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Is there a "weekend effect" in emergency general surgery?

David Metcalfe1, Manuel Castillo-Angeles2, Arturo J Rios-Diaz3

  • 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.

The Journal of Surgical Research
|December 24, 2017
PubMed
Summary
This summary is machine-generated.

Weekend admission for emergency general surgery patients is linked to worse outcomes, including serious adverse events and in-hospital mortality. This highlights potential disparities in care quality over the weekend.

Keywords:
Acute care surgeryEmergency general surgeryWeekend effect

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Area of Science:

  • Surgery
  • Health Services Research
  • Patient Safety

Background:

  • Weekend hospital admission is associated with increased mortality.
  • Previous studies indicate potential disparities in care for weekend admissions.

Purpose of the Study:

  • To determine if weekend admission independently correlates with serious adverse events (SAEs), in-hospital mortality, or failure to rescue (FTR) in emergency general surgery (EGS).

Main Methods:

  • An observational study utilized the National Inpatient Sample (2012-2013).
  • Included inpatients with primary EGS diagnoses.
  • Multivariable logistic regression adjusted for patient and hospital characteristics.

Main Results:

  • Weekend admission was an independent risk factor for SAEs (aOR 1.08), FTR (aOR 1.05), and in-hospital mortality (aOR 1.14).
  • Overall rates: SAE 15.1%, FTR 5.9%, mortality 1.4% with slight increases on weekends.

Conclusions:

  • Weekend admission appears to be a risk factor for adverse outcomes in EGS patients.
  • Further research with clinical data is warranted to confirm findings and control for case mix differences.