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Pregled bibliografske jedinice broj: 866790

Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study


(European Surgical Outcomes Study (EuSOS) group) van Zaane, B; van Klei, WA; Buhre, WF; Bauer, P; Boerma, EC; Hoeft, A; Metnitz, P; Moreno, RP; Pearse, R; Pelosi, P et al.
Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study // European journal of anaesthesiology, 32 (2015), 7; 477-485 doi:10.1097/EJA.0000000000000256 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 866790 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study

Autori
Van Zaane, B ; van Klei, WA ; Buhre, WF ; Bauer, P ; Boerma, EC ; Hoeft, A ; Metnitz, P ; Moreno, RP ; Pearse, R ; Pelosi, P ; Sander, M ; Vallet, B ; Pettilä, V ; Vincent, JL ; Rhodes, A ; European Surgical Outcomes Study (EuSOS) group for the Trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology

Kolaboracija
European Surgical Outcomes Study (EuSOS) group

Izvornik
European journal of anaesthesiology (0265-0215) 32 (2015), 7; 477-485

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Operative surgical procedures mortality adverse effects ; Postoperative complications ; Epidemiological Study

Sažetak
BACKGROUND: Evidence suggests that sleep deprivation associated with night-time working may adversely affect performance resulting in a reduction in the safety of surgery and anaesthesia. OBJECTIVE: Our primary objective was to evaluate an association between nonelective night-time surgery and in-hospital mortality. We hypothesised that urgent surgery performed during the night was associated with higher in-hospital mortality and also an increase in the duration of hospital stay and the number of admissions to critical care. DESIGN: A prospective cohort study. This is a secondary analysis of a large database related to perioperative care and outcome (European Surgical Outcome Study). SETTING: Four hundred and ninety-eight hospitals in 28 European countries. PATIENTS: Men and women older than 16 years who underwent nonelective, noncardiac surgery were included according to time of the procedure. INTERVENTION: None. MAIN OUTCOME MEASURES: Primary outcome was in-hospital mortality ; the secondary outcome was the duration of hospital stay and critical care admission. RESULTS: Eleven thousand two hundred and ninety patients undergoing urgent surgery were included in the analysis with 636 in- hospital deaths (5.6%). Crude mortality odds ratios (ORs) increased sequentially from daytime [426 deaths (5.3%)] to evening [150 deaths (6.0%), OR 1.14 ; 95% confidence interval 0.94 to 1.38] to night- time [60 deaths (8.3%), OR 1.62 ; 95% confidence interval 1.22 to 2.14]. Following adjustment for confounding factors, surgery during the evening (OR 1.09 ; 95% confidence interval 0.91 to 1.31) and night (OR 1.20 ; 95% confidence interval 0.9 to 1.6) was not associated with an increased risk of postoperative death. Admittance rate to an ICU increased sequentially from daytime [891 (11.1%)], to evening [347 (13.8%)] to night time [149 (20.6%)]. CONCLUSION: In patients undergoing nonelective urgent noncardiac surgery, in-hospital mortality was associated with well known risk factors related to patients and surgery, but we did not identify any relationship with the time of day at which the procedure was performed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
European Surgical Outcomes Study (EuSOS) group for
the Trials groups of the European Society of
Intensive Care Medicine and the European Society of
Anaesthesiology



POVEZANOST RADA


Ustanove:
Stomatološki fakultet, Zagreb,
Klinički bolnički centar Osijek,
KBC "Sestre Milosrdnice",
Klinička bolnica "Dubrava",
Klinički bolnički centar Rijeka

Poveznice na cjeloviti tekst rada:

doi pubmed.ncbi.nlm.nih.gov

Citiraj ovu publikaciju:

(European Surgical Outcomes Study (EuSOS) group) van Zaane, B; van Klei, WA; Buhre, WF; Bauer, P; Boerma, EC; Hoeft, A; Metnitz, P; Moreno, RP; Pearse, R; Pelosi, P et al.
Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study // European journal of anaesthesiology, 32 (2015), 7; 477-485 doi:10.1097/EJA.0000000000000256 (međunarodna recenzija, članak, znanstveni)
(European Surgical Outcomes Study (EuSOS) group) (European Surgical Outcomes Study (EuSOS) group) van Zaane, B., van Klei, W., Buhre, W., Bauer, P., Boerma, E., Hoeft, A., Metnitz, P., Moreno, R., Pearse, R. & Pelosi, P. (2015) Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study. European journal of anaesthesiology, 32 (7), 477-485 doi:10.1097/EJA.0000000000000256.
@article{article, author = {van Zaane, B and van Klei, WA and Buhre, WF and Bauer, P and Boerma, EC and Hoeft, A and Metnitz, P and Moreno, RP and Pearse, R and Pelosi, P and Sander, M and Vallet, B and Pettil\"{a}, V and Vincent, JL and Rhodes, A}, year = {2015}, pages = {477-485}, DOI = {10.1097/EJA.0000000000000256}, keywords = {Operative surgical procedures mortality adverse effects, Postoperative complications, Epidemiological Study}, journal = {European journal of anaesthesiology}, doi = {10.1097/EJA.0000000000000256}, volume = {32}, number = {7}, issn = {0265-0215}, title = {Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study}, keyword = {Operative surgical procedures mortality adverse effects, Postoperative complications, Epidemiological Study} }
@article{article, author = {van Zaane, B and van Klei, WA and Buhre, WF and Bauer, P and Boerma, EC and Hoeft, A and Metnitz, P and Moreno, RP and Pearse, R and Pelosi, P and Sander, M and Vallet, B and Pettil\"{a}, V and Vincent, JL and Rhodes, A}, year = {2015}, pages = {477-485}, DOI = {10.1097/EJA.0000000000000256}, keywords = {Operative surgical procedures mortality adverse effects, Postoperative complications, Epidemiological Study}, journal = {European journal of anaesthesiology}, doi = {10.1097/EJA.0000000000000256}, volume = {32}, number = {7}, issn = {0265-0215}, title = {Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study}, keyword = {Operative surgical procedures mortality adverse effects, Postoperative complications, Epidemiological Study} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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