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According to new findings, people admitted to the hospital with cardiac arrest during the weekend are not at risk of mortality higher than those admitted during the week.
One study suggested that the presence of 24-hour cardiac arrest teams could play a crucial role.
The research, presented as a summary at the British Cardiovascular Society (BCS) conference in Manchester, focused on the five-year survival of those treated in an NHS hospital for cardiac arrest.
Weekend Effect & # 39; Not a generalized phenomenon & # 39;
Evidence suggesting a so-called "weekend effect", with high mortality rates for patients admitted to the hospital this weekend, was the subject of heated debate.
"We have found in recent years – not only of our group, but also of other groups – that the effect of the weekend is not a widespread phenomenon," said Dr. Rahul Potluri , founder of the Algorithm for comorbidities, badociations and length of stay. & Mortality (ACALM) from Aston University, who led the research. "It does not affect all patients, regardless of their conditions, and research is ongoing in targeted areas where it exists and where it does not exist.
"So we wanted to look at the sickest patients, that is to say the patients who enter the hospital with cardiac arrest and find out if there is a weekend effect on these patients. "
Anonymous information on hospitalized patients with cardiac arrest was obtained from several hospitals in England between 1 January 2000 and 30 June 2014.
The majority (81%) were admitted on weekdays.
The results have been adjusted for external factors that may influence mortality rates, such as age, gender, ethnic group and the 10 leading causes of death in the UK.
This study followed earlier work presented at the BCS conference, suggesting that there was a weekend effect in hospitalized patients with heart failure or atrial fibrillation.
However, the researchers concluded that no weekend effect had been demonstrated in patients presenting to the hospital with cardiac arrest.
Role of cardiac arrest teams
The researchers said that the presence of cardiac arrest teams 24/7 in acute care hospitals could explain their results.
"This should also rebadure the public and doctors that the sickest patients receive adequate treatment upon arrival at the hospital," said Dr. Potluri. Medscape News UK .
Dr. Shajil Chalil, consulting cardiologist at NHS Foundation Trust of Blackpool University Hospitals, and co-author of the study, said: "You can not choose when you are struck by a devastating cardiac arrest. potentially highlight the major value of the arrest teams in hospitals set up to provide optimal care for these heart patients every minute of every day. "
Prof. Metin Avkiran, Associate Medical Director of the British Heart Foundation, said: "This is a success story and shows the vital importance of specialist teams working in the NHS.Cardiac arrest is a medical emergency and statistics show that every minute pbades without CPR or defibrillation, a person's chances of survival decrease by about 10%.
British Cardiovascular Society, Manchester / BMJ / Heart. Patients in cardiac arrest presenting to the hospital on weekends are not subject to the weekend effect: information drawn from ACALM's big data, UK, Potluri R and al. Abstract.
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