Emergency operations at the weekend are as safe as surgery performed during the week
It concerns it shows that the shortage of physicians experienced in service weekends increases the growing danger.
The latter finding is significant because it is the first to assess whether there is a “weekend effect” in a specific population – patients admitted for emergency general surgery.
The “weekend effect” refers to the large number of death rates among patients, which is often attributed to the lack of consultants in service on Saturdays and Sundays.
However, the 15-year study of NHS hospitals in northern England found although this was in the early part of the century that no longer exists – and there is now no significant difference mortality among end week and surgery Monday to Friday.
And mortality rates for all admissions general emergency surgery have reduced the half or less during the time period, reports the British Journal of Surgery Study.
Dr. Paul O’Loughlin, Queen Elizabeth Hospital, Gateshead, said: “Emergency surgery has been recognized as an area of surgical practice that is high risk, complex and face significant challenges with a aging population.
“in conducting this investigation it was found that there have been great improvements in the overall results, and also differences in care provided within the week and the weekend.
There were growing concerns that the shortage of physicians experienced in the weekends acute dangers
“In the most recent period studied that could no longer detect a statistical difference in the results in the patients operated on the weekend or during the week.
“While significant challenges remain, we are pleased to show the responsiveness of the profession by providing surgical care increasingly high quality for this group patients. “
the large-scale study of 376.234 emergency general surgery cases were 12,100 deaths in hospital within 30 days of admission (3 ?? 3 percent).
the overall rate dropped significantly from 5.4 percent (2000-2004) to 4 percent (2005-2009) and 2 ?? 9 percent during 2010-2014.
But those who have a emergency surgery on Saturday or Sunday between 2000 and 2004 were about one and a half times more likely to die.
Currently there is no significant difference in mortality between the weekend and surgery day
however, in 2010, 2014, additional mortality risk for operations weekend was not statistically significant.
And the study revealed a significant reduction in mortality from all emergency admissions general surgery, from 5.4 percent in 2000-2004 to less than 2.9 percent in 2010-2014 , a reduction of 46 percent.
When considering only postoperative mortality rates fell from 7.5 percent to 3.6 percent from 2000 to 2004 in 2010 to 2014, a reduction of 52 percent.
Dr. O’Loughlin said. “There has been a significant clinical recent policy regarding the variable mortality of patients depending on the day of the week are admitted to hospital and interest
“However, this has not been investigated in the general population of emergency surgery.
According research there have been great improvements in the overall results
“The most surprising results of this study relate to significant reductions in mortality from all admissions general surgery emergency.”
cited changes in patterns of surgical work and improvements in the provision of hospital services that have occurred in the last 15 years.
Dr. O’Loughlin said, “work patterns have changed after implementation of the Directive on European labor time, young doctors now work shifts
” This provides levels consistent coverage for emergency surgical admissions and patients throughout the week and weekend.
“continuity of care is now provided by consultants. The transfer to the consultant-adviser delivered with the increased presence of patient assessment and emergency surgery care is in accordance with recent recommendations.
“This was confirmed when laparotomy National emergency Audit identified a similar proportion of consultant surgeons who oversees laparotomies emergency throughout the week (85 percent during the week and 83 percent in the Weekend). This has improved over the last five years. “