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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Operating at night does not increase the risk of intraoperative adverse events

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  • Trine G Eskesen
  • Thomas Peponis
  • Noelle Saillant
  • David R King
  • Peter J Fagenholz
  • George C Velmahos
  • Haytham M A Kaafarani
Vis graf over relationer

BACKGROUND: We sought to investigate the association between nighttime (NT) operating and the occurrence of intraoperative adverse events (iAEs).

STUDY DESIGN: Our 2007-2012 institutional ACS-NSQIP and administrative databases were screened for iAEs using the ICD-9-CM-based Patient Safety Indicator "accidental puncture or laceration". Procedures were defined as AM (06.00-14.00 h), PM (14.00-22.00 h), or NT (22.00-06.00 h). Univariate and multivariable analyses were performed to investigate the association between PM and NT operating and the occurrence of iAEs.

RESULTS: 9136 surgical procedures were included: 7445 AM, 1303 PM, 388 NT. iAEs occurred in 183 procedures. NT patients were younger and less comorbid, but sicker, and with less complex surgeries. There was no correlation between PM or NT operations and iAEs (multivariable analysis [reference: AM operations]: OR = 0.66 [95% CI = 0.40-1.12], P = 0.123; OR = 1.22 [95% CI = 0.51-2.93], P = 0.659, respectively).

CONCLUSION: Operating at night does increase the risk of iAEs.

OriginalsprogEngelsk
TidsskriftAmerican Journal of Surgery
Vol/bind216
Udgave nummer1
Sider (fra-til)19-24
Antal sider6
ISSN0002-9610
DOI
StatusUdgivet - jul. 2018

ID: 54653001