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.
Il testo completo di questo articolo è disponibile in 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. |
Riassunto |
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.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Hospital mortality, Intestinal perforation, Stomach rupture, Case fatality rate, Holidays
JEL classification : Trauma/Acute Care
Mappa
Vol 224 - N° 1PB
P. 546-551 - luglio 2022 Ritorno al numero
Articolo precedente
- Medicaid expansion is associated with earlier diagnosis of gastric cancer
- Clara Zhu, Georgiana Sandilos, Owen Henry, Richard Sensenig, John Gaughan, Francis Spitz, Umur Atabek, Young Hong
- Qualities of excellent resident and attending teachers recognized by medical students: A qualitative analysis of nominations for surgical clerkship teaching awards
- Casey R. Lamb, Sylvia Guerra, Meredith J. Sorensen
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.
Già abbonato a @@106933@@ rivista ?