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Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect
BACKGROUND: Recent literature shows that reduced staffing over the weekends in hospitals may compromise patient care with acute conditions like acute coronary syndrome (ACS). OBJECTIVE: Our study evaluated differences in the outcomes between patients presenting with non-ST segment elevation acute co...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Greater Baltimore Medical Center
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195065/ https://www.ncbi.nlm.nih.gov/pubmed/35712683 http://dx.doi.org/10.55729/2000-9666.1028 |
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author | Ghani, Ali R. Humayun, Wajahat Ullah, Waqas Mughal, Mohsin S. Ahsan, Irfan Balaratna, Asoka Nasir, Ammar |
author_facet | Ghani, Ali R. Humayun, Wajahat Ullah, Waqas Mughal, Mohsin S. Ahsan, Irfan Balaratna, Asoka Nasir, Ammar |
author_sort | Ghani, Ali R. |
collection | PubMed |
description | BACKGROUND: Recent literature shows that reduced staffing over the weekends in hospitals may compromise patient care with acute conditions like acute coronary syndrome (ACS). OBJECTIVE: Our study evaluated differences in the outcomes between patients presenting with non-ST segment elevation acute coronary syndrome (NSTE-ACS) on weekends versus those coming on weekdays. METHODS: A single-center retrospective study was performed on NSTE-ACS patients. Data were analyzed using SPSS version 22 to calculate an independent sample t-test value for significance between the two groups. RESULTS: The mean DTB time for patients admitted over the weekend was significantly higher than those admitted over weekdays (p = 0.000). The mean peak troponin level and length of stay (LOS) for patients admitted over the weekends vs. weekdays was significantly higher by 5 ng/dL (9.71 ± 5.23 vs. 4.194 ± 2.60, p = 0.0001) and 24 h (72 ± 10 vs. 48 ± 6 h, p = 0.003), respectively. While the mean left ventricular ejection fraction (EF) of patients on discharge was lower by 5% for patients admitted over the weekend compared to patients admitted on weekdays (p = 0.001). CONCLUSION: NSTE-ACS patients admitted over the weekends have a significantly higher myocardial injury evidenced by an increased LOS, higher peak troponin levels, and reduced EF due to delayed PCI compared to weekday admissions. |
format | Online Article Text |
id | pubmed-9195065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Greater Baltimore Medical Center |
record_format | MEDLINE/PubMed |
spelling | pubmed-91950652022-06-15 Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect Ghani, Ali R. Humayun, Wajahat Ullah, Waqas Mughal, Mohsin S. Ahsan, Irfan Balaratna, Asoka Nasir, Ammar J Community Hosp Intern Med Perspect Research Article BACKGROUND: Recent literature shows that reduced staffing over the weekends in hospitals may compromise patient care with acute conditions like acute coronary syndrome (ACS). OBJECTIVE: Our study evaluated differences in the outcomes between patients presenting with non-ST segment elevation acute coronary syndrome (NSTE-ACS) on weekends versus those coming on weekdays. METHODS: A single-center retrospective study was performed on NSTE-ACS patients. Data were analyzed using SPSS version 22 to calculate an independent sample t-test value for significance between the two groups. RESULTS: The mean DTB time for patients admitted over the weekend was significantly higher than those admitted over weekdays (p = 0.000). The mean peak troponin level and length of stay (LOS) for patients admitted over the weekends vs. weekdays was significantly higher by 5 ng/dL (9.71 ± 5.23 vs. 4.194 ± 2.60, p = 0.0001) and 24 h (72 ± 10 vs. 48 ± 6 h, p = 0.003), respectively. While the mean left ventricular ejection fraction (EF) of patients on discharge was lower by 5% for patients admitted over the weekend compared to patients admitted on weekdays (p = 0.001). CONCLUSION: NSTE-ACS patients admitted over the weekends have a significantly higher myocardial injury evidenced by an increased LOS, higher peak troponin levels, and reduced EF due to delayed PCI compared to weekday admissions. Greater Baltimore Medical Center 2022-04-12 /pmc/articles/PMC9195065/ /pubmed/35712683 http://dx.doi.org/10.55729/2000-9666.1028 Text en © 2022 Greater Baltimore Medical Center https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ). |
spellingShingle | Research Article Ghani, Ali R. Humayun, Wajahat Ullah, Waqas Mughal, Mohsin S. Ahsan, Irfan Balaratna, Asoka Nasir, Ammar Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title | Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title_full | Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title_fullStr | Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title_full_unstemmed | Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title_short | Comparison of Outcomes for Non-ST Elevation Acute Myocardial Infarction in Weekday vs Weekend Admissions: The Weekend Effect |
title_sort | comparison of outcomes for non-st elevation acute myocardial infarction in weekday vs weekend admissions: the weekend effect |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195065/ https://www.ncbi.nlm.nih.gov/pubmed/35712683 http://dx.doi.org/10.55729/2000-9666.1028 |
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