Key result
Cardiac catheterization after holiday weekends shows no increase in procedural complications versus standard weekends.
Why the study?
Catheterization laboratory schedules after 3-day holiday weekends tend to be overloaded with urgent procedures for patients who have waited up to 3 days. Whether invasive cardiac procedures following a 3-day holiday weekend have worse outcomes compared with procedures following a 2-day weekend was uncertain.
Does undergoing invasive cardiac catheterization following a 3-day holiday weekend increase procedural complications or adverse in-hospital outcomes compared with following a standard 2-day weekend?
Cohort (n=13,704)
No
Does undergoing invasive cardiac catheterization following a 3-day holiday weekend increase procedural complications or adverse in-hospital outcomes compared with following a standard 2-day weekend?
Performing cardiac catheterization on the day after a 3-day holiday weekend is safe and does not independently increase the risk of procedural complications, in-hospital mortality, myocardial infarction, or stroke compared with a normal 2-day weekend.
Answers are grounded in this paper and cite their sources.
May support flexible post-holiday scheduling without excess risk; leaves open need for prospective confirmation.
OBJECTIVES: The study aim is to determine whether invasive cardiac procedures following a 3-day (holiday) weekend have worse outcomes compared with procedures following a 2-day (normal) weekend. BACKGROUND: Catheterization laboratory schedules after 3-day holiday weekends tend to be overloaded with urgent procedures for patients who have waited up to 3 days. We hypothesized that this would be reflected by more procedural complications in patients undergoing procedures after a 3-day weekend. METHODS: Invasive cardiac procedures that occurred after a weekend at Geisinger Medical Center from July 2012 to December 2019 were included. Baseline characteristics, presentation, periprocedural variables, adverse events, and clinical outcomes were compared between catheterizations on the day following a 2-day weekend and catheterizations following a 3-day weekend. Independent correlates of adverse events were identified by logistic regression analysis. RESULTS: We identified 13,704 invasive cardiac procedures performed after a weekend, of which 722 occurred after a 3-day (holiday) weekend. Baseline demographics, presentation, and case volumes were similar between the 2 groups. Procedures after a 3-day weekend were not associated with any differences in in-hospital mortality, myocardial infarction, or stroke compared with those after a standard 2-day weekend. By univariate analysis, procedural complications were more frequent after a 3-day weekend (15.1% vs 12.3%; P=.03), but this difference was not significant on multivariate analysis (odds ratio, 1.22; P=.30). CONCLUSIONS: Cardiac catheterization procedures performed after a 3-day weekend were not associated with differences in in-patient mortality, myocardial infarction, stroke, or procedural complications.
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Blankenship et al. (2021) conducted a cohort in Patients undergoing invasive cardiac catheterization (n=13,704). Cardiac catheterization following a 3-day (holiday) weekend vs. Cardiac catheterization following a 2-day (normal) weekend was evaluated on Procedural complications (OR 1.22, p=0.30). Cardiac catheterization after a 3-day holiday weekend was not independently associated with increased procedural complications vs a 2-day weekend.
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