If you have a say, you may want to avoid scheduling your next surgery on Friday.
The most comprehensive analysis of patients undergoing surgery published this month on Friday and Monday Jama More than a dozen more researchers from us and Canada are clear: people who have experienced all kinds of Procedures before weekend Short-term, mid-term and long-term complications than short-term, mid-term and long-term complications after the weekend.
Located in Ontario, the study includes more than 450,000 patients who underwent one of the 25 most common procedures between 2007 and 2019. World Health Care Program in Canada Over time, researchers can more easily track patients and eliminate their financial status.
Previous studies have often found the same effects of different types of health systems: one U.K.Based on research report Better results for Monday’s surgery After 30 days. Look at paper Dutch patients Higher mortality rates were detected Compared to Monday, patients who underwent surgery on Friday one month later. No matter what the country is, this seems to be a phenomenon American research It also proves.
The new study covers all surgical specialties, including orthopedic surgery, vascular surgery and obstetrics and gynecology, and tracks patient outcomes over 30 days, 90 days and one year. this Study tracked whether patients diedhave returned it to the hospital, or have experienced any other complications such as infections, such as during their hospital stay.
People who underwent pre-cycle surgery (defined as Friday or Thursday before a long weekend) are about 5% more likely to experience one of these complications within one year after the surgery (on Monday or Tuesday after a long weekend). The impact on heart and vascular surgery is stronger. For obstetrics and plastic surgery, it can be ignored.
According to the researchers’ analysis, something might have happened here.
The researchers found that primary surgeons were more likely to be performed by primary surgeons than on Monday’s surgery. “This difference in this expertise may play a role in the observed differences in outcomes,” they wrote based on statistical analysis of control for other factors.
The authors say there may also be fewer senior colleagues on the hospital campus for consultation with junior doctors. Additionally, doctors and nurses on weekends may be less familiar with the patient’s case, increasing the risk that complications will be captured later, resulting in poorer results.
Hospitals typically work fewer doctors and nurses on weekends, while those who work often have less experience, can also help explain the findings, said Betty Rumbur, a nursing professor at the University of Rhode Island.
“The combination of fewer employees and less experienced employees will certainly lead to poor patient outcomes,” she said.
These findings should inspire hospital executives to rethink how they staff wards on Friday and weekends to avoid complications that put surgical patients at risk.
Of course, this is also useful information for anyone who needs elective surgery in the future. When we are able to plan the program in advance – whether The carefully scheduled mobile resection matches March madness Or knee replacement or anything else – it’s worth trying to find a time slot earlier this week.
