TY - JOUR
T1 - Endovascular aneurysm closure during out of office hours is not related to complications or outcome
AU - van Lieshout, Jasper H.
AU - Verbaan, Dagmar
AU - Fischer, Igor
AU - Mijderwijk, Hendrik Jan
AU - van den Berg, René
AU - Vandertop, W. Peter
AU - Klijn, Catharina J.M.
AU - Steiger, Hans J.
AU - de Vries, Joost
AU - Bartels, Ronald H.M.A.
AU - Beseoglu, Kerim
AU - Boogaarts, Hieronymus D.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Purpose: A possible disadvantage of endovascular occlusion outside work hours is that complex procedures might expose patients to additional risk when performed in a suboptimal setting. In this prospective cohort study, we evaluated whether treatment during out of office hours is a risk factor for per-procedural complications and clinical outcome. Methods: We included 471 endovascular-treated, consecutive aneurysmal subarachnoid hemorrhage patients (56.6 ± 13.1, 69% female), from two prospective observational databases which were retrospectively analyzed. Primary outcome was the occurrence of per-procedural complications. Secondary outcomes were good clinical outcome (modified ranking scale ≤ 2) and death at 6-month follow-up. We determined odds ratios (OR) with 95% confidence intervals (CI) by ordered polytomous logistic regression analysis and adjusted odds ratios (aOR) for age, World Federation of Neurosurgical Societies grade, and time to treatment. Results: Most patients were treated during office hours (363/471; 77.1%). Treatment during out of office hours did not result in an increased risk of per-procedural complications (OR 0.85 (95% CI 0.53–1.37; p = 0.51). Patients treated during out of office hours displayed similar odds of good clinical outcome and death after 6 months (OR 1.14, 95% CI 0.68–1.97 and 1.16 95% CI 0.56–2.29, respectively) compared to patients treated during office hours. Conclusion: In our study, endovascular coil embolization during out of office hours did not expose patients to an increased risk of procedural complications or affect functional outcome after 6 months.
AB - Purpose: A possible disadvantage of endovascular occlusion outside work hours is that complex procedures might expose patients to additional risk when performed in a suboptimal setting. In this prospective cohort study, we evaluated whether treatment during out of office hours is a risk factor for per-procedural complications and clinical outcome. Methods: We included 471 endovascular-treated, consecutive aneurysmal subarachnoid hemorrhage patients (56.6 ± 13.1, 69% female), from two prospective observational databases which were retrospectively analyzed. Primary outcome was the occurrence of per-procedural complications. Secondary outcomes were good clinical outcome (modified ranking scale ≤ 2) and death at 6-month follow-up. We determined odds ratios (OR) with 95% confidence intervals (CI) by ordered polytomous logistic regression analysis and adjusted odds ratios (aOR) for age, World Federation of Neurosurgical Societies grade, and time to treatment. Results: Most patients were treated during office hours (363/471; 77.1%). Treatment during out of office hours did not result in an increased risk of per-procedural complications (OR 0.85 (95% CI 0.53–1.37; p = 0.51). Patients treated during out of office hours displayed similar odds of good clinical outcome and death after 6 months (OR 1.14, 95% CI 0.68–1.97 and 1.16 95% CI 0.56–2.29, respectively) compared to patients treated during office hours. Conclusion: In our study, endovascular coil embolization during out of office hours did not expose patients to an increased risk of procedural complications or affect functional outcome after 6 months.
KW - Aneurysmal subarachnoid hemorrhage
KW - Cohort study
KW - Outcome research
KW - Patient safety
KW - Risk factors in epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85079418008&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00234-019-02355-1
DO - https://doi.org/10.1007/s00234-019-02355-1
M3 - Article
C2 - 32034439
SN - 0028-3940
VL - 62
SP - 741
EP - 746
JO - Neuroradiology
JF - Neuroradiology
IS - 6
ER -