Weekend effect in emergency laparotomy: a propensity score‐matched analysis-Reference-Cited by-同舟云学术

Weekend effect in emergency laparotomy: a propensity score‐matched analysis

Published:2023-07 Issue:7-8 Volume:93 Page:1806-1810
ISSN:1445-1433
Container-title:ANZ Journal of Surgery
language:en
Short-container-title:ANZ Journal of Surgery

Author:

Sylivris Amy¹^ORCID,Ramson Dhruvesh M.¹²³^ORCID,Penny‐Dimri Jahan C.¹,Liu Zhengyang⁴^ORCID,Perry Luke A.¹,Au Jessica¹^ORCID,Yang Zoe¹,Park Brittany²,Pitesa Renato²,Singh Surya²,Smith Julian A¹^ORCID,Taneja Ashish⁵,Eglinton Tim³,Welsh Fraser⁶,Koea Jonathan⁷^ORCID,MacCormick Andrew D.²,Barazanchi Ahmed²^ORCID,Hill Andrew G.²^ORCID

Affiliation:

1. Department of Surgery Monash University Melbourne Victoria Australia

2. Department of Surgery, Middlemore Hospital University of Auckland Auckland New Zealand

3. Department of Surgery University of Otago Christchurch New Zealand

4. Department of Surgery The University of Melbourne Melbourne Victoria Australia

5. Department of Surgery Auckland City Hospital Auckland New Zealand

6. Department of General Surgery Waikato Hospital Hamilton New Zealand

7. Department of Surgery North Shore Hospital Auckland New Zealand

Abstract

AbstractBackgroundThe ‘weekend effect’ is the term given to the observed discrepancy regarding patient care and outcomes on weekends compared to weekdays. This study aimed to determine whether the weekend effect exists within Aotearoa New Zealand (AoNZ) for patients undergoing emergency laparotomy (EL), given recent advances in management of EL patients.MethodsA cohort study was conducted across five hospitals, comparing the outcomes of weekend and weekday acute EL. A propensity‐score matched analysis was used to remove potential confounding patient characteristics.ResultsOf the 487 patients included, 132 received EL over the weekend. There was no statistically significant difference between patients undergoing EL over the weekend compared to weekdays. Mortality rates were comparable between the weekday and weekend cohorts (P = 0.464).ConclusionsThese results suggest that modern perioperative care practice in New Zealand obviates the ‘weekend’ effect.

Publisher

Wiley

Subject

General Medicine,Surgery

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/ans.18595

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