Effect of day of the week on short‐ and long‐term mortality after emergency general surgery. BJS 2017; 104: 936-945.
Published: 21st March 2017
Authors: M. A. Gillies, N. I. Lone, R. M. Pearse, C. Haddow, L. Smyth, R. W. Parks et al.
The effect of day of the week on outcome after surgery is the subject of debate. The aim was to determine whether day of the week of emergency general surgery alters short‐ and long‐term mortality.
This was an observational study of all patients undergoing emergency general surgery in Scotland between 1 January 2005 and 31 December 2007, followed to 2012. Multilevel logistic and Cox proportional hazards regression were used to assess the effect of day of the week of surgery on outcome after adjustment for case mix and risk factors. The primary outcome was perioperative mortality; the secondary outcome was overall survival.
A total of 50 844 patients were identified, of whom 31 499 had an emergency procedure on Monday to Thursday and 19 345 on Friday to Sunday. Patients undergoing surgery at the weekend were younger (mean 45·9
There was no difference in short‐ or long‐term mortality following emergency general surgery at the weekend, compared with mid‐week.Read more
You may also be interested in
Safety, productivity and predicted contribution of a surgical task‐sharing programme in Sierra Leone.
Authors: H. A. Bolkan, A. van Duinen, B. Waalewijn, M. Elhassein, T. B. Kamara, G. F. Deen et al.
Notes: Benchmark analysis
Systematic review of surgical and medical treatment for tertiary hyperparathyroidism. BJS 2017; 104: 804-813.
Authors: R. R. Dulfer, G. J. H. Franssen, D. A. Hesselink, E. J. Hoorn, C. H. J. van Eijck, T. M. van Ginhoven et al.
Notes: Surgery rules
Authors: P.‐A. Clavien, M. A. Puhan
Impact of simulated three‐dimensional perception on precision of depth judgements, technical performance and perceived workload in laparoscopy. BJS 2017; 104: 1097-1106.
Authors: S. Sakata, P. M. Grove, A. Hill, M. O. Watson, A. R. L. Stevenson
Notes: Many advantages for 3D
Authors: J. A. Cook, J. Ranstam
Meta‐analysis of the prevalence of renal cancer detected by abdominal ultrasonography. BJS 2017; 104: 648-659.
Authors: S. H. Rossi, R. Hsu, C. Blick, V. Goh, P. Nathan, D. Nicol et al.
Dual hypothermic oxygenated machine perfusion in liver transplants donated after circulatory death. BJS 2017; 104: 907-917.
Authors: R. van Rijn, N. Karimian, A. P. M. Matton, L. C. Burlage, A. C. Westerkamp, A. P. van den Berg et al.
Notes: Increases donor pool
Randomized clinical trial
Randomized clinical trial of autologous skin cell suspension for accelerating re‐epithelialization of split‐thickness donor sites. BJS 2017; 104: 836-842.
Authors: Z. Hu, D. Guo, P. Liu, X. Cao, S. Li, J. Zhu et al.
Notes: Speeds healing
Non‐technical skills of surgeons and anaesthetists in simulated operating theatre crises. BJS 2017; 104: 1028-1036.
Authors: A. G. Doumouras, M. Hamidi, K. Lung, C. L. Tarola, M. W. Tsao, J. W. Scott et al.
Authors: K. Moorthy, V. Wynter‐Blyth