• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Is there a “weekend effect” in patients with necrotizing fasciitis: A Nationwide Analysis

Heather Peluso, DO1, Wesley B Jones, MD1, Marwan S Abougergi, MD2. 1Greenville Health System, 2Catalyst Medical Consulting, LLC

Introduction:  We sought to determine the impact of day of admission on treatment outcomes and resource utilization among patients with necrotizing fasciitis in the United States.

Methods: This is a retrospective cohort study using the 2014 National Inpatient Sample. Discharges were included if they had a principal diagnosis of necrotizing fasciitis. Patients  <18 years and non-urgent admissions were excluded. The primary outcome was inpatient mortality. Secondary outcomes were morbidity (sepsis and prolonged mechanical ventilation (PMV)), treatment metrics (time to surgery) and resource utilization (length of stay (LOS) and total hospitalization costs and charges). The following confounders were adjusted for using multivariate regression analysis: patient’s sex, age, race, Charlson comorbidity index, median income in patient’s zip code, hospital urban location, region, teaching status and bedsize.

Results: 3,590 patients were included in the study, 24% of whom were admitted on weekends. The mean age was 53 (52 – 54) years and 42% were Female. Weekend admission was not a predictor of mortality (adjusted odds ratio (aOR):1.29 (0.38-4.33), p=0.68). Rates of septic shock (aOR:1.03 (0.51-2.08), p=0.93) and PMV (aOR: 0.87, (0.39-1.95), p=0.74) were similar for both groups. Time to surgery (adjusted mean difference (amDiff):1.15 (0.77-1.71) days, p=0.50) was similar for patients admitted on weekdays and weekends. Furthermore, LOS (amDiff:-1.77 (-4.04-0.50) days, p=0.13), total hospitalization costs ($-4,788 ($-11,833-$2,256), p=0.18), and charges (amDiff:$-15,276 ($-44,906-$14,353), p=0.31) were also similar for both groups.

Conclusion: In-hospital mortality, morbidity, treatment metrics, and resource utilization were not different between patients admitted on weekends and on weekdays. Therefore, day of admission does not affect treatment outcomes or resource utilization among patients with necrotizing fasciitis.

 

Table 1: Primary and Secondary Outcomes

 

Adjusted Odds ratio (95% confidence interval)

 

P value

In-hospital mortality

1.29 (0.38-4.33) 0.65
Morbidity    
Septic Shock 1.03 (0.51-2.08) 0.93
PMV 0.87 (0.39-1.95) 0.74
 

Adjusted Mean Difference *

(95% confidence interval)

 
Treatment metrics    
Time from admission to surgery 1.15  (0.77-1.71) days 0.50
Resource Utilization    
LOS -1.77 (-4.04-0.50) days 0.13
Total costs $-4,788 ($-11,833-$2,256) 0.18
Total charges $-15,276 ($-44,906-$14,353) 0.31

Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94214

Program Number: P026

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

82

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons