Weekend Effect in Acute Pancreatitis–Related Hospital Admissions in the United States

Sharma, Prabin; Aguilar, Rodrigo; Nader, Mark Abi; Siddiqui, S.; Baniya, Ramkaji; Bhandari, Sanjeeb Sudarshan; Cervantes, Carmen Elena; Corrêa, Ricardo de Amorim; Masoud, Amir

doi:10.1097/mpa.0000000000001008

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…The impact of off-hours admission on the diagnosis, treatment and outcomes of several time-sensitive diseases has been studied in the literature (5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Part of these associations has been attributed to the heterogeneity in case mix between time periods.…”

Section: Introductionmentioning

confidence: 99%

Association of Sepsis Diagnosis at Daytime and on Weekdays with Compliance with the 3-Hour Sepsis Treatment Bundles. A Multicenter Cohort Study

et al. 2020

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Rationale: Compliance with sepsis bundles is associated with better outcomes, but information to support structural actions that might improve compliance is scarce. Few studies have evaluated bundle compliance in different time periods, with conflicting results.Objective: To evaluate the association of sepsis identification during the daytime versus during the nighttime and on weekdays versus on weekends with 3-hour sepsis treatment bundles compliance.Methods: Observational, multicenter study including septic patients admitted between 2010 and 2017 to 10 hospitals in Brazil. Our exposures of interest were Daytime (07:00

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Section: Introductionmentioning

confidence: 99%

Association of Sepsis Diagnosis at Daytime and on Weekdays with Compliance with the 3-Hour Sepsis Treatment Bundles. A Multicenter Cohort Study

et al. 2020

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“…Men in our study sample had 1.5 times higher odds for AP-related hospitalization than females. This may be due to increased comorbidities seen in men like diabetes, hypertension, and coronary artery disease; also, they are more likely to smoke cigarettes and abuse drugs [11]. Whites have a higher association of being hospitalized due to AP, whereas blacks, Hispanics, and other races/ethnicities didn't have any significant relationship.…”

Section: Discussionmentioning

confidence: 99%

Persistent Cannabis Abuse and Risk for Hospitalization for Acute Pancreatitis: A Cross-Sectional Study in United States Hospitals

Bhandari

Gupta

Modi

et al. 2021

Cureus

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“…found that weekend AP admissions were notably linked to ileus and alcohol withdrawal. Patients with these complications were found to be at greater risk for development of acute respiratory distress syndrome, but their risk for in-hospital mortality did not follow the weekend effect theory [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…There is little known at this time, however, on the weekend effect on AP specifically, even though the incidence of the condition has increased during the past 20 years [ 13 , 14 ]. Two recent retrospective studies evaluated the differences in outcome for AP patients admitted during the week versus those admitted on a weekend and found no increased in-hospital mortality between the two groups, suggesting there is no weekend effect when treating AP [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Acute pancreatitis and the weekend effect: does weekend admission affect patient outcome?

Lipiński¹,

Rydzewska²

2020

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Introduction When a patient is admitted to a hospital for acute pancreatitis (AP), the day of the week on which the admission occurs may influence the outcome of care. The link between reduced weekend staffing practices and outcomes for patients hospitalised for AP, however, has been inadequately studied. Aim To evaluate the relationship between weekend admission and AP outcome. Material and methods One hundred and twenty-six patients were prospectively included, assessed according to the revised Atlanta criteria, and observed until discharge or death. Weekend and weekday admissions were compared in terms of severity, aetiology, length of hospital stay, and in-hospital mortality. Results Patients were divided into two groups according to the timing of admission (weekday, n = 99, 78.6%; or weekend, n = 27, 21.4%). AP was considered severe in 33 (26.2%) patients, moderately severe AP in 37 (29.4%) patients, and mild in 56 (44.4%) patients. No significant differences were found with regard to the distribution of AP severity between the two groups. The impact of weekend admission was not significant for aetiology or for the length of hospital stay (median of 9 vs. 10 days). In-hospital mortality rates were not significantly different for weekday and weekend admissions. Conclusions Patients admitted for hospitalisation during a weekend received the same level and quality of care at the facility under study as AP patients admitted during the week. Additionally, the rate of favourable outcomes for patients admitted during the weekend was found to be similar to the outcomes of patients admitted on a weekday.

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Weekend Effect in Acute Pancreatitis–Related Hospital Admissions in the United States

Abstract: Weekend AP admissions develop more severe complications requiring intensive care. Despite this, there was no weekend effect for in-hospital mortality for AP-related admissions.

Cited by 6 publications

References 19 publications

Association of Sepsis Diagnosis at Daytime and on Weekdays with Compliance with the 3-Hour Sepsis Treatment Bundles. A Multicenter Cohort Study

Association of Sepsis Diagnosis at Daytime and on Weekdays with Compliance with the 3-Hour Sepsis Treatment Bundles. A Multicenter Cohort Study

Persistent Cannabis Abuse and Risk for Hospitalization for Acute Pancreatitis: A Cross-Sectional Study in United States Hospitals

Acute pancreatitis and the weekend effect: does weekend admission affect patient outcome?

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