• English
    • íslenska
  • English 
    • English
    • íslenska
  • Login
View Item 
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of HirslaCommunitiesAuthorsTitleSubjectsSubject (MeSH)Issue DateJournalThis CollectionAuthorsTitleSubjectsSubject (MeSH)Issue DateJournal

My Account

LoginRegister

Local Links

FAQ - (Icelandic)FAQ - (English)Hirsla LogosAbout LandspitaliLSH Home PageLibrary HomeIcelandic Journals

Statistics

Display statistics

Is There a Weekend Effect in Surgery for Type A Dissection?: Results From the Nordic Consortium for Acute Type A Aortic Dissection Database.

  • CSV
  • RefMan
  • EndNote
  • BibTex
  • RefWorks
Thumbnail
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Average rating
 
   votes
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
 
Your vote was cast
Thank you for your feedback
Authors
Ahlsson, Anders
Wickbom, Anders
Geirsson, Arnar
Franco-Cereceda, Anders
Ahmad, Khalil
Gunn, Jarmo
Hansson, Emma C
Hjortdal, Vibeke
Jarvela, Kati
Jeppsson, Anders
Mennander, Ari
Nozohoor, Shahab
Pan, Emily
Zindovic, Igor
Gudbjartsson, Tomas
Olsson, Christian
Show allShow less
Issue Date
2019-09

Metadata
Show full item record
Citation
Is There a Weekend Effect in Surgery for Type A Dissection?: Results From the Nordic Consortium for Acute Type A Aortic Dissection Database. 2019, 108(3):770-776 Ann Thorac Surg
Abstract
BACKGROUND: Aortic dissection type A requires immediate surgery. In general surgery populations, patients operated on during weekends have higher mortality rates compared with patients whose operations occur 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 data for 1,159 patients who underwent type A dissection surgery at 8 Nordic centers during 2005 to 2014. This study is based on data relating to surgery conducted during weekdays versus weekends and starting between 8:00 am and 8:00 pm ("daytime") versus from 8:00 pm to 8:00 am ("nighttime"), as well as time from symptoms, admittance, and diagnosis to surgery. The influence of timing of surgery on the 30-day mortality rate was assessed using logistic regression analysis. RESULTS: The 30-day mortality was 18% (204 of 1,159), with no difference in mortality between surgery performed on weekdays (17% [150 of 889]) and on weekends (20% [54 of 270], p = 0.45), or during nighttime (19% [87 of 467]) versus daytime (17% [117 of 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 who died at 30 days. Multivariable regression analysis of risk factors for 30-day mortality showed no weekend effect (odds ratio, 1.04; 95% confidence interval, 60.67 to 1.60; p = 0.875), but nighttime surgery was a risk factor (odds ratio, 2.43; 95% confidence interval, 1.29 to 4.56; p = 0.006). CONCLUSIONS: The 30-day mortality in surgical repair of aortic dissection type A was not significantly affected by timing of surgery during weekends versus weekdays. Nighttime surgery seems to predict increased 30-day mortality, after correction for other risk factors.
Description
To access publisher's full text version of this article click on the hyperlink below
Additional Links
https://www.sciencedirect.com/science/article/pii/S0003497519304345?via%3Dihub
ae974a485f413a2113503eed53cd6c53
10.1016/j.athoracsur.2019.03.005
Scopus Count
Collections
English Journal Articles (Peer Reviewed)

entitlement

Related articles

  • Higher Mortality in Patients Undergoing Nighttime Surgical Procedures for Acute Type A Aortic Dissection.
  • Authors: Qiu J, Zhang L, Luo X, Gao W, Liu S, Jiang W, Wu J, Yu C
  • Issue date: 2018 Oct
  • Surgical Strategy and Outcome for Aortic Root in Patients Undergoing Repair of Acute Type A Aortic Dissection.
  • Authors: Nishida H, Tabata M, Fukui T, Takanashi S
  • Issue date: 2016 Apr
  • Thirty-day outcomes from the Society for Vascular Surgery Vascular Quality Initiative thoracic endovascular aortic repair for type B dissection project.
  • Authors: Wang GJ, Cambria RP, Lombardi JV, Azizzadeh A, White RA, Abel DB, Cronenwett JL, Beck AW
  • Issue date: 2019 Mar
  • Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration.
  • Authors: Scali ST, Feezor RJ, Chang CK, Stone DH, Hess PJ, Martin TD, Huber TS, Beck AW
  • Issue date: 2013 Jul
  • Outcomes After Acute Type A Aortic Dissection in Patients With Prior Cardiac Surgery.
  • Authors: Krebs ED, Mehaffey JH, Hawkins RB, Beller JP, Fonner CE, Kiser AC, Joseph M, Quader MA, Kern JA, Yarboro LT, Teman NR, Ailawadi G
  • Issue date: 2019 Sep

DSpace software (copyright © 2002 - 2021)  DuraSpace
Quick Guide | Contact Us
Open Repository is a service operated by 
Atmire NV
 

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.