Elective major surgery on Friday leads to higher mortality as compared with Monday through Wednesday

Zaré, S. Mahmood; Itani, Kamal M.F.; Schifftner, Tracy L.; Henderson, William G.; Khuri, Shukri F.

doi:10.1016/j.jss.2005.11.137

Cited by 2 publications

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“…The only factor that was independently associated with the weekend discharge was unplanned (emergency) admission for the surgical procedure. Despite apparent similarities to prior studies, which found that weekend discharge for patients undergoing major surgery was not related to higher readmission rates or visits to the emergency departments [13][14][15], the current study question was set particularly to examine the weekend effect of hospital discharge. Morbidity and mortality, intensive care unit (ICU) and ED readmissions, and delays in appropriate diagnostic imaging and management are just some of the worse outcomes that can be affected by the weekend impact while patients are being treated over the weekend [15].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Common General Surgery Patients Discharged Over Weekends at a Tertiary Care Hospital in Taif, Saudi Arabia

Alsulaimani¹,

Alzahrani²,

Towairgi³

et al. 2022

Cureus

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Introduction: The admission of patients on weekends in multiple health centers has been associated with poorer outcomes relative to care provided during regular weekday hours. This study aimed to assess and compare the health outcomes of patients discharged on weekends and weekdays after undergoing surgery in a tertiary hospital in Taif, Saudi Arabia.Materials and methods: The data of patients were collected from hospital records in a retrospective manner, and the outcomes were assessed after discharge. Patients discharged on Friday and Saturday were considered weekend discharges, and those discharged on other days were considered weekday discharges. Data related to readmission and emergency department (ED) visits included the primary diagnosis, number of days post-primary discharge, length of stay, chief complaint, and the number of ED visits. A logistic regression model was done to assess the predictive factor for 30-readmission after surgery.Results: The frequency of discharge over the weekend was 9.1%. About 6.5% and 7.3% were found to have 30-day readmission and 30-day ED visits, respectively. A statistically significant association was not observed between weekend discharge and the development of postoperative complications (p>0.05). A multinomial logistic regression showed that patients who had emergency admission, postoperative complications, and the presence of cancer were found to be independently associated with 30-day readmission after discharge (P<0.05). Conclusion:Proactive strategies to reduce costly readmissions after surgery can be designed once the highrisk patient subset is identified.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Common General Surgery Patients Discharged Over Weekends at a Tertiary Care Hospital in Taif, Saudi Arabia

Alsulaimani¹,

Alzahrani²,

Towairgi³

et al. 2022

Cureus

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“…Previous research has shown adverse health outcomes for patients undergoing surgery over the weekend. 1 – 4 Furthermore, several studies showed worse outcomes, including higher mortality rates, for patients admitted over the weekend. 5 – 7 Outcomes related to surgical services over a weekend might reflect system-based deficiencies that may be detrimental to surgical care.…”

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confidence: 99%

Outcomes of common general surgery procedures for patients discharged over weekends at a tertiary care hospital in Saudi Arabia

Albabtain

Alsuhaibani

Almalki

et al. 2018

Annals of Saudi Medicine

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BACKGROUNDHospitals usually reduce staffing levels and services over weekends. This raises the question of whether patients discharged over a weekend may be inadequately prepared and possibly at higher risk of adverse events post-discharge.OBJECTIVESTo assess the outcomes of common general surgery procedures for patients discharged over weekends, and to identify the key predictors of early readmission.DESIGNRetrospective cohort study.SETTINGA tertiary care center.PATIENTS AND METHODSPatients discharged from general surgery services during the one-year period between January and December 2016 after cholecystectomy, appendectomy, or hernia repairs were included. Patient demographic information, comorbidities, and complications as well as admission and follow-up details were collected from electronic medical records.MAIN OUTCOME MEASURESOutcomes following weekend discharge, and the predictors of early readmission.SAMPLE SIZE743 patients.RESULTSThe operations performed: 361 patients (48.6%) underwent a cholecystectomy, 288 (38.8%) an appendectomy, and 94 (12.6%) hernia repairs. A significantly lower number of patients were discharged over the weekend (n=125) compared to those discharged on weekdays (n=618). Patients discharged during the weekend were younger, less likely to have chronic diseases, and had a significantly shorter average length of stay (LOS) (median 2 days, IQR: 1, 4 vs. median 3 days, IQR: 1, 5, P=.002). Overall, the 30-day readmission rate was 3.2% (n=24), and weekend discharge (OR=2.25, 95% CI 0.52–9.70) or any other variable did not predict readmission in 30 days. However, 14-day post-discharge follow-up visits were significantly lower in the weekend discharge subgroup (83.1% vs. 91.2%, P=.006).CONCLUSIONWeekend discharge was not associated with higher readmission rates. Physicians may consider discharging post-operative patients over a weekend without an increased risk to the patient. Day of discharge, length of stay and increased patient age are not predictors of early readmission.LIMITATIONSSingle-center study and retrospective.

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Elective major surgery on Friday leads to higher mortality as compared with Monday through Wednesday

Cited by 2 publications

References 0 publications

Outcomes of Common General Surgery Patients Discharged Over Weekends at a Tertiary Care Hospital in Taif, Saudi Arabia

Outcomes of Common General Surgery Patients Discharged Over Weekends at a Tertiary Care Hospital in Taif, Saudi Arabia

Outcomes of common general surgery procedures for patients discharged over weekends at a tertiary care hospital in Saudi Arabia

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