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Sökning: WFRF:(Olsson Emma) > (2015-2019) > Is there a weekend ...

  • Ahlsson, AndersKarolinska Institute (författare)

Is there a weekend effect in surgery for type A dissection? - Results from the NORCAAD database

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2019

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:3afe9eb2-2f8a-4360-a52f-35b09c748ff3
  • https://lup.lub.lu.se/record/3afe9eb2-2f8a-4360-a52f-35b09c748ff3URI
  • https://doi.org/10.1016/j.athoracsur.2019.03.005DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • BACKGROUND: Aortic dissection type A requires immediate surgery. In general surgery populations, patients operated during weekends have higher mortality rates compared to patients operated on weekdays. The weekend effect in aortic dissection type A has not been studied in detail.METHODS: The Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD) registry includes patients (N=1,159) who underwent type A dissection surgery at eight Nordic centers during 2005-2014. This study is based on data relating to surgery conducted during weekdays vs. weekends, and starting between 8 am and 8 pm ("daytime") vs. from 8 pm to 8 am ("nighttime"), as well as time from symptoms/admittance/diagnosis to surgery. The influence of timing of surgery on 30-day mortality was assessed using logistic regression analysis.RESULTS: The 30-day mortality was 18% (204/1,159), with no difference in mortality between surgery performed on weekdays (17%, 150/889) and on weekends (20%, 54/270, p=0.45), or during nighttime (19%, 87/467) vs. daytime (17%, 117/680, p=0.54). Time from symptoms to surgery (median 7.0 hours vs. 6.5 hours, p=0.31) did not differ between patients who survived and those dead at 30 days. Multivariable regression analysis of risk factors for 30-day mortality showed no weekend effect (OR 1.04 [0.67-1.60], p=0.875), but nighttime surgery was a risk factor (OR 2.43 [1.29-4.56], p=0.006).CONCLUSIONS: Thirty-day mortality in surgical repair of aortic dissection type A was not significantly affected by timing of surgery during weekends vs. weekdays. Nighttime surgery seems to predict increased 30-day mortality, after correction for other risk factors.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Wickbom, AndersÖrebro University Hospital (författare)
  • Geirsson, ArnarUniversity of Iceland,National University Hospital of Iceland (författare)
  • Franco-Cereceda, AndersKarolinska University Hospital (författare)
  • Ahmad, KhalilAarhus University Hospital Skejby (författare)
  • Gunn, JarmoTurku University Hospital (författare)
  • Hansson, Emma CUniversity of Gothenburg,Sahlgrenska University Hospital (författare)
  • Hjortdal, VibekeAarhus University Hospital Skejby (författare)
  • Jarvela, KatiTampere University Hospital (författare)
  • Jeppsson, AndersSahlgrenska University Hospital (författare)
  • Mennander, AriTampere University Hospital (författare)
  • Nozohoor, ShahabLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital(Swepub:lu)med-snh (författare)
  • Pan, EmilyUniversity of Turku,Turku University Hospital (författare)
  • Zindovic, IgorLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital(Swepub:lu)med-izn (författare)
  • Gudbjartsson, TomasNational University Hospital of Iceland,University of Iceland (författare)
  • Olsson, ChristianKarolinska University Hospital (författare)
  • Karolinska InstituteÖrebro University Hospital (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Annals of Thoracic Surgery: Elsevier BV108:3, s. 770-7761552-62590003-4975

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