Single-Center Analysis of the Off-Hour Effect in Cardiogenic Shock Outcomes

dc.contributor.advisorBerg, Rance E.
dc.contributor.committeeMemberOrtega, Sterling
dc.creatorHarrison, Caroline R.
dc.date.accessioned2024-02-09T21:38:40Z
dc.date.available2024-02-09T21:38:40Z
dc.date.issued2022-12
dc.description.abstractThe off-hours effect is a phenomenon where patients admitted during nights and weekends have poorer outcomes than those admitted during weekdays. This observation is often more pronounced in emergent conditions such as cardiogenic shock. Few studies have investigated the presence of an off-hour effect in patients with cardiogenic shock. In my thesis project, I explored the existence of an off-hour effect in 155 cardiogenic shock cases at a major urban hospital by evaluating patient outcomes. Patients admitted during off-hours had higher complication rates (OR=2.66, 95% CI, 1.29 to 5.49; p=0.01). I also found that patients admitted during on-hours waited longer to receive mechanical circulatory support devices after being admitted; however, this did not appear to negatively effect on-hour patient outcomes. While it appears that admission time does influence patient outcomes, the underlying cause for this effect is not yet understood.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/32496
dc.language.isoen
dc.subjectcardiogenic shock
dc.subjectoff-hours
dc.subjectoff-hours effect
dc.subjectcardiogenic shock outcomes
dc.subjectheart disease
dc.subject.meshShock, Cardiogenic
dc.subject.meshHeart Diseases
dc.subject.meshOutcome Assessment, Health Care
dc.titleSingle-Center Analysis of the Off-Hour Effect in Cardiogenic Shock Outcomes
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Biomedical Sciences
thesis.degree.disciplineClinical Research Management
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Science
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