Day of hospital admission and effect on outcomes: the weekend effect in acute gallstone pancreatitis

Faisal Jehan, Muhammad Khan, Narong Kulvatunyou, Mohammad Hamidi, Lynn Gries, Muhammad Zeeshan, Terence S Okeeffe, Bellal A Joseph

Research output: Contribution to journalArticle

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.

LanguageEnglish (US)
Pages192-198
Number of pages7
JournalJournal of Surgical Research
Volume233
DOIs
StatePublished - Jan 1 2019

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Endoscopic Retrograde Cholangiopancreatography
Gallstones
Pancreatitis
Length of Stay
Outcome Assessment (Health Care)
Costs and Cost Analysis
Hospital Costs
Hospital Mortality
Inpatients
Hospitalization
Databases
Mortality

Keywords

  • ERCP
  • Gallstone
  • Pancreatitis
  • Weekday
  • Weekend

ASJC Scopus subject areas

  • Surgery

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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 journalArticle

Jehan, Faisal ; Khan, Muhammad ; Kulvatunyou, Narong ; Hamidi, Mohammad ; Gries, Lynn ; Zeeshan, Muhammad ; Okeeffe, Terence S ; Joseph, Bellal A. / Day of hospital admission and effect on outcomes : the weekend effect in acute gallstone pancreatitis. In: Journal of Surgical Research. 2019 ; Vol. 233. pp. 192-198.
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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.",
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