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The systematic review by Ramsden et al1 provides reassuring evidence that in-hospital mortality is not increased over weekends compared with weekdays. The systematic review1 also identifies increased length of stay and greater morbidity for children admitted over the weekends compared with weekdays, and these observations may understandably cause concern for parents, healthcare staff and hospital administrators.
The findings of Ramsden et al’s review1 are replicated in our study of all admissions to hospitals in Scotland in 2000–2013.2 Our study was published too late for inclusion in the Ramsden …
Funding None declared.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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