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작성자 Alexander Gelle… 댓글댓글 0건 조회조회 253회 작성일작성일 25-05-19 15:13

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담당자명 Alexander Gellert
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Patients admitted to healthcare facility for surgical treatment a particular day of the week are considerably most likely to die, a major study recommends.


Those undergoing both emergency situation and elective operations-such as hip and knee replacements-had a 10 per cent higher risk of death if they went under the knife on a Friday, compared to the start.

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Experts have long observed the so-called 'weekend effect'-worse post-surgical outcomes for ops done on Friday, due to an absence of more senior staff on Saturdays and Sundays as well fewer additional services for clients like scans and tests.


Patients have actually also reported fearing that staff may be more exhausted towards completion of the week, increasing the chance of possible damaging errors being made in their care.


But the US researchers behind the brand-new research study believe while a 'weekend result' does exist, the greater death rates observed might not always be a reflection of poorer care.


Instead, they claim it could be due to clients who require treatment closer to the weekends being more likely to be sicker and frailer.


But they admitted an absence of senior staff operating on Fridays, compared with Mondays, and a resulting 'distinction in know-how' might also 'contribute'.


In the study, researchers at Houston Methodist Hospital in Texas, analysed information from 429,691 clients who went through one of 25 common surgical procedures in Ontario, Canada, in between 2007 and 2019.


Scientists discovered both emergency situation and non-emergency operations - such as hip and knee replacements - were practically 10 per cent more deadly when carried out near the weekend compared to the start of the week


Patients were divided into 2 groups - those who underwent surgical treatment on the Friday or the day before a public holiday.


The second had their operation on the Monday or post-holiday.


Researchers assessed short-term (thirty days), intermediate (90 days), and long-lasting (one year) results for clients following their operation, consisting of deaths, surgical issues and length of hospital stay.


They found patients going through surgery immediately before the weekend were 5 per cent more likely to experience complications, be re-admitted or die within thirty days.


When death rates were analysed specifically, the danger of death was 9 per cent most likely at 30 days among those who went through surgery at the end of the week.


At three months this rose to 10 per cent, before reaching 12 per cent a year after the operation.


By kind of operation, scientists found there was a lower rate of unfavorable occasions amongst clients who underwent emergency surgery prior to the weekend.


But, this was no longer real once they had accounted for patients who had been admitted before the weekend, yet had to wait up until early in the following week to go through such surgical treatment.


Under the previous Government, then Health Secretary Jeremy Hunt, repeatedly claimed understaffing at medical facilities during the weekend caused 11,000 excess deaths every year


'Immediate intervention may benefit clients presenting as an emergency and may make up for a weekend result,' the medics wrote.


'But when care is delayed or pressed back till after the weekend, results may be adversely affected owing to more-severe disease discussion in the operating space.'


Studies have actually also recommended clients admitted then are sicker and at greater threat of dying due to the fact that a reduction in neighborhood recommendations such as those from GPs, over the weekend.

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Others have also said some may not be able to pay for to take some time off work, so delay their check out to the healthcare facility to the weekend, when they are sicker.


Writing in the journal JAMA Network Open, the researchers included: 'Our results show that more junior surgeons - those with less years of experience - are operating on Friday, compared to Monday.


Britain has more women medical professionals than males for the very first time in more than 165 years, figures reveal

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'This difference in proficiency may contribute in the observed differences in results.

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'Furthermore, weekend groups might be less acquainted with the clients than the weekday team previously handling care.'


Reduced availability of 'resource-intensive tests' and 'tools' which may otherwise be readily available on might likewise cause increased healthcare facility stays and problems, they said.


Experts have long remained conflicted over the 'weekend result' in NHS medical facilities, with some arguing short-staffing at weekends is to blame.


The 'weekend impact' was one of the crucial arguments utilized by the previous Conservative Government to push for the program - and a new contract for junior doctors - in 2017.


Then Health Secretary, Jeremy Hunt repeatedly declared understaffing at healthcare facilities during the weekend triggered 11,000 excess deaths every year.


But a flurry of studies have actually called this into concern.


In 2021, one significant NHS-backed job led by Birmingham University concluded the 'sicker weekend patient' theory was appropriate.


The research study discovered that, regardless of there being far fewer specialist doctors on task at weekends, this did not affect mortality.

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