ArticleAnnals of surgery2015
Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General Surgery Procedures.
Article in Annals of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Weekend Surgical Care and Postoperative Mortality: A Systematic Review and Meta-Analysis of Cohort Studies.Medical care · 2018Pooled it
- Association of weekend admission on immediate postoperative outcomes following non-elective cardiac operations.Surgery open science · 2026Article
- Weekend Hospital Admission and Outcomes Following Emergency Cholecystectomy: A National Analysis of 194,787 Admissions, 2018-2022.Healthcare (Basel, Switzerland) · 2026Article
- Comparative Analysis of Bilateral Open Inguinal Hernia Repair and Rives-Stoppa Repair: A Comprehensive Review.Cureus · 2024Review
- Differences in organization of care are associated with mortality, severe complication and failure to rescue in emergency colon cancer surgery.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Observational
- Article
- Does the "Weekend Effect" Extend to Friday Admissions? An Analysis of Ischemic Stroke Hospitalizations in South Carolina.Frontiers in neurology · 2020Article
- Mortality for emergency laparotomy is not affected by the weekend effect: a multicentre study.Annals of the Royal College of Surgeons of England · 2019Article
- Budget impact analysis of the new reimbursement policy for day surgery in Thailand.Risk management and healthcare policy · 2019Article
- Seeing the forest beyond the trees: Predicting survival in burn patients with machine learning.American journal of surgery · 2018Article
- Understanding the "Weekend Effect" for Emergency General Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Article
- Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General Surgery.JAMA surgery · 2017Article
- Surgeon Characteristics Supersede Hospital Characteristics in Mortality After Urgent Colectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Variable surgical outcomes after hospital consolidation: Implications for local health care delivery.Surgery · 2016Article
- Effect of timing of cannulation on outcome for pediatric extracorporeal life support.Pediatric surgery international · 2016Article
- Early Intervention during Acute Stone Admissions: Revealing "The Weekend Effect" in Urological Practice.The Journal of urology · 2016Article
- Transient postoperative atrial fibrillation after abdominal aortic aneurysm repair increases mortality risk.Journal of vascular surgery · 2016Article
- Article
- The Impact of the "Weekend Effect" on Emergency Exploratory Laparotomy Surgeries Outcomes at an Urban Level 1 Trauma Center.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveWe hypothesized that perioperative hospital resources could overcome the "weekend effect" (WE) in patients undergoing emergent/urgent surgeries. SUMMARY BACKGROUND DATA: The WE is the observation that surgeon-independent patient outcomes are worse on the weekend compared with weekdays. The WE is often explained by differences in staffing and resources resulting in variation in care between the week and weekend.
methodsEmergent/urgent surgeries were identified using the Healthcare Cost and Utilization Project State Inpatient Database (Florida) from 2007 to 2011 and linked to the American Hospital Association (AHA) Annual Survey Database to determine hospital level characteristics. Extended median length of stay (LOS) on the weekend compared with the weekdays (after controlling for hospital, year, and procedure type) was selected as a surrogate for WE.
resultsIncluded were 126,666 patients at 166 hospitals. A total of 17 hospitals overcame the WE during the study period. Logistic regression, controlling for patient characteristics, identified full adoption of electronic medical records (OR 4.74), home health program (OR 2.37), pain management program [odds ratio (OR) 1.48)], increased registered nurse-to-bed ratio (OR 1.44), and inpatient physical rehabilitation (OR 1.03) as resources that were predictors for overcoming the WE. The prevalence of these factors in hospitals exhibiting the WE for all 5 years of the study period were compared with those hospitals that overcame the WE (P < 0.001).
conclusionsSpecific hospital resources can overcome the WE seen in urgent general surgery procedures. Improved hospital perioperative infrastructure represents an important target for overcoming disparities in surgical care.
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