Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/51853
Title: Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications
Authors: A. Cortegiani
C. Gregoretti
A. S. Neto
S. N.T. Hemmes
L. Ball
J. Canet
M. Hiesmayr
M. W. Hollmann
G. H. Mills
M. F.V. Melo
C. Putensen
W. Schmid
P. Severgnini
H. Wrigge
M. Gama de Abreu
M. J. Schultz
P. Pelosi
W. Kroell
H. Metzler
G. Struber
T. Wegscheider
H. Gombotz
B. Urbanek
D. Kahn
M. Momeni
A. Pospiech
F. Lois
P. Forget
I. Grosu
J. Poelaert
V. Mossevelde
M. C. van Malderen
D. Dylst
J. V. Melkebeek
M. Beran
S. D. Hert
L. D. Baerdemaeker
B. Heyse
J. V. Limmen
P. Wyffels
T. Jacobs
N. Roels
A. D. Bruyne
S. V.D. Velde
J. Z. Marina
D. O. Dejana
S. Pernar
J. Zunic
P. Miskovic
A. Zilic
S. Kvolik
D. Ivic
A. V. Darija
S. Skiljic
H. Vinkovic
I. Oputric
K. Juricic
V. Frkovic
J. Kopic
I. Mirkovic
J. P. Saric
G. Erceg
M. B. Dvorscak
M. S. Branka
A. M. Pavicic
T. Goranovic
B. Maldini
T. Radocaj
Z. Gavranovic
M. B. Inga
M. Sehovic
P. Stourac
H. Harazim
O. Smekalova
M. Kosinova
T. Kolacek
K. Hudacek
M. Drab
J. Brujevic
K. Vitkova
K. Jirmanova
I. Volfova
P. Dzurnakova
K. Liskova
R. Dudas
R. Filipsky
S. E. Kafrawy
H. H. Abdelwahab
T. Metwally
A. R. Ahmed
E. S. Ahmed Mostafa
W. F. Hasan
A. G. Ahmed
H. Yassin
M. Magdy
M. Abdelhady
M. Mahran
E. Herodes
P. Kivik
J. Oganjan
Ospedale Policlinico San Martino
KBC Osijek
Klinički Bolnički Centar
Universitair Ziekenhuis Brussel
General Hospital Karlovac
Dr. Josip Bencevic General Hospital
University Hospital in Ostrava
Ziekenhuis Oost-Limburg
University Hospital of Ghent
Universitäts-Klinikum Bonn und Medizinische Fakultät
Massachusetts General Hospital
Hospital Universitari Germans Trias i Pujol
Fayoum University
Dresden University Faculty of Medicine and University Hospital Carl Gustav Carus
Università degli Studi di Genova
Fakultni Nemocnice Brno
Faculty Hospital at Hradec Kralove
Università degli Studi di Palermo
Hospital Israelita Albert Einstein
Cliniques Universitaires Saint-Luc
Mahidol University
Medizinische Universitat Wien
Cairo University
Universität Leipzig
University of Zagreb School of Medicine
Università degli Studi dell'Insubria
LKH-Universitätsklinikum Graz
Universiteit van Amsterdam
University of Sheffield
Suis medical Insurance Hospital
Laboratorio Centralizzato Policlinico "P.Giaccone"
Beni Sueif University Hospital
North Estonia Medical Center
AZ Maria Middelares
Nemocnice Znojmo
AKH Linz
General Hospital Čakovec
El Sahel Teaching Hospital
Keywords: Medicine
Issue Date: 1-Mar-2019
Citation: British Journal of Anaesthesia. Vol.122, No.3 (2019), 361-369
Abstract: © 2018 British Journal of Anaesthesia Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs). Methods: LAS VEGAS (Local Assessment of Ventilatory Management During General Anesthesia for Surgery) was a prospective international 1-week study that enrolled adult patients undergoing surgical procedures with general anaesthesia and mechanical ventilation in 146 hospitals across 29 countries. Surgeries were defined as occurring during ‘daytime’ when induction of anaesthesia was between 8:00 AM and 7:59 PM, and as ‘night-time’ when induction was between 8:00 PM and 7:59 AM. Results: Of 9861 included patients, 555 (5.6%) underwent surgery during night-time. The proportion of patients who developed intraoperative AEs was higher during night-time surgery in unmatched (43.6% vs 34.1%; P<0.001) and propensity-matched analyses (43.7% vs 36.8%; P=0.029). PPCs also occurred more often in patients who underwent night-time surgery (14% vs 10%; P=0.004) in an unmatched cohort analysis, although not in a propensity-matched analysis (13.8% vs 11.8%; P=0.39). In a multivariable regression model, including patient characteristics and types of surgery and anaesthesia, night-time surgery was independently associated with a higher incidence of intraoperative AEs (odds ratio: 1.44; 95% confidence interval: 1.09–1.90; P=0.01), but not with a higher incidence of PPCs (odds ratio: 1.32; 95% confidence interval: 0.89–1.90; P=0.15). Conclusions: Intraoperative adverse events and postoperative pulmonary complications occurred more often in patients undergoing night-time surgery. Imbalances in patients’ clinical characteristics, types of surgery, and intraoperative management at night-time partially explained the higher incidence of postoperative pulmonary complications, but not the higher incidence of adverse events. Clinical trial registration: NCT01601223.
URI: http://repository.li.mahidol.ac.th/dspace/handle/123456789/51853
metadata.dc.identifier.url: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85058784675&origin=inward
ISSN: 14716771
00070912
Appears in Collections:Scopus 2019

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.