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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Apr 11, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
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The "weekend effect" in urgent general operative procedures.

Matthew A C Zapf1, Anai N Kothari1, Talar Markossian2

  • 1Department of Surgery, Loyola University Medical Center, Maywood, IL; 1:MAP Analytics Research Group, Maywood, IL.

Surgery
|May 28, 2015
PubMed
Summary

Weekend surgery for common urgent operations is linked to higher risks of complications, longer hospital stays, and increased charges. Further research is needed to understand and address this "weekend effect" in patient care.

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Last Updated: Apr 11, 2026

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Area of Science:

  • Healthcare Quality
  • Surgical Outcomes
  • Health Services Research

Background:

  • Growing concerns exist regarding potential disparities in inpatient care quality between weekdays and weekends.
  • The
  • weekend effect
  • in healthcare is a subject of increasing scrutiny.

Purpose of the Study:

  • To assess the impact of weekend admissions on patient outcomes for common urgent general surgical procedures.
  • To identify specific complications and cost differences associated with weekend surgeries.

Main Methods:

  • Utilized the Healthcare Cost and Utilization Project Florida State Inpatient Database (2007-2010).
  • Included patients undergoing same-day urgent/emergent surgery for appendectomy, cholecystectomy, or hernia repair.
  • Employed multilevel mixed-effects regression modeling to analyze outcomes (length of stay, mortality, charges, complications) based on admission day (weekend vs. weekday), controlling for patient and hospital factors.

Main Results:

  • A total of 80,861 same-day surgeries were analyzed; 23.6% occurred on weekends.
  • Weekend surgeries were associated with higher hospital charges ($185 greater) and increased rates of wound complications and urinary tract infections.
  • Specific procedures like appendectomy and cholecystectomy showed increased risks for transfusion, pneumonia, longer stays, and higher charges when performed on weekends.

Conclusions:

  • Patients undergoing urgent general surgery on weekends face elevated risks of postoperative complications, extended hospital stays, and greater hospital charges.
  • The underlying causes of the
  • weekend effect
  • remain unclear and warrant further investigation to identify strategies for mitigating these disparities.