Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

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dc.contributor.authorCortegiani, A.
dc.contributor.authorGregoretti, C.
dc.contributor.authorNeto, A. S.
dc.contributor.authorHemmes, S. N. T.
dc.contributor.authorBall, L.
dc.contributor.authorCanet, J.
dc.contributor.authorHiesmayr, M.
dc.contributor.authorHollmann, M.W.
dc.contributor.authorMills, G.H.
dc.contributor.authorMelo, M.F.V.
dc.contributor.authorPutensen, C.
dc.contributor.authorSchmid, W.
dc.contributor.authorSevergnini, P.
dc.contributor.authorWrigge, H.
dc.contributor.authorGama de Abreu, M.
dc.contributor.authorSchultz, M.J.
dc.contributor.authorPelosi, P.
dc.date.accessioned2020-03-26T20:12:39Z
dc.date.available2020-03-26T20:12:39Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: 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.en_US
dc.description.sponsorshipNIHeNHLBI [1R34HL123438]; European Society of Anaesthesiologyen_US
dc.description.sponsorshipThe LAS VEGAS study was co-funded and endorsed by the European Society of Anaesthesiology, which had no role in the study design nor data analysis and interpretation. MFVM was supported by NIHeNHLBI (1R34HL123438).en_US
dc.identifier.citationCortegiani, A., Gregoretti, C., Neto, A. S., Hemmes, S. N. T., Ball, L., Canet, J., Hiesmayr, M., Hollmann, M. W., Mills, G. H., Melo, M. F. V., Putensen, C., Schmid, W., Severgnini, P., Wrigge, H., Abreu, M. G., Schultz, M. J., Pelosi, P. (2019). Association Between Night-Time Surgery and Occurrence of Intraoperative Adverse Events and Postoperative Pulmonary Complications. British Journal of Anaesthesia, 122(3), 361-369.
dc.identifier.doi10.1016/j.bja.2018.10.063en_US
dc.identifier.endpage369en_US
dc.identifier.issn0007-0912en_US
dc.identifier.issn1471-6771en_US
dc.identifier.issue3en_US
dc.identifier.pmid30770054en_US
dc.identifier.startpage361en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.bja.2018.10.063
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37511
dc.identifier.volume122en_US
dc.identifier.wosWOS:000458513600019en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER SCI LTDen_US
dc.relation.ispartofBRITISH JOURNAL OF ANAESTHESIAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectgeneral anaesthesiaen_US
dc.subjectintraoperative complicationsen_US
dc.subjectpatient safetyen_US
dc.subjectpostoperative complicationsen_US
dc.subjectpulmonaryen_US
dc.titleAssociation between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complicationsen_US
dc.typeArticleen_US

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