Operating at night does not increase the risk of intraoperative adverse events - 18/06/18
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Patients operated at night were younger, less comorbid, but sicker. |
• | No correlation between PM or NT operations and the occurrence of iAEs. |
• | No difference in severity of iAEs between AM, PM and NT operations. |
Keywords : Nighttime surgery, Surgical start time, Intraoperative adverse events, Patient safety
Plan
Vol 216 - N° 1
P. 19-24 - juillet 2018 Retour au numéro
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