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

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, the PROVE Network LAS VEGAS Investigators, the Clinical Trial Network of the European Society of Anaesthesiology

Research output: Contribution to journalArticle

Abstract

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). 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. 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
Original languageEnglish
Pages (from-to)361-369
Number of pages9
JournalBritish Journal of Anaesthesia
Volume122
Publication statusPublished - Mar 2019
Externally publishedYes

Keywords

  • Adult; After-Hours Care
  • statistics & numerical data; Aged; Cohort Studies; Female; Humans; Incidence; Internationality; Intraoperative Complications
  • epidemiology; Lung Diseases
  • epidemiology; Male; Middle Aged; Postoperative Complications
  • epidemiology; Prospective Studies; Risk Factors; Surgical Procedures
  • Operative; general anaesthesia; intraoperative complications; patient safety; postoperative complications; pulmonary

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  • Cite this

    Cortegiani, 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., Gama de Abreu, M., Schultz, M. J., Pelosi, P., LAS VEGAS Investigators, T. PROVE. N., & Anaesthesiology, T. C. T. N. O. T. E. S. O. (2019). Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. British Journal of Anaesthesia, 122, 361-369.