CKD Patients Should Know The Outcomes For Surgery Are Significantly Worse On Certain Days Of Week

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Researchers have found that Rates of Death 30 days after a surgical procedure were more common when the operation was carried out on Friday or over the weekend. This is because patients suffer a lack of staff, care and attention as they recover over the weekend. People with Chronic Kidney Disease (CKD) are very familiar with frequently required surgical procedures including Kidney Transplantation, Arteriovenous Fistula placement, Graft implant, Peritoneal Dialysis and Chest Catheter insertion, as well as other necessary operations. The University of Pennsylvania findings are even more troublesome because they analyzed routine operations rather than the more difficult cases. 

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 In fact, the risk of death increased by 9% for each day of the week that a procedure was performed after Monday. Compared with Monday procedures, elective surgery on a Friday was found to be 44% riskier, with an 82% combined risk of a significant issue on Saturday and Sunday. Postoperative infections were 50 percent more likely in weekend patients, pulmonary complications were twice as common, and the risk for wound complications and repeat surgery was 10 times as high. Due to the fact that CKD patients often have a weakened immune defense system and a slower wound healing process which can lead to increased risk of infection, they should minimize the possibility of negative outcomes by attempting to avoid Friday and weekend surgeries. 

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The nursing staff is often depleted by short staffing and inexperienced staff replacing those who have called in sick. Still, Dr. Ashwin N. Ananthakrishnan, lead study author and Assistant Professor of Medicine at Massachusetts General Hospital said, “This doesn’t mean that if you’re admitted on a weekend, you should fight surgery. If you need surgery, you should get it." However it is advisable in the case of Friday or weekend surgery, you ask your surgeon to be reasonably available to you via phone during hospital recovery. Also, you should be very cautious about your care. Be sure that the limited and busy staff follows protocols such as hand hygiene and prescribed medicine dosage to avoid unnecessary lengthy hospital stay, rehospitalization or other serious health complications. 

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References: 

Petrochko, Cole. "Outcomes Worse for Surgery on Weekends."Http://www.medpagetoday.com/. MedPage Today, LLC.

BAKALAR, NICHOLAS. "Weekends Worse for Surgery." Http://well.blogs.nytimes.com/. The New York Times Company

MACRAE, FIONA, SCIENCE CORRESPONDENT. "Operation on a Friday? Why Patients Are 24% More Likely to Die If They Have to Recuperate in Hospital at the Weekend." Http://www.dailymail.co.uk/. Associated Newspapers Ltd.