Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications
British Journal of Anaesthesia · Mart 2019
YÖKSİS Kayıtları
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications
BRITISH JOURNAL OF ANAESTHESIA · 2019 SCI
PROFESÖR OĞUZHAN ARUN →
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications
BRITISH JOURNAL OF ANAESTHESIA · 2019 SCI
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiBritish Journal of Anaesthesia
Yayın TarihiMart 2019
Cilt / Sayfa122 · 361-369
Scopus ID2-s2.0-85058784675
Erişim🔓 Açık Erişim
Özet
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.
Yazarlar (100)
1
Andrea Cortegiani
2
C. Gregoretti
3
Ary Serpa Neto
4
Sabrine N. Hemmes
5
Lorenzo Ball
6
Jaume Canet
7
Michael Hiesmayr
8
Markus W. Hollmann
9
Gary H. Mills
10
Marcos F. Vidal Melo
11
Christian Putensen
12
Werner Schmid
13
Paolo Severgnini
14
Hermann Wrigge
15
Marcelo Gama de Abreu
16
Marcus J. Schultz
17
Paolo Pelosi
18
Wolfgang Kroell
19
Helfried Metzler
20
Gerd Struber
21
Thomas Wegscheider
22
Hans Gombotz
23
Bernhard Urbanek
24
David Kahn
25
Mona Momeni
26
Audrey Pospiech
27
Fernande Lois
28
Patrice Forget
29
Irina Grosu
30
Jan Poelaert
31
V. Mossevelde
32
Marie Claire van Malderen
33
Dimitri Dylst
34
J. V. Melkebeek
35
Maud Beran
36
Stefan De Hert
37
L. D. Baerdemaeker
38
Bjorn Heyse
39
J. V. Limmen
40
Piet Wyffels
41
Tom Jacobs
42
Nathalie Roels
43
A. D. Bruyne
44
S. V.D. Velde
45
J. Z. Marina
46
D. O. Dejana
47
Selma Pernar
48
Josip Zunic
49
Petar Miskovic
50
Antonio Zilic
51
Slavica Kvolik
52
Dubravka Ivic
53
A. V. Darija
54
Sonja Skiljic
55
Hrvoje Vinkovic
56
Ivana Oputric
57
Kazimir Juricic
58
Vedran Frkovic
59
Jasminka Kopic
60
Ivan Mirkovic
61
Jadranka Pavicic Saric
62
Gorjana Erceg
63
Matea Bogdanovic Dvorscak
64
M. S. Branka
65
Anna Marija Pavicic
66
Tanja Goranovic
67
Branka Maldini
68
Tomislav Radocaj
69
Zeljka Gavranovic
70
M. B. Inga
71
Mirna Sehovic
72
Petr Stourac
73
Hana Harazim
74
Olga Smekalova
75
Martina Kosinova
76
Tomas Kolacek
77
Kamil Hudacek
78
Michal Drab
79
Jan Brujevic
80
Katerina Vitkova
81
Katerina Jirmanova
82
Ivana Volfova
83
Paula Dzurnakova
84
Katarina Liskova
85
Radovan Dudas
86
Radek Filipsky
87
S. E. Kafrawy
88
Hisham Hosny Abdelwahab
89
Tarek Metwally
90
A. R. Ahmed
91
E. S. Ahmed Mostafa
92
Wael Fathy Hasan
93
Ahmed Gouda Ahmed
94
H. Yassin
95
Mohamed Magdy
96
M. Abdelhady
97
M. Mahran
98
E. Herodes
99
P. Kivik
100
J. Oganjan
Anahtar Kelimeler
general anaesthesia
intraoperative complications
patient safety
postoperative complications
pulmonary
Kurumlar
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo Italy
AZ Maria Middelares
Ghent Belgium
Beni Suef University Hospital
Beni Suef Egypt
Clinical Hospital Merkur
Zagreb Croatia
Cliniques Universitaires Saint-Luc
Brussels Belgium
County Hospital Čakovec
Cakovec Croatia
Dr. Josip Bencevic General Hospital
Slavonski Brod Croatia
El-Sahel Teaching Hospital
Cairo Egypt
Faculty of Medicine
Cairo Egypt
Fakultni Nemocnice Brno
Brno Czech Republic
Fakultní Nemocnice Hradec Králové
Hradec Kralove Czech Republic
Fayoum University Hospital
Fayoum Egypt
General Hospital Karlovac
Karlovac Croatia
General Hospital "Prim. Dr. Abdulah Nakas"
Sarajevo Bosnia and Herzegovina
General Hospital Sveti Duh
Zagreb Croatia
Hospital Israelita Albert Einstein
Sao Paulo Brazil
Hospital Universitari Germans Trias i Pujol
Badalona Spain
Interní oddělení nemocnice Znojmo
Znojmo Czech Republic
IRCCS San Martino Polyclinic Hospital
Genoa Italy
KBC Osijek
Osijek Croatia
Kepler Universitätsklinikum
Linz Austria
Klinički Bolnički Centar Rijeka
Rijeka Croatia
LKH-Universitätsklinikum Graz
Graz Austria
Mahidol University
Nakhon Pathom Thailand
Massachusetts General Hospital
Boston United States
Medizinische Universität Wien
Vienna Austria
North Estonia Medical Centre
Tallinn Estonia
Royal Hallamshire Hospital
Sheffield United Kingdom
Suis medical Insurance Hospital
Suis Egypt
The University of Sheffield
Sheffield United Kingdom
Università degli Studi dell'Insubria
Varese Italy
Università degli Studi di Genova
Genoa Italy
Università degli Studi di Palermo
Palermo Italy
Universitair Ziekenhuis Brussel
Jette Belgium
Universitair Ziekenhuis Gent
Ghent Belgium
Universität Leipzig
Leipzig Germany
Universitätsklinikum Bonn
Bonn Germany
Universitätsklinikum Carl Gustav Carus Dresden
Dresden Germany
Universiteit van Amsterdam
Amsterdam Netherlands
University Hospital in Ostrava
Ostrava Czech Republic
University of Zagreb School of Medicine
Zagreb Croatia
Ziekenhuis Oost-Limburg
Genk Belgium
Metrikler
42
Atıf
100
Yazar
5
Anahtar Kelime