Weekday vs weekend endoscopy: Is there a true difference in patient outcomes? A meta-analysis

来源 :World Journal of Meta-Analysis | 被引量 : 0次 | 上传用户:young1592
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AIM:To evaluate the“weekend effect”on outcomes in patient admitted on the weekend for upper gastrointestinal bleeding(UGIB).METHODS:A comprehensive search was performed(March 2014).Studies comparing weekend and weekday endoscopy in patients with UGIB were included.All studies had at least 2 of 3 primary outcomes which included:mortality,need for surgery,time to endoscopy,endoscopy on admission day,and length of hospital stay.Three authors individually extracted data.Metaanalysis was performed using pooled estimates with odds ratio or mean difference by fixed and random effects models.RESULTS:Eleven studies met the inclusion criteria.Patients admitted with UGIB on the weekend exhibited a statistically significant increase in mortality(OR=1.13;95%CI:1.06-1.20;P<0.01),need for surgery(OR=2.46;95%CI:1.51-3.99;P<0.01),and time to endoscopy(MD 2.68;95%CI:0.17-5.20;P=0.04)as compared to patients admitted with UGIB on a weekday.Furthermore,patients with UGIB admitted on weekend experienced statistically significant less endoscopy on day of admission(OR=0.72;95%CI:0.62-0.85;P<0.01).No difference was noted between the two groups for length of hospital stay(MD-1.29;95%CI:-3.03-0.45;P=0.15).CONCLUSION:A weekend effect seems to be apparent in patients with UGIB with significantly poorer outcomes. AIM: To evaluate the “weekend effect ” on outcomes in patient admitted on the weekend for upper gastrointestinal bleeding (UGIB). METHODS: A comprehensive search was performed (March 2014). Judge comparing weekend and weekday endoscopy in patients with UGIB were included.All studies had at least 2 of 3 primary outcomes which included: mortality, need for surgery, time to endoscopy, endoscopy on admission day, and length of hospital stay.Three authors completely extracted data. Metanalysis was performed using pooled estimates with odds ratio or mean difference by fixed and random effects models. RESULTS: Eleven studies with the inclusion criteria. Patients admitted with UGIB on the weekend reported a resistance significant increase in mortality (OR = 1.13; 95% CI: 1.06-1.20; P <0.01 ), for for surgery (OR = 2.46; 95% CI: 1.51-3.99; P <0.01), and time to endoscopy (MD 2.68; 95% CI: 0.17-5.20; on a weekday. Futuremore, patients with UGIB admitted on weekend experienced s The degree of significant less endoscopy on day of admission (OR = 0.72; 95% CI: 0.62-0.85; P <0.01) .No difference was noted between the two groups for length of hospital stay -0.45; P = 0.15) .CONCLUSION: A weekend effect seems to be apparent in patients with UGIB with significantly poorer outcomes.
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