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The weekend effect in patients hospitalized for upper gastrointestinal bleeding: a single-center 10-year experience.
Eur J Gastroenterol Hepatol. 2014 Jul; 26(7):715-20.EJ

Abstract

OBJECTIVE

This study was conducted to assess the possible weekend effect in patients with upper gastrointestinal bleeding (UGIB) on the basis of a 10-year single-center experience in Serbia.

MATERIALS AND METHODS

A retrospective analysis of hospital records in the University Clinic 'Dr Dragisa Misovic-Dedinje', Belgrade, Serbia, from 2002 to 2012 was conducted. Patients admitted for UGIB were identified, and data on demographic characteristics, symptoms, drug use, alcohol abuse, diagnosis and treatment were collected. Univariate and multivariate logistic regression were used to assess the association between weekend admission and the occurrence of rebleeding and in-hospital mortality.

RESULTS

Analyses included 493 patients. Rebleeding occurred significantly more frequently on weekends (45.7 vs. 32.7%, P=0.004). Weekend admission [odds ratio (OR)=1.78; 95% confidence interval (CI): 1.15-2.74], older age (OR=1.02; 95% CI: 1.00-1.03), and the presence of both melaena and hematemesis (OR=2.29; 95% CI: 1.29-4.07) were associated with the occurrence of rebleeding. No difference between weekend and weekday admissions was observed for the in-hospital mortality rate (6.9% vs. 6.0%, P=0.70). Older age (OR=1.14; 95% CI: 1.08-1.20), presentation with melaena and hematemesis (OR=4.12; 95% CI: 1.56-10.90) and need for surgical treatment (OR=5.16; 95% CI: 1.61-16.53) were significant predictors of all-cause mortality. Patients with nonvariceal bleeding had significantly higher rebleeding rates on weekends (44 vs. 32.3%, P=0.013).

CONCLUSION

There was no significant weekend effect in the mortality of patients admitted for UGIB, irrespective of the source of bleeding. Increased attention to older patients presenting with a more severe clinical picture is needed to prolong survival and prevent rebleeding.

Authors+Show Affiliations

aUniversity Clinical-Hospital Center 'Dr Dragisa Misovic-Dedinje' bFaculty of Medicine, University of Belgrade cClinic for Gastroenterology, Clinical Center of Serbia, Belgrade, Serbia dDepartment of Public Health, Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore eIRCCS San Raffaele Pisana, Rome fDepartment of Epidemiology, IRCCS e Istituto di Ricerche Farmacologiche 'Mario Negri', Milan gUniversity Clinical Hospital 'Santa Maria della Misericordia', Udine hDepartment of Clinical Sciences and Community Health, Universita degli Studi di Milano, Milan, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24849766

Citation

Tufegdzic, Maja, et al. "The Weekend Effect in Patients Hospitalized for Upper Gastrointestinal Bleeding: a Single-center 10-year Experience." European Journal of Gastroenterology & Hepatology, vol. 26, no. 7, 2014, pp. 715-20.
Tufegdzic M, Panic N, Boccia S, et al. The weekend effect in patients hospitalized for upper gastrointestinal bleeding: a single-center 10-year experience. Eur J Gastroenterol Hepatol. 2014;26(7):715-20.
Tufegdzic, M., Panic, N., Boccia, S., Malerba, S., Bulajic, M., La Vecchia, C., Sljivic, A., Trbojevic-Stankovic, J., & Krstic, M. (2014). The weekend effect in patients hospitalized for upper gastrointestinal bleeding: a single-center 10-year experience. European Journal of Gastroenterology & Hepatology, 26(7), 715-20. https://doi.org/10.1097/MEG.0000000000000124
Tufegdzic M, et al. The Weekend Effect in Patients Hospitalized for Upper Gastrointestinal Bleeding: a Single-center 10-year Experience. Eur J Gastroenterol Hepatol. 2014;26(7):715-20. PubMed PMID: 24849766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The weekend effect in patients hospitalized for upper gastrointestinal bleeding: a single-center 10-year experience. AU - Tufegdzic,Maja, AU - Panic,Nikola, AU - Boccia,Stefania, AU - Malerba,Stefano, AU - Bulajic,Milutin, AU - La Vecchia,Carlo, AU - Sljivic,Aleksandra, AU - Trbojevic-Stankovic,Jasna, AU - Krstic,Miodrag, PY - 2014/5/23/entrez PY - 2014/5/23/pubmed PY - 2015/1/21/medline SP - 715 EP - 20 JF - European journal of gastroenterology & hepatology JO - Eur J Gastroenterol Hepatol VL - 26 IS - 7 N2 - OBJECTIVE: This study was conducted to assess the possible weekend effect in patients with upper gastrointestinal bleeding (UGIB) on the basis of a 10-year single-center experience in Serbia. MATERIALS AND METHODS: A retrospective analysis of hospital records in the University Clinic 'Dr Dragisa Misovic-Dedinje', Belgrade, Serbia, from 2002 to 2012 was conducted. Patients admitted for UGIB were identified, and data on demographic characteristics, symptoms, drug use, alcohol abuse, diagnosis and treatment were collected. Univariate and multivariate logistic regression were used to assess the association between weekend admission and the occurrence of rebleeding and in-hospital mortality. RESULTS: Analyses included 493 patients. Rebleeding occurred significantly more frequently on weekends (45.7 vs. 32.7%, P=0.004). Weekend admission [odds ratio (OR)=1.78; 95% confidence interval (CI): 1.15-2.74], older age (OR=1.02; 95% CI: 1.00-1.03), and the presence of both melaena and hematemesis (OR=2.29; 95% CI: 1.29-4.07) were associated with the occurrence of rebleeding. No difference between weekend and weekday admissions was observed for the in-hospital mortality rate (6.9% vs. 6.0%, P=0.70). Older age (OR=1.14; 95% CI: 1.08-1.20), presentation with melaena and hematemesis (OR=4.12; 95% CI: 1.56-10.90) and need for surgical treatment (OR=5.16; 95% CI: 1.61-16.53) were significant predictors of all-cause mortality. Patients with nonvariceal bleeding had significantly higher rebleeding rates on weekends (44 vs. 32.3%, P=0.013). CONCLUSION: There was no significant weekend effect in the mortality of patients admitted for UGIB, irrespective of the source of bleeding. Increased attention to older patients presenting with a more severe clinical picture is needed to prolong survival and prevent rebleeding. SN - 1473-5687 UR - https://www.unboundmedicine.com/medline/citation/24849766/The_weekend_effect_in_patients_hospitalized_for_upper_gastrointestinal_bleeding:_a_single_center_10_year_experience_ L2 - https://doi.org/10.1097/MEG.0000000000000124 DB - PRIME DP - Unbound Medicine ER -