Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Prospective Evaluation of the Weekend Effect on Mortality Outcomes in Aortic Dissection

Version 1 : Received: 21 March 2023 / Approved: 22 March 2023 / Online: 22 March 2023 (03:29:20 CET)

How to cite: Banceu, C.; Harpa, M.; Brinzaniuc, K.; Neagu, N.; Szabo, D.A.; Banceu, D.; Oprean, M.; Al Husseim, H.; Cristutiu, D.; Stan, A.A.; Neamtu Halic, M.; Suciu, H. Prospective Evaluation of the Weekend Effect on Mortality Outcomes in Aortic Dissection. Preprints 2023, 2023030390. https://doi.org/10.20944/preprints202303.0390.v1 Banceu, C.; Harpa, M.; Brinzaniuc, K.; Neagu, N.; Szabo, D.A.; Banceu, D.; Oprean, M.; Al Husseim, H.; Cristutiu, D.; Stan, A.A.; Neamtu Halic, M.; Suciu, H. Prospective Evaluation of the Weekend Effect on Mortality Outcomes in Aortic Dissection. Preprints 2023, 2023030390. https://doi.org/10.20944/preprints202303.0390.v1

Abstract

Aortic dissection (AD) is a critical heart condition with potentially severe outcomes. Our study aims to investigate the existence of a "weekend effect" in AD by examining the correlation between patient outcomes and the timing of their treatment during weekdays vs weekends. Specifically, we assessed prospectively the effects of the timing of treatment on patient outcomes for acute aortic dissection, both before surgical intervention and during hospitalization, as well as during the follow-up period. The mean age of the study population used here was 62.5 years with a high degree of variability. We recorded a rate of mortality before surgery of 8.65% for the weekend group and 15% for the weekday group, with no significant differences noted in the results of statistical tests. During hospitalization, mortality was found to be 50% (n=52) in the weekend group and 25% (n=5) in the weekday group, again with no significant differences observed in the results of the same statistical tests. Patient mortality after discharge was 9.61% (n=10) in the weekend group and 5% (n=1) in the weekday group. Our findings suggest that there is no significant difference in mortality rates between patients admitted to the hospital on weekends versus weekdays. Therefore, the period of the week when a patient presents to the hospital with aortic dissection appears to not affect their mortality outcomes.

Keywords

aortic dissection outcome; weekend effect; aortic dissection risk factor

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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