Joshua A Heller1, Rishi Kothari2, Hung-Mo Lin2, Matthew A Levin2, Menachem Weiner2. 1. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Joshua.heller@mountsinai.org. 2. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.
Abstract
OBJECTIVE: Determine if surgery start time impacts patient outcomes in elective cardiac surgery. DESIGN: This was a retrospective study. SETTING: This study was based at a single academic institution. PARTICIPANTS: Patients undergoing elective cardiac surgery over a 3-year period were included. INTERVENTIONS: There were no interventions. MEASUREMENTS AND MAIN RESULTS: The authors performed a retrospective study of patients undergoing elective cardiac surgery over a 3-year period. They divided their patient groups into those who had an anesthesia start time between 6:00 a.m. and 4:00 p.m. and those who had an anesthesia start time between 4:01 p.m. and 5:59 a.m. In the original sample and propensity-score-matched groups, the authors examined the effects of start time on morbidity, mortality, and several metrics of hospital length of stay. The start time of elective cardiac surgery did not have a statistically significant effect upon mortality, individual or composite morbidity, or hospital length of stay in either the original sample or the propensity-score-matched sample. CONCLUSIONS: The authors' results suggested that elective cardiac surgery may be performed late at night without adverse effects, although institutional support for this effort (such as 24-hour intensivist coverage to facilitate fast-track extubation) may have been integral to their findings.
OBJECTIVE: Determine if surgery start time impacts patient outcomes in elective cardiac surgery. DESIGN: This was a retrospective study. SETTING: This study was based at a single academic institution. PARTICIPANTS: Patients undergoing elective cardiac surgery over a 3-year period were included. INTERVENTIONS: There were no interventions. MEASUREMENTS AND MAIN RESULTS: The authors performed a retrospective study of patients undergoing elective cardiac surgery over a 3-year period. They divided their patient groups into those who had an anesthesia start time between 6:00 a.m. and 4:00 p.m. and those who had an anesthesia start time between 4:01 p.m. and 5:59 a.m. In the original sample and propensity-score-matched groups, the authors examined the effects of start time on morbidity, mortality, and several metrics of hospital length of stay. The start time of elective cardiac surgery did not have a statistically significant effect upon mortality, individual or composite morbidity, or hospital length of stay in either the original sample or the propensity-score-matched sample. CONCLUSIONS: The authors' results suggested that elective cardiac surgery may be performed late at night without adverse effects, although institutional support for this effort (such as 24-hour intensivist coverage to facilitate fast-track extubation) may have been integral to their findings.
Authors: Mehmet I Buget; Nur Canbolat; Chasan M Chousein; Taha Kizilkurt; Ali Ersen; Kemalettin Koltka Journal: Medicine (Baltimore) Date: 2022-07-08 Impact factor: 1.817
Authors: Hidefumi Nishida; Christopher Salerno; David Onsager; Tae Song; Ann Nguyen; Jonathan Grinstein; Bow Chung; Bryan Smith; Sara Kalantari; Nitasha Sarswat; Gene Kim; Sean Pinney; Valluvan Jeevanandam; Takeyoshi Ota Journal: ESC Heart Fail Date: 2022-04-23