To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. The ‘weekend effect’ is a phenomenon whereby patient outcomes appear worse at the weekend compared to during the week. Recent evidence has suggested that the effect may be due to a combination of inadequate correction for confounding factors and inaccurate coding. We investigated the effects of these factors in patients with acute abdominal aortic aneurysm (AAA).