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Having tests and procedures on certain days of the week may be much more dangerous than on other days…
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Avoid medical tests on these days of the week…
Few people make it through life without requiring medical tests, procedures, or some sort of surgery.
Medical tests and procedures provide us with many benefits – but there are risks.
The risks of surgery today are also the risks of everyday medical tests…
So fasten your seatbelts…today’s newsletter will SHOCK you…
A new analysis shows that the risks from surgery are higher on some days of the week than others.
This confirms the medical community’s long-held belief in “the weekend effect.”
This investigation was carried out at the University of Calgary in Canada and published in the journal Medical Care.
Healthcare staff have long believed in the weekend effect…
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Toward the end of the week…surgery becomes more dangerous.
“An association between weekend health care delivery and poor outcomes has become known as the weekend effect.”
This study set out to determine if the weekend effect is a real phenomenon or not.
”Evidence for such an association among surgery patients has not previously been synthesized.”
The study gathered a ton of data from online databases.
They searched records for post-surgery mortality rate data and analyzed that data based on the days of the week.
“We searched for data that compared postoperative mortality according to the day of the week of surgery for elective operations, or according to weekend versus weekday admission for emergency operations.”
The study found data from millions of operations. Both elective (planned) and emergency surgical procedures were included.
“Elective surgery studies and emergency surgery studies with a total of over 8 million patients met the inclusion criteria.”
The likelihood of mortality after elective surgery increased throughout the entire week.
The “weekend effect” is real.
“Odds of mortality following elective surgery rose in a graded manner as the day of the week of surgery approached the weekend.”
Monday is the safest day for an elective surgical procedure.
Risk of mortality increased 4% on Tuesday, another 4% on Wednesday, and a further 4% on Thursday.
The risk of mortality on Friday was 24% higher than on Monday for elective surgeries.
For people undergoing emergency surgery, the risk of mortality was 27% higher on the weekend than during the week.
“Mortality was also 27% higher among patients who underwent emergency surgery after admission on the weekend compared to weekdays.”
The study did not attempt to determine the reason for the increase in mortality later in the week.
It only looked at whether or not the weekend effect was a real phenomenon.
People have claimed that the weekend effect is due to lower staff numbers on the weekend leading to inferior post-operative care.
But this does not explain the increase in mortality each day of the week.
One possible explanation for this: If your surgery is later in the week and you need to recover in hospital after surgery, your in-hospital post-surgery care is more likely to last into the weekend when staff levels may be lower.
A couple of other studies have shown that mortality increases as staff levels decrease.
“Post-operative mortality rises as the weekend approaches and is higher on the weekend compared with weekdays.”
Further study will have to be done to nail this down or to find some other reason.
A previous study in the UK, published in The Lancet, looked at the effect of staff levels on mortality in the intensive care unit.
“Few studies have examined mortality rates in relation to the workload of hospital staff. We investigated this issue in one adult intensive-care unit.”
The study found that an increased workload was associated with an increase in mortality.
“Variations in mortality may be partly explained by excess workload.”
A proper analysis of staffing levels over the course of the week and weekend relative to the number of operations performed could tell us if the weekend effect is caused by staffing levels.
At any rate, choosing to have your elective surgery early in the week and choosing hospitals with high staffing levels seems like a good idea.
You should discuss the planning of surgical procedures with your surgeon.
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