Weekend Effect and Mortality Outcomes in Aortic Dissection: A Prospective Analysis
Article Category: Research Article
Pubblicato online: 30 apr 2024
Pagine: 158 - 167
Ricevuto: 22 nov 2023
Accettato: 18 mar 2024
DOI: https://doi.org/10.2478/jccm-2024-0014
Parole chiave
© 2024 Cosmin Marian Banceu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
Aortic dissection (AD) is a critical heart condition with potentially severe outcomes. Our study aimed to investigate the existence of a “weekend effect” in AD by examining the correlation between patient outcomes and whether their treatment occurred on weekdays versus weekends.
Methods
Specifically, we prospectively analysed the effect of weekday and weekend treatment on acute AD patient outcomes, both before surgical intervention and during hospitalization, for 124 patients treated from 2019–2021, as well as during 6 months of follow-up.
Results
The mean age of the study population was 62.5 years, and patient age exhibited a high degree of variability. We recorded a mortality rate before surgery of 8.65% for the weekend group and 15% for the weekday group, but this difference was not statistically significant. During hospitalization, mortality was 50% in the weekend group and 25% in the weekday group, but this difference was not statistically significant. Discharge mortality was 9.61% in the weekend group and 5% in the weekday group.
Conclusions
Our findings suggest that there was no significant difference in mortality rates between patients admitted to the hospital on weekends versus weekdays. Therefore, the period of the week when a patient presents to the hospital with AD appears not to affect their mortality.