations, amputations, or an employee

Higher Mortality Rate for Heart Attack Patients Reaching Hospitals in Off-Hours

Mayo Clinic researchers performed a meta-analysis of 36 studies involving 1.9 million patients with acute myocardial infarction. They found differences in mortality between those arriving at the hospital in off-hours and regular hours have increased in recent years.

Heart attack patients who arrive at a hospital at night or during a weekend have a higher mortality rate, and their emergency treatment takes longer, than for those arriving during regular hours, a study published by BMJ concludes. The study was produced by researchers and physicians at the Mayo Clinic in Rochester, Minn.

Their meta-analysis involved a total of 48 studies enrolling nearly 2 million patients, including 36 studies involving 1.9 million patients with acute myocardial infarction. Off-hours arrival for the patients with acute myocardial infarction was found to be associated with higher short-term mortality; their analysis indicated this difference is larger in countries outside North America, and the differences in mortality between those arriving at the hospital in off-hours and regular hours have increased in recent years.

About a million U.S. residents experience an acute myocardial infarction per year, and globally it is a leading cause of death, according to their paper, "Off-hour presentation and outcomes in patients with acute myocardial infarction: systematic review and meta-analysis," which said higher off-hours mortality may be caused by a lower likelihood of receiving evidence-based treatment and timely reperfusion therapies and also by the number of hospital staffers and their expertise who are present during off-hours.

BMJ (formerly the British Medical Journal) is an international peer-reviewed medical journal and an "online first" publication.

Download Center

  • Safety Metrics Guide

    Is your company leveraging its safety data and analytics to maintain a safe workplace? With so much data available, where do you start? This downloadable guide will give you insight on helpful key performance indicators (KPIs) you should track for your safety program.

  • Job Hazard Analysis Guide

    This guide includes details on how to conduct a thorough Job Hazard Analysis, and it's based directly on an OSHA publication for conducting JHAs. Learn how to identify potential hazards associated with each task of a job and set controls to mitigate hazard risks.

  • A Guide to Practicing “New Safety”

    Learn from safety professionals from around the world as they share their perspectives on various “new views” of safety, including Safety Differently, Safety-II, No Safety, Human and Organizational Performance (HOP), Resilience Engineering, and more in this helpful guide.

  • Lone Worker Safety Guide

    As organizations digitalize and remote operations become more commonplace, the number of lone workers is on the rise. These employees are at increased risk for unaddressed workplace accidents or emergencies. This guide was created to help employers better understand common lone worker risks and solutions for lone worker risk mitigation and incident prevention.

  • EHS Software Buyer's Guide

    Learn the keys to staying organized, staying sharp, and staying one step ahead on all things safety. This buyer’s guide is designed for you to use in your search for the safety management solution that best suits your company’s needs.

  • Vector Solutions

OH&S Digital Edition

  • OHS Magazine Digital Edition - June 2022

    June 2022

    Featuring:

    • SAFETY CULTURE
      Corporate Safety Culture Is Workplace Culture
    • HEAT STRESS
      Keeping Workers Safe from Heat-Related Illnesses & Injuries
    • EMPLOYEE HEALTH SCREENING
      Should Employers Consider Oral Fluid Drug Testing?
    • PPE FOR WOMEN
      Addressing Physical Differences
    View This Issue