The "weekend effect" in pediatric surgery - Increased mortality for children undergoing urgent surgery during the weekend

Journal of Pediatric Surgery

Volumn 49, Issue 7, 2014, Pages 1087-1091

  Goldstein, Seth D ^a   Papandria, Dominic J ^a   Aboagye, Jonathan ^a   Salazar, Jose H ^a   Van Arendonk, Kyle ^a   Al Omar, Khaled ^a   Ortega, Gezzer ^a   Sacco Casamassima, Maria Grazia ^a   Abdullah, Fizan ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Kids' Inpatient Database; National Inpatient Sample; Patient safety; Pediatric surgery; Surgical outcomes; Weekend effect

Indexed keywords

ABSCESS; ADOLESCENT; APPENDECTOMY; ARTICLE; BLEEDING; BLOOD TRANSFUSION; CHILD; CHILDHOOD MORTALITY; EMERGENCY SURGERY; FEMALE; HOSPITAL ADMISSION; HUMAN; ICD-9; INFANT; INGUINAL HERNIA; LACERATION; MAJOR CLINICAL STUDY; MALE; NEWBORN; OPEN FRACTURE; PATIENT SAFETY; PEDIATRIC SURGERY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; WOUND DEHISCENCE; WOUND INFECTION; EMERGENCY TREATMENT; LENGTH OF STAY; MORTALITY; OPERATIVE BLOOD LOSS; OUTCOME ASSESSMENT; PEDIATRICS; PRESCHOOL CHILD; RETROSPECTIVE STUDY; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; SURGERY; TIME; UTILIZATION;

ADOLESCENT; BLOOD LOSS, SURGICAL; BLOOD TRANSFUSION; CHILD; CHILD, PRESCHOOL; EMERGENCY TREATMENT; FEMALE; HOSPITAL MORTALITY; HUMANS; INFANT; INFANT, NEWBORN; LENGTH OF STAY; LOGISTIC MODELS; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PEDIATRICS; RETROSPECTIVE STUDIES; SURGICAL PROCEDURES, OPERATIVE; TIME FACTORS;

EID: 84902983633     PISSN: 00223468     EISSN: 15315037     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2014.01.001     Document Type: Article

References (24)

1. C.M. Bell, and D.A. Redelmeier Mortality among patients admitted to hospitals on weekends as compared with weekdays N. Engl. J. Med. 345 2001 663 668
2. O. Mikulich, E. Callaly, and K. Bennett et al. The increased mortality associated with a weekend emergency admission is due to increased illness severity and altered case-mix Acute Med 10 2011 182 187
3. N. Freemantle, M. Richardson, and J. Wood et al. Weekend hospitalization and additional risk of death: an analysis of inpatient data J R Soc Med 105 2012 74 84
4. D. Buckley, and D. Bulger Trends and weekly and seasonal cycles in the rate of errors in the clinical management of hospitalized patients Chronobiol Int 29 7 2012 Aug 947 954
5. P. Cram, S.L. Hillis, and M. Barnett et al. Effects of weekend admission and hospital teaching status on in-hospital mortality Am J Med 117 2004 151 157 (Pubitemid 39055865)
6. M. Worni, I.M. Schudel, and T. Ostbye et al. Worse outcomes in patients undergoing urgent surgery for left-sided diverticulitis admitted on weekends vs weekdays: a population-based study of 31 832 patients Arch Surg 147 2012 649 655
7. Y. Tung, G. Chang, and Y. Chen Associations of physician volume and weekend admissions with ischemic stroke outcome in Taiwan: a nationwide population-based study Med Care 47 2009 1018 1025
8. G. Chang, and Y. Tung Factors associated with pneumonia outcomes: a nationwide population-based study over the 1997-2008 period J Gen Intern Med 27 2012 527 533
9. E.B. Schneider, S.A. Hirani, and H.L. Hambridge et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends J Surg Res 177 2012 295 300
10. M.J. Barnett, P.J. Kaboli, and C.A. Sirio et al. Day of the week of intensive care admission and patient outcomes: a multisite regional evaluation Med Care 40 2002 530 539
11. D. Bhonagiri, D.V. Pilcher, and M.J. Bailey Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis Med J Aust 194 2011 287 292
12. K.B. Laupland, R. Shahpori, and A.W. Kirkpatrick et al. Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings J Crit Care 23 2008 317 324
13. W. Fendler, A. Baranowska-Jazwiecka, and A. Hogendorf et al. Weekend matters: Friday and Saturday admissions are associated with prolonged hospitalization of children Clin Pediatr (Phila) 52 9 2013 Sep 875 878
14. H.M. Salihu, B. Ibrahimou, and E.M. August et al. Risk of infant mortality with weekend versus weekday births: a population-based study J Obstet Gynaecol Res 38 7 2012 Jul 973 979
15. Y. Arias, D.S. Taylor, and J.P. Marcin Association between evening admissions and higher mortality rates in the pediatric intensive care unit Pediatrics 113 2004 e530 e534
16. E.D. Hixson, S. Davis, and S. Morris et al. Do weekends or evenings matter in a pediatric intensive care unit? Pediatr Crit Care Med 6 2005 523 530 619-621
17. D. Papandria, S.D. Goldstein, and D. Rhee et al. Risk of perforation increases with delay in recognition and surgery for acute appendicitis J Surg Res 184 2 2013 Oct 723 729
18. Y. Kluger, O. Ben-Ishay, and M. Sartelli et al. World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS) World J. Emerg Surg 8 2013
19. A.M. Ingraham, M.E. Cohen, and K.Y. Bilimoria et al. Effect of delay to operation on outcomes in adults with acute appendicitis Arch Surg 145 2010 886 892
20. K.S. Gurusamy, K. Samraj, and B.R. Davidson Early versus delayed laparoscopic cholecystectomy for biliary colic Cochrane Database Syst Rev 8 4 2008 Oct CD007196
21. S. Kim, K. Hong, and S. Hwang et al. Weekend admission in patients with acute ischemic stroke is not associated with poor functional outcome than weekday admission J. Clin Neurol (Korea) 8 2012 265 270
22. M. Worni, T. Ostbye, and M. Gandhi et al. Laparoscopic appendectomy outcomes on the weekend and during the week are no different: a national study of 151,774 patients World J Surg 36 7 2012 Jul 1527 1533
23. B.G. Carr, P.M. Reilly, and C.W. Schwab et al. Weekend and night outcomes in a statewide trauma system Arch Surg 146 2011 810 817
24. Rhee et al. Comparison of pediatric surgical outcomes by the surgeon's degree of specialization in children J Pediatr Surg 48 8 2013 1657 1663