Gallerani Massimo, Pala Marco, Fedeli Ugo
Department of Internal Medicine, Hospital of Ferrara, Azienda Ospedaliero-Universitaria, Via Aldo Moro 8, Ferrara 44124, Italy.
Epidemiological Department, Veneto Region, Passaggio Gaudenzio 1, Padova 35131, Italy.
Heart Fail Clin. 2017 Oct;13(4):703-717. doi: 10.1016/j.hfc.2017.05.007. Epub 2017 Jul 11.
The occurrence of cardiovascular events shows a different distribution during the week, with many studies reporting a Monday peak, possibly related to the role of stress associated with commencing weekly activities. Furthermore, a higher mortality has been observed among patients hospitalized for cardiovascular and other disorders on weekends, a phenomenon known as "weekend effect." Such effect may be explained by a higher level of disease severity among patients admitted over the weekend, and/or by a poorer quality of care associated with shortage of staff, lower experience of personnel, and limited availability of therapeutic and diagnostic procedures.
心血管事件的发生在一周内呈现出不同的分布情况，许多研究报告称周一出现高峰，这可能与开始每周活动所带来的压力作用有关。此外，在周末因心血管疾病和其他疾病住院的患者中观察到更高的死亡率，这一现象被称为“周末效应”。这种效应可能是由于周末入院患者的疾病严重程度较高，和/或与人员短缺、人员经验不足以及治疗和诊断程序可用性有限相关的护理质量较差所致。
