Abstract
Background: The aim of our study was to evaluate outcomes in patients who are admitted on weekend compared with those admitted on a weekday for acute gallstone pancreatitis. Methods: We performed a 3-y (2010-2012) analysis of the Nationwide Inpatient Sample database. Patients with acute gallstone pancreatitis who underwent endoscopic retrograde cholangiopancreatography (ERCP) were included and were divided into two groups: admission on the weekend versus the weekday. Primary outcome measures were time to ERCP, adverse events, and mortality. Secondary outcome measures were hospital length of stay and total cost. Results: A total of 5803 patients with acute gallstone pancreatitis who underwent ERCP were included in our study; of which 22.6% were admitted on the weekend, whereas 77.4% were admitted on a weekday. Mean age was 57 ± 18 y and 57.1% were female. Within 24 h, the rate of ERCP was higher in patients admitted on the weekday compared with those admitted on the weekend (40% versus 24%; P < 0.001). Similarly, by 48 h, the rate of ERCP was higher in the weekday group (69% versus 49%, P < 0.001). Patients admitted over the weekends had higher complications rate (P = 0.03), hospital length of stay (P < 0.001), and the total cost of hospitalization (P < 0.001) compared with the weekday group with no difference in in-hospital mortality. Conclusions: Patients admitted on weekends for acute gallstone pancreatitis experience a delay in getting ERCP and have higher complications, prolonged hospital stay, and increased hospital costs compared with those admitted on weekdays.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 192-198 |
| Number of pages | 7 |
| Journal | Journal of Surgical Research |
| Volume | 233 |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- ERCP
- Gallstone
- Pancreatitis
- Weekday
- Weekend
ASJC Scopus subject areas
- Surgery
Cite this
Day of hospital admission and effect on outcomes : the weekend effect in acute gallstone pancreatitis. / Jehan, Faisal; Khan, Muhammad; Kulvatunyou, Narong; Hamidi, Mohammad; Gries, Lynn; Zeeshan, Muhammad; Okeeffe, Terence S; Joseph, Bellal A.
In: Journal of Surgical Research, Vol. 233, 01.01.2019, p. 192-198.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Day of hospital admission and effect on outcomes
T2 - the weekend effect in acute gallstone pancreatitis
AU - Jehan, Faisal
AU - Khan, Muhammad
AU - Kulvatunyou, Narong
AU - Hamidi, Mohammad
AU - Gries, Lynn
AU - Zeeshan, Muhammad
AU - Okeeffe, Terence S
AU - Joseph, Bellal A
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Background: The aim of our study was to evaluate outcomes in patients who are admitted on weekend compared with those admitted on a weekday for acute gallstone pancreatitis. Methods: We performed a 3-y (2010-2012) analysis of the Nationwide Inpatient Sample database. Patients with acute gallstone pancreatitis who underwent endoscopic retrograde cholangiopancreatography (ERCP) were included and were divided into two groups: admission on the weekend versus the weekday. Primary outcome measures were time to ERCP, adverse events, and mortality. Secondary outcome measures were hospital length of stay and total cost. Results: A total of 5803 patients with acute gallstone pancreatitis who underwent ERCP were included in our study; of which 22.6% were admitted on the weekend, whereas 77.4% were admitted on a weekday. Mean age was 57 ± 18 y and 57.1% were female. Within 24 h, the rate of ERCP was higher in patients admitted on the weekday compared with those admitted on the weekend (40% versus 24%; P < 0.001). Similarly, by 48 h, the rate of ERCP was higher in the weekday group (69% versus 49%, P < 0.001). Patients admitted over the weekends had higher complications rate (P = 0.03), hospital length of stay (P < 0.001), and the total cost of hospitalization (P < 0.001) compared with the weekday group with no difference in in-hospital mortality. Conclusions: Patients admitted on weekends for acute gallstone pancreatitis experience a delay in getting ERCP and have higher complications, prolonged hospital stay, and increased hospital costs compared with those admitted on weekdays.
AB - Background: The aim of our study was to evaluate outcomes in patients who are admitted on weekend compared with those admitted on a weekday for acute gallstone pancreatitis. Methods: We performed a 3-y (2010-2012) analysis of the Nationwide Inpatient Sample database. Patients with acute gallstone pancreatitis who underwent endoscopic retrograde cholangiopancreatography (ERCP) were included and were divided into two groups: admission on the weekend versus the weekday. Primary outcome measures were time to ERCP, adverse events, and mortality. Secondary outcome measures were hospital length of stay and total cost. Results: A total of 5803 patients with acute gallstone pancreatitis who underwent ERCP were included in our study; of which 22.6% were admitted on the weekend, whereas 77.4% were admitted on a weekday. Mean age was 57 ± 18 y and 57.1% were female. Within 24 h, the rate of ERCP was higher in patients admitted on the weekday compared with those admitted on the weekend (40% versus 24%; P < 0.001). Similarly, by 48 h, the rate of ERCP was higher in the weekday group (69% versus 49%, P < 0.001). Patients admitted over the weekends had higher complications rate (P = 0.03), hospital length of stay (P < 0.001), and the total cost of hospitalization (P < 0.001) compared with the weekday group with no difference in in-hospital mortality. Conclusions: Patients admitted on weekends for acute gallstone pancreatitis experience a delay in getting ERCP and have higher complications, prolonged hospital stay, and increased hospital costs compared with those admitted on weekdays.
KW - ERCP
KW - Gallstone
KW - Pancreatitis
KW - Weekday
KW - Weekend
UR - http://www.scopus.com/inward/record.url?scp=85052477120&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052477120&partnerID=8YFLogxK
U2 - 10.1016/j.jss.2018.07.070
DO - 10.1016/j.jss.2018.07.070
M3 - Article
VL - 233
SP - 192
EP - 198
JO - Journal of Surgical Research
JF - Journal of Surgical Research
SN - 0022-4804
ER -