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Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh
As surgeries are performed around the clock, the time of surgery might have an impact on outcomes. Our aim is to investigate the impact of daytime and nighttime shifts on surgeons and their performance. We believe that such studies are important to enhance the quality of surgeries and their outcomes...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593025/ https://www.ncbi.nlm.nih.gov/pubmed/32769860 http://dx.doi.org/10.1097/MD.0000000000020273 |
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author | Alnajashi, Saleh Sulaiman Alayed, Salem Ali Al-Nasher, Saeed Moshbab Aldebasi, Bader Khan, Muhammad Mujahid |
author_facet | Alnajashi, Saleh Sulaiman Alayed, Salem Ali Al-Nasher, Saeed Moshbab Aldebasi, Bader Khan, Muhammad Mujahid |
author_sort | Alnajashi, Saleh Sulaiman |
collection | PubMed |
description | As surgeries are performed around the clock, the time of surgery might have an impact on outcomes. Our aim is to investigate the impact of daytime and nighttime shifts on surgeons and their performance. We believe that such studies are important to enhance the quality of surgeries and their outcomes and help understand the effects of time of the day on surgeons and the surgeries they perform. A retrospective cohort study was conducted using the database from the King Abdulaziz Medical City trauma center. We selected 330 cases of patients between 2015 and 2018, who underwent a trauma intervention surgery within 24 hours after admission. Patients were aged 15 years and above who underwent 1 or more of the following trauma interventions: neurosurgery, general surgery, plastic surgery, vascular surgery, orthopedics, ophthalmology, and/or otolaryngology. We divided the work hours into 3 shifts: 8 am to 3:59 pm, 4 pm to 11:59 pm, and midnight to 7:59 am. Participants’ mean age was 31.4 (standard deviation ± 13) years. Most surgeries occurred on weekdays (68.4%). Complications were one and a half times more on weekends, with 5 complicated cases on weekends (1.55%) and 3 (0.9%) on weekdays. Half of all surgeries were performed in the morning (152 cases, 53.15%); 73 surgeries (25.5%) were performed in the evening and 61 (21.3%) were performed late at night. Surgeries performed during late-night shifts were marginally better. Complications occurred in 4 out of 152 morning surgeries (2.6%), 2 out of 73 evening surgeries (2.7%), and only 1 out of 61 late-night surgeries (1.6%). The earlier comparison scored a P-value of >.99, suggesting that patients in morning and evening surgeries were twice more likely to experience complications than late-night surgeries. This study may support previous research that there is little difference in outcomes between daytime and nighttime surgeries. The popular belief that rested physicians are better physicians requires further assessment and research. |
format | Online Article Text |
id | pubmed-7593025 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-75930252020-10-29 Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh Alnajashi, Saleh Sulaiman Alayed, Salem Ali Al-Nasher, Saeed Moshbab Aldebasi, Bader Khan, Muhammad Mujahid Medicine (Baltimore) 7100 As surgeries are performed around the clock, the time of surgery might have an impact on outcomes. Our aim is to investigate the impact of daytime and nighttime shifts on surgeons and their performance. We believe that such studies are important to enhance the quality of surgeries and their outcomes and help understand the effects of time of the day on surgeons and the surgeries they perform. A retrospective cohort study was conducted using the database from the King Abdulaziz Medical City trauma center. We selected 330 cases of patients between 2015 and 2018, who underwent a trauma intervention surgery within 24 hours after admission. Patients were aged 15 years and above who underwent 1 or more of the following trauma interventions: neurosurgery, general surgery, plastic surgery, vascular surgery, orthopedics, ophthalmology, and/or otolaryngology. We divided the work hours into 3 shifts: 8 am to 3:59 pm, 4 pm to 11:59 pm, and midnight to 7:59 am. Participants’ mean age was 31.4 (standard deviation ± 13) years. Most surgeries occurred on weekdays (68.4%). Complications were one and a half times more on weekends, with 5 complicated cases on weekends (1.55%) and 3 (0.9%) on weekdays. Half of all surgeries were performed in the morning (152 cases, 53.15%); 73 surgeries (25.5%) were performed in the evening and 61 (21.3%) were performed late at night. Surgeries performed during late-night shifts were marginally better. Complications occurred in 4 out of 152 morning surgeries (2.6%), 2 out of 73 evening surgeries (2.7%), and only 1 out of 61 late-night surgeries (1.6%). The earlier comparison scored a P-value of >.99, suggesting that patients in morning and evening surgeries were twice more likely to experience complications than late-night surgeries. This study may support previous research that there is little difference in outcomes between daytime and nighttime surgeries. The popular belief that rested physicians are better physicians requires further assessment and research. Wolters Kluwer Health 2020-08-07 /pmc/articles/PMC7593025/ /pubmed/32769860 http://dx.doi.org/10.1097/MD.0000000000020273 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7100 Alnajashi, Saleh Sulaiman Alayed, Salem Ali Al-Nasher, Saeed Moshbab Aldebasi, Bader Khan, Muhammad Mujahid Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title | Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title_full | Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title_fullStr | Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title_full_unstemmed | Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title_short | Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh |
title_sort | will surgeries performed at night lead to worse outcomes? findings from a trauma center in riyadh |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593025/ https://www.ncbi.nlm.nih.gov/pubmed/32769860 http://dx.doi.org/10.1097/MD.0000000000020273 |
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