Surgery Start Time Does Not Impact Outcome in Elective Cardiac Surgery.
J Cardiothorac Vasc Anesth
; 31(1): 32-36, 2017 Feb.
Article
in En
| MEDLINE
| ID: mdl-28277245
ABSTRACT
OBJECTIVE:
Determine if surgery start time impacts patient outcomes in elective cardiac surgery.DESIGN:
This was a retrospective study.SETTING:
This study was based at a single academic institution.PARTICIPANTS:
Patients undergoing elective cardiac surgery over a 3-year period were included.INTERVENTIONS:
There were no interventions. MEASUREMENTS AND MAINRESULTS:
The authors performed a retrospective study of patients undergoing elective cardiac surgery over a 3-year period. They divided their patient groups into those who had an anesthesia start time between 600 a.m. and 400 p.m. and those who had an anesthesia start time between 401 p.m. and 559 a.m. In the original sample and propensity-score-matched groups, the authors examined the effects of start time on morbidity, mortality, and several metrics of hospital length of stay. The start time of elective cardiac surgery did not have a statistically significant effect upon mortality, individual or composite morbidity, or hospital length of stay in either the original sample or the propensity-score-matched sample.CONCLUSIONS:
The authors' results suggested that elective cardiac surgery may be performed late at night without adverse effects, although institutional support for this effort (such as 24-hour intensivist coverage to facilitate fast-track extubation) may have been integral to their findings.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Elective Surgical Procedures
/
After-Hours Care
/
Cardiac Surgical Procedures
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Cardiothorac Vasc Anesth
Journal subject:
ANESTESIOLOGIA
/
CARDIOLOGIA
Year:
2017
Document type:
Article
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA