Impact of national holidays and weekends on incidence of acute type A aortic dissection repair.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
29 11 2022
Historique:
received: 30 08 2022
accepted: 24 11 2022
entrez: 29 11 2022
pubmed: 30 11 2022
medline: 2 12 2022
Statut: epublish

Résumé

Previous studies have demonstrated that environmental and temporal factors may affect the incidence of acute type A aortic dissection (ATAAD). Here, we aimed to investigate the hypothesis that national holidays and weekends influence the incidence of surgery for ATAAD. For the period 1st of January 2005 until 31st of December 2019, we investigated a hypothesised effect of (country-specific) national holidays and weekends on the frequency of 2995 surgical repairs for ATAAD at 10 Nordic cities included in the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD) collaboration. Compared to other days, the number of ATAAD repairs were 29% (RR 0.71; 95% CI 0.54-0.94) lower on national holidays and 26% (RR 0.74; 95% CI 0.68-0.82) lower on weekends. As day of week patterns of symptom duration were assessed and the primary analyses were adjusted for period of year, our findings suggest that the reduced surgical incidence on national holidays and weekends does not seem to correspond to seasonal effects or surgery being delayed and performed on regular working days.

Identifiants

pubmed: 36446905
doi: 10.1038/s41598-022-25076-7
pii: 10.1038/s41598-022-25076-7
pmc: PMC9708832
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

20552

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

© 2022. The Author(s).

Références

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Auteurs

Anna Oudin (A)

Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Division of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Henrik Bjursten (H)

Department of Cardiothoracic Surgery, Skåne University Hospital, Lund University, Lund, Sweden.

Daniel Oudin Åström (D)

Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Division of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Shahab Nozohoor (S)

Department of Cardiothoracic Surgery, Skåne University Hospital, Lund University, Lund, Sweden.

Khalil Ahmad (K)

Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.

Mariann Tang (M)

Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.

Markus Bjurbom (M)

Department of Thoracic and Cardiovascular Surgery, Karolinska University Hospital, Stockholm, Sweden.

Emma C Hansson (EC)

Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Anders Jeppsson (A)

Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Christian H Moeller (CH)

Department of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Mikko Jormalainen (M)

Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.

Tatu Juvonen (T)

Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.

Ari Mennander (A)

Heart Centre, Tampere University Hospital and University of Tampere, Tampere, Finland.

Peter S Olsen (PS)

Department of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Christian Olsson (C)

Department of Thoracic and Cardiovascular Surgery, Karolinska University Hospital, Stockholm, Sweden.

Anders Ahlsson (A)

Department of Thoracic and Cardiovascular Surgery, Karolinska University Hospital, Stockholm, Sweden.

Emily Pan (E)

Heart Center, Turku University Hospital, Turku, Finland.
Brigham and Women's Hopistal and Harvard Medical School, Boston, MA, USA.

Peter Raivio (P)

Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.

Anders Wickbom (A)

Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.

Johan Sjögren (J)

Department of Cardiothoracic Surgery, Skåne University Hospital, Lund University, Lund, Sweden.

Arnar Geirsson (A)

Division of Cardiac Surgery, Yale University School of Medicine, New Haven, CT, USA.

Tomas Gudbjartsson (T)

Department of Cardiothoracic Surgery, Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Igor Zindovic (I)

Department of Cardiothoracic Surgery, Skåne University Hospital, Lund University, Lund, Sweden. igor.zindovic@med.lu.se.

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