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Is there a weekend effect in surgery for type A dissection? - Results from the NORCAAD database
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- Ahlsson, Anders (author)
- Karolinska Institute
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- Wickbom, Anders (author)
- Örebro University Hospital
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- Geirsson, Arnar (author)
- University of Iceland,National University Hospital of Iceland
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- Franco-Cereceda, Anders (author)
- Karolinska University Hospital
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- Ahmad, Khalil (author)
- Aarhus University Hospital Skejby
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- Gunn, Jarmo (author)
- Turku University Hospital
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- Hansson, Emma C (author)
- University of Gothenburg,Sahlgrenska University Hospital
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- Hjortdal, Vibeke (author)
- Aarhus University Hospital Skejby
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- Jarvela, Kati (author)
- Tampere University Hospital
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- Jeppsson, Anders (author)
- Sahlgrenska University Hospital
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- Mennander, Ari (author)
- Tampere University Hospital
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- Nozohoor, Shahab (author)
- Lund 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
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- Pan, Emily (author)
- University of Turku,Turku University Hospital
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- Zindovic, Igor (author)
- Lund 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
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- Gudbjartsson, Tomas (author)
- National University Hospital of Iceland,University of Iceland
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- Olsson, Christian (author)
- Karolinska University Hospital
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- English.
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In: Annals of Thoracic Surgery. - : Elsevier BV. - 1552-6259 .- 0003-4975. ; 108:3, s. 770-776
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http://dx.doi.org/10...
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http://www.annalstho...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Publication and Content Type
- art (subject category)
- ref (subject category)
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To the university's database
- By the author/editor
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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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show more...
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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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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Annals of Thorac ...
- By the university
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Lund University