이달의 kcj Hot Article / 2024년 3월
Off-hours Surgery and Mortality in Patients With Type A Aortic Dissection Repair: A Systematic Review and Meta-Analysis |
| 저자 |
Peter Pin-Sung Liu, MS,1,2 Jui-Chih Chang, MD, PhD,3,4 Jin-Yi Hsu, MD,5,6 Huei-Kai Huang, MD,6,7,8 Ching-Hui Loh, MD, PhD,1,5 and Jih-I Yeh, MD, PhD1,6,7 |
| 소속 |
1Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan.
2Center for Healthy Longevity, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
3Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
4Department of Surgery, School of Medicine, Tzu Chi University, Hualien, Taiwan.
5Center for Aging and Health, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
6School of Medicine, Tzu Chi University, Hualien, Taiwan.
7Department of Family Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
8Department of Medical Research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan. |
Background and ObjectivesThe impact of off-hours admission (such as weekends, nighttime, and non-working hours) vs. regular hours (weekdays and daytime working hours) on the mortality risk of patients undergoing surgery for type A aortic dissection (TAAD) repair is still uncertain. To address this uncertainty, we undertook a comprehensive systematic review and meta-analysis. We aimed to assess the potential link between off-hours admission and the risk of mortality in patients undergoing TAAD repair surgery. MethodsWe conducted a thorough search of the PubMed, Embase, and Cochrane Library databases, covering the period from their inception to May 20, 2023. Our inclusion criteria encompassed all studies that examined the potential relationship between off-hour admission and mortality in individuals who had undergone surgery for TAAD repair. The odds ratios (ORs) were extracted and combined utilizing a random effects model for our synthesis. ResultsNine studies with 16,501 patients undergoing TAAD repair surgery were included in the meta-analysis. Overall, patients who underwent surgery during the weekend had higher in-hospital mortality (pooled OR, 1.41; 95% confidence interval [CI], 1.14–1.75; p=0.002) than those treated on weekdays. However, the mortality risks among patients who underwent TAAD surgery during nighttime and non-working hours were not significantly elevated compared to daytime and working hours admission. ConclusionsWeekend surgery for TAAD was associated with a higher in-hospital mortality risk than weekday surgery. However, further studies are warranted to identify and develop strategies to improve the quality of round-the-clock care for patients with TAAD.
본문바로가기 https://e-kcj.org/DOIx.php?id=10.4070/kcj.2023.0266
|
| 첨부파일1 |
 KCJ-23-266-GA.jpg (다운 17회) |
