ArticleAlimentary pharmacology & therapeutics2013
Weekend hospitalisations and post-operative complications following urgent surgery for ulcerative colitis and Crohn's disease.
Article in Alimentary pharmacology & therapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Weekend Surgical Care and Postoperative Mortality: A Systematic Review and Meta-Analysis of Cohort Studies.Medical care · 2018Pooled it
- Article
- A Statistically Significant Reduction in Length of Stay and Hospital Costs with Equivalent Quality of Care Metrics for ERCPs Performed During the Weekend Versus Postponed to Weekdays: A 6-Year Study of 533 ERCPs at Four Teaching Hospitals.Digestive diseases and sciences · 2020Article
- The weekend effect - How can it be mitigated? Introduction of a consultant-delivered emergency general surgical service.Annals of medicine and surgery (2012) · 2020Article
- Outcomes of non-elective coronary artery bypass grafting performed on weekends.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2020Article
- The weekend effect does not influence management of inflammatory bowel disease.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Weekend Surgical Admissions of Pediatric IBD Patients Have a Higher Risk of Complication in Hospitals Across the US.Inflammatory bowel diseases · 2020Article
- In-hospital outcomes of inflammatory bowel disease in cannabis users: a nationwide propensity-matched analysis in the United States.Annals of translational medicine · 2019Article
- Hospital admission on weekends for patients who have surgery and 30-day mortality in Ontario, Canada: A matched cohort study.PLoS medicine · 2019Article
- No weekend effect on outcomes of severe acute pancreatitis in Japan: data from the diagnosis procedure combination database.Journal of gastroenterology · 2016Observational
- Cholecystectomy During the Weekend Increases Patients' Length of Hospital Stay.World journal of surgery · 2016Article
- Weekend vs. Weekday Admissions for Cholangitis Requiring an ERCP: Comparison of Outcomes in a National Cohort.The American journal of gastroenterology · 2016Article
- Article
- Body fat composition assessment using analytic morphomics predicts infectious complications after bowel resection in Crohn's disease.Inflammatory bowel diseases · 2015Article
- Sundays and mortality in patients with AKI.Clinical journal of the American Society of Nephrology : CJASN · 2013Article
- Weekend Admissions Associated with Increased Length of Stay for Children Undergoing Cholecystectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThere is increasing complexity in the management of patients with acute severe exacerbation of inflammatory bowel disease [IBD; Crohn's disease (CD), ulcerative colitis (UC)] with frequent requirement for urgent surgery.
aimTo determine whether a weekend effect exists for IBD care in the United States.
methodsWe used data from the Nationwide Inpatient Sample (NIS) 2007, the largest all-payer hospitalisation database in the United States. Discharges with a diagnosis of CD or UC who underwent urgent intestinal surgery within 2 days of hospitalisation were identified using the appropriate ICD-9 codes. The independent effect of admission on a weekend was examined using multivariate logistic regression adjusting for potential confounders.
resultsOur study included 7,112 urgent intestinal surgeries in IBD patients, 21% of which occurred following weekend admissions. There was no difference in disease severity between weekend and weekday admissions. Post-operative complications were more common following weekend than weekday hospitalisations in UC [odds ratio (OR) 1.71, 95% confidence interval (CI) 1.01-2.90]. The most common post-operative complication was post-operative infections (Weekend 30% vs. weekday 20%, P = 0.04). The most striking difference between weekend and weekday hospitalisations was noted for needing repeat laparotomy (OR 11.5), mechanical wound complications (OR 10.03) and pulmonary complications (OR 2.22). In contrast, occurrence of any post-operative complication in CD was similar between weekday and weekend admissions.
conclusionPatients with UC hospitalised on a weekend undergoing urgent surgery within 2 days have an increased risk for post-operative complications, in particular mechanical wound complications, need for repeat laparotomy and post-operative infections.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.