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Is there a weekend ...
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Ahlsson, AndersKarolinska Institute
(författare)
Is there a weekend effect in surgery for type A dissection? - Results from the NORCAAD database
- Artikel/kapitelEngelska2019
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Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:3afe9eb2-2f8a-4360-a52f-35b09c748ff3
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https://lup.lub.lu.se/record/3afe9eb2-2f8a-4360-a52f-35b09c748ff3URI
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https://doi.org/10.1016/j.athoracsur.2019.03.005DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
Anmärkningar
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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 ...)
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Wickbom, AndersÖrebro University Hospital
(författare)
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Geirsson, ArnarUniversity of Iceland,National University Hospital of Iceland
(författare)
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Franco-Cereceda, AndersKarolinska University Hospital
(författare)
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Ahmad, KhalilAarhus University Hospital Skejby
(författare)
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Gunn, JarmoTurku University Hospital
(författare)
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Hansson, Emma CUniversity of Gothenburg,Sahlgrenska University Hospital
(författare)
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Hjortdal, VibekeAarhus University Hospital Skejby
(författare)
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Jarvela, KatiTampere University Hospital
(författare)
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Jeppsson, AndersSahlgrenska University Hospital
(författare)
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Mennander, AriTampere University Hospital
(författare)
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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)
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Pan, EmilyUniversity of Turku,Turku University Hospital
(författare)
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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)
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Gudbjartsson, TomasNational University Hospital of Iceland,University of Iceland
(författare)
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Olsson, ChristianKarolinska University Hospital
(författare)
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Karolinska InstituteÖrebro University Hospital
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Annals of Thoracic Surgery: Elsevier BV108:3, s. 770-7761552-62590003-4975
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Ahlsson, Anders
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Wickbom, Anders
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Geirsson, Arnar
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Franco-Cereceda, ...
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Ahmad, Khalil
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Gunn, Jarmo
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visa fler...
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Hansson, Emma C
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Hjortdal, Vibeke
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Jarvela, Kati
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Jeppsson, Anders
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Mennander, Ari
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Nozohoor, Shahab
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Pan, Emily
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Zindovic, Igor
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Gudbjartsson, To ...
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Olsson, Christia ...
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