The weekend effect for hip fracture surgery

Nijland, Leontien M G; Karres, Julian; Simons, Anouk E; Ultee, Jan M.; Kerkhoffs, Gino M. M. J.; Vrouenraets, B. C.

doi:10.1016/j.injury.2017.05.017

Cited by 41 publications

(47 citation statements)

References 35 publications

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“…Previous literature points to an inconsistent association between admission day and time to surgery after hip fracture [16][17][18][19][20][21][22][23]. We classified timing of admission as early weekday, late weekday, and weekend.…”

Section: Comparison With Other Literaturementioning

confidence: 99%

“…For example, some operating rooms may function at reduced capacity on weekends [15,16]. Yet, there is inconsistent evidence for an association between admission day and time to surgery after hip fracture [16][17][18][19][20][21][22][23]. This may be explained by a great chance for patients admitted between midnight and noon or on a weekday to undergo surgery on the day of admission than patients admitted in the afternoon or evening or on a weekend.…”

Section: Introductionmentioning

confidence: 99%

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Time to surgery after hip fracture across Canada by timing of admission

et al. 2017

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Section: Comparison With Other Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Time to surgery after hip fracture across Canada by timing of admission

et al. 2017

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“…To the best of our knowledge, this is the first study to examine how the day of admission to hospital influences overall quality of patient care in hip fracture. Previous studies have examined the association between hip fracture outcomes, such as mortality and length of stay, and the so called 'weekend effect' with varied results [10][11][12]19]. We found significant differences in the quality of care provided to hip fracture patients depending on the day of admission, as evidenced by statistically significant discrepancies in adherence to the nationally agreed quality standards (SSCHFP).…”

Section: Discussionmentioning

confidence: 88%

Does quality of care in hip fracture vary by day of admission?

et al. 2020

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This study investigates if the day of the week a person is admitted with a hip fracture influences the quality of care they receive. We found those admitted Thursday and Friday were likely to obtain poorer postoperative care, indicating a need to optimize services ensuring equality for all. Purpose We sought to investigate how the day of admission affects the quality of care provided to hip fracture patients according to national standards (The Scottish Standards of Care for Hip Fracture Patients [SSCHFP]). Methods Retrospective analysis of national cohort data. Data were collected by the Scottish Hip Fracture Audit (SHFA) local audit co-ordinators (LACs) at participating Scottish hospitals on behalf of NHS Scotland and the Scottish Government. Adherence to the SSCHFP included assessment of both individual and cumulative standard attainment as a marker for quality of patient care. Results

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“…Nijland et al found the time between hospital admission and operating room admission was shorter on weekends for hip surgery patients even when controlling for other factors. 14,15 This was thought to be because of the unavailability of consultants before surgery. 16 The rate of laparoscopic appendectomies has been shown to significantly decrease on weekends despite no variation in appendicitis rates on any given day, a finding which may be attributed to insufficient hospital resources.…”

Section: Discussionmentioning

confidence: 99%