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 OKeeffe, Bellal 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.

Original languageEnglish (US)
Pages (from-to)192-198
Number of pages7
JournalJournal of Surgical Research
Volume233
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

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

Cite this

Jehan, F., Khan, M., Kulvatunyou, N., Hamidi, M., Gries, L., Zeeshan, M., ... Joseph, B. (2019). Day of hospital admission and effect on outcomes: the weekend effect in acute gallstone pancreatitis. Journal of Surgical Research, 233, 192-198. https://doi.org/10.1016/j.jss.2018.07.070

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; Joseph, Bellal.

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 ; Joseph, Bellal. / 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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