Weekend Effect and Mortality Outcomes in Aortic Dissection: A Prospective Analysis.

Autor: Banceu CM; Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Harpa M; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Brinzaniuc K; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Neagu N; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Szabo DA; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Banceu DM; Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, Romania; Targu Mures Institute for Cardiovascular Diseases and Heart Transplantation, Targu Mures, Romania., Al Hussein H; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Cristutiu D; Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, Romania; Targu Mures Institute for Cardiovascular Diseases and Heart Transplantation, Targu Mures, Romania., Puscas A; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Stan A; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania., Oprean M; Amherst College, Amherst, Massachusetts, USA., Popentiu A; Faculty of Medicine, Lucian Blaga University of Sibiu, Sibiu, Romania., Halic MN; Swiss Federal Institute of Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland; Institute of Environmental Engineering, ETH Zurich, Switzerland; Swiss Federal Institute for Environmental Science and Technology - Eawag, Switzerland., Suciu H; George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania.
Jazyk: angličtina
Zdroj: Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) [J Crit Care Med (Targu Mures)] 2024 Apr 30; Vol. 10 (2), pp. 158-167. Date of Electronic Publication: 2024 Apr 30 (Print Publication: 2024).
DOI: 10.2478/jccm-2024-0014
Abstrakt: Background: Aortic dissection (AD) is a critical heart condition with potentially severe outcomes. Our study aimed to investigate the existence of a "weekend effect" in AD by examining the correlation between patient outcomes and whether their treatment occurred on weekdays versus weekends.
Methods: Specifically, we prospectively analysed the effect of weekday and weekend treatment on acute AD patient outcomes, both before surgical intervention and during hospitalization, for 124 patients treated from 2019-2021, as well as during 6 months of follow-up.
Results: The mean age of the study population was 62.5 years, and patient age exhibited a high degree of variability. We recorded a mortality rate before surgery of 8.65% for the weekend group and 15% for the weekday group, but this difference was not statistically significant. During hospitalization, mortality was 50% in the weekend group and 25% in the weekday group, but this difference was not statistically significant. Discharge mortality was 9.61% in the weekend group and 5% in the weekday group.
Conclusions: Our findings suggest that there was no significant difference in mortality rates between patients admitted to the hospital on weekends versus weekdays. Therefore, the period of the week when a patient presents to the hospital with AD appears not to affect their mortality.
Competing Interests: Conflicts of interest None to declare
(© 2024 Cosmin Marian Banceu et al., published by Sciendo.)
Databáze: MEDLINE