Admission on weekends does not increase mortality after hip fracture: a meta-analysis of 1.4 million patients.

IF 1.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Scottish Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-07-10 DOI:10.1177/00369330231186433

Siyuan Guo, Hao Liu

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引用次数: 0

Abstract

Background: The "weekend" effect resulting in increased complication rates in patients admitted on weekends has been noted in many diseases.

Objective: This systematic review and meta-analysis aimed to collate adjusted data from published studies to assess if admission on weekends as compared to weekdays increases mortality rates in hip fracture patients.

Methods: Databases of PubMed, CENTRAL, Scopus, Web of Science, and Embase were searched up to 31^st December 2022 for studies comparing mortality between weekend versus weekday admission of hip fracture patients. Adjusted hazard ratios (HR) were pooled.

Results: Fourteen studies including 1,487,986 patients were analyzed. Most studies were from Europe and North America. Results showed no difference in mortality rates of hip fracture patients admitted on weekends versus weekdays (HR: 1.00 95% 0.96, 1.04 I²= 75%). There was no publication bias and results did not change on the leave-one-out analysis. Subgroup analysis based on sample size and treatment did not change outcomes.

Conclusion: This meta-analysis has shown no apparent weekend effect in cases of hip fractures. Patients admitted on weekends had similar mortality rates as compared to those admitted on weekdays. Current data has high heterogeneity and is mostly from developed countries.

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周末入院不会增加髋部骨折后的死亡率:一项对140万患者的荟萃分析。

背景:在许多疾病中，“周末”效应导致周末入院患者并发症发生率增加。目的:本系统综述和荟萃分析旨在整理已发表研究的调整数据，以评估与工作日相比，周末住院是否会增加髋部骨折患者的死亡率。方法:检索截至2022年12月31日的PubMed、CENTRAL、Scopus、Web of Science和Embase数据库，比较周末和工作日住院髋部骨折患者的死亡率。合并调整后的风险比(HR)。结果:14项研究共纳入1487986例患者。大多数研究来自欧洲和北美。结果显示，周末与工作日入院的髋部骨折患者死亡率无差异(HR: 1.00 95% 0.96, 1.04 I2 = 75%)。在留一分析中没有发表偏倚，结果没有改变。基于样本量和治疗的亚组分析没有改变结果。结论:本荟萃分析显示髋部骨折病例没有明显的周末效应。周末入院的患者死亡率与工作日入院的患者相似。目前的数据具有较高的异质性，且大多来自发达国家。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scottish Medical Journal 医学-医学：内科

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

>12 weeks

期刊介绍： A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).