Understanding the 'Weekend Effect' for Emergency General Surgery
| Autor: | Shimul A. Shah, Vikrom K. Dhar, Koffi Wima, Derek E. Go, Young Kim, Richard S. Hoehn, Dennis J. Hanseman |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis Weekend effect business.industry medicine.medical_treatment General surgery education Gastroenterology 030208 emergency & critical care medicine Retrospective cohort study 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Laparotomy Emergency medicine Severity of illness medicine Clinical endpoint Surgery Cholecystectomy business human activities Colectomy |
| Zdroj: | Journal of Gastrointestinal Surgery. 22:321-328 |
| ISSN: | 1873-4626 1091-255X |
| DOI: | 10.1007/s11605-017-3592-x |
| Popis: | Several studies have identified a “weekend effect” for surgical outcomes, but definitions vary and the cause is unclear. Our aim was to better characterize the weekend effect for emergency general surgery using mortality as a primary endpoint. Using data from the University HealthSystem Consortium from 2009 to 2013, we identified urgent/emergent hospital admissions for seven procedures representing 80% of the national burden of emergency general surgery. Patient characteristics and surgical outcomes were compared between cases that were performed on weekdays vs weekends. Hospitals varied widely in the proportion of procedures performed on the weekend. Of the procedures examined, four had higher mortality for weekend cases (laparotomy, lysis of adhesions, partial colectomy, and small bowel resection; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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