Correlation between surgical mortality for perforated peritonitis and days of the week for operations: A retrospective study using the Japanese National Clinical Database - 20/06/22
Abstract |
Background |
The association between weekend interventions and poor outcomes is termed the “weekend effect.” This retrospective study investigated whether the weekend effect exists in the surgical treatment of acute diffuse peritonitis due to gastrointestinal perforation.
Methods |
Patients (n = 16,209) who underwent operation for acute diffuse peritonitis during 2016–2017 were included and grouped depending on the perforation site. Using 23 variables, we performed hierarchical logistic regression analysis and calculated odds ratios for surgical mortality.
Results |
Surgical mortality rates were 8.8%, 15.0%, and 14.1% for patients with gastroduodenal, small bowel, and large bowel perforations, respectively. Unadjusted odds ratios for surgical mortality differed significantly on Wednesdays only for patients with large bowel perforation (odds ratio: 0.772, 95% confidence interval: 0.613–0.972, P = 0.03). However, there was no significant difference in adjusted odds ratios.
Conclusion |
The quality of emergency surgical treatment is uniform in Japan throughout the week in terms of mortality.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We examined the weekend effect for surgeries related to acute diffuse peritonitis. |
• | We analyzed NCD data for gastroduodenal, small bowel, and large bowel perforations. |
• | Analyses revealed no difference in surgical mortality among days of the week. |
• | Our findings suggest treatment quality is uniform among days of the week in Japan. |
Résumé |
This study investigated whether mortality rates following emergency surgery for acute diffuse peritonitis were associated with the day of the week. There was no significant difference in the adjusted odds ratios among 16,209 patients operated on different days of the week, suggesting that weekend effect is not a universal phenomenon.
Le texte complet de cet article est disponible en PDF.Keywords : Hospital mortality, Intestinal perforation, Stomach rupture, Case fatality rate, Holidays
JEL classification : Trauma/Acute Care
Plan
Vol 224 - N° 1PB
P. 546-551 - juillet 2022 Retour au numéro
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