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

A. Cortegiani (Corresponding Author), 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, W. Kroell, H. Metzler, G. Struber & 472 others T. Wegscheider, H. Gombotz, B. Urbanek, D. Kahn, M. Momeni, A. Pospiech, F. Lois, P. Forget, I. Grosu, J. Poelaert, V. Mossevelde, M.C. van Malderen, D. Dylst, J.V. Melkebeek, M. Beran, S.D. Hert, L.D. Baerdemaeker, B. Heyse, J.V. Limmen, P. Wyffels, T. Jacobs, N. Roels, A.D. Bruyne, S.V.D. Velde, J.Z. Marina, D.O. Dejana, S. Pernar, J. Zunic, P. Miskovic, A. Zilic, S. Kvolik, D. Ivic, A.V. Darija, S. Skiljic, H. Vinkovic, I. Oputric, K. Juricic, V. Frkovic, J. Kopic, I. Mirkovic, J.P. Saric, G. Erceg, M.B. Dvorscak, M.S. Branka, A.M. Pavicic, T. Goranovic, B. Maldini, T. Radocaj, Z. Gavranovic, M.B. Inga, M. Sehovic, P. Stourac, H. Harazim, O. Smekalova, M. Kosinova, T. Kolacek, K. Hudacek, M. Drab, J. Brujevic, K. Vitkova, K. Jirmanova, I. Volfova, P. Dzurnakova, K. Liskova, R. Dudas, R. Filipsky, S.E. Kafrawy, H.H. Abdelwahab, T. Metwally, A.R. Ahmed, E.S. Ahmed Mostafa, W.F. Hasan, A.R. Ahmed, H. Yassin, M. Magdy, M. Abdelhady, M. Mahran, E. Herodes, P. Kivik, J. Oganjan, A. Aun, A. Sormus, K. Sarapuu, M. Mall, J. Karjagin, E. Futier, A. Petit, A. Gerard, E. Marret, M. Solier, S. Jaber, A. Prades, J. Krassler, S. Merzky, M.G.D. Abreu, C. Uhlig, T. Kiss, A. Bundy, T. Bluth, A. Gueldner, P. Spieth, M. Scharffenberg, D.T. Thiem, T. Koch, T. Treschan, M. Schaefer, B. Bastin, J. Geib, M. Weiss, P. Kienbaum, B. Pannen, A. Gottschalk, M. Konrad, D. Westerheide, B. Schwerdtfeger, P. Simon, A. Reske, C. Nestler, D. Valsamidis, K. Stroumpoulis, G. Antholopoulos, A. Andreou, D. Karapanos, K. Theodorak, G. Gkiokas, M.K. Tasoulis, T. Sidiropoulou, F. Zafeiropoulou, P. Florou, A. Pandazi, G. Tsaousi, C. Nouris, C. Pourzitaki, D. Bystritski, R. Pizov, A. Eden, C.V. Pesce, A. Campanile, A. Marrella, S. Grasso, M.D. Michele, F. Bona, G. Giacoletto, E. Sardo, L.G.V. Sottosanti, M. Solca, C.A. Volta, S. Spadaro, M. Verri, R. Ragazzi, R. Zoppellari, G. Cinnella, P. Raimondo, D.L. Bella, L. Mirabella, D. D'antini, A. Molin, I. Brunetti, A. Gratarola, G. Pellerano, R. Sileo, S. Pezzatto, L. Montagnani, L. Pasin, G. Landoni, A. Zangrillo, L. Beretta, A.L.D. Parma, V. Tarzia, R. Dossi, M.E. Sassone, D. Sances, S. Tredici, G. Spano, G. Castellani, L. Delunas, S. Peradze, M. Venturino, I. Arpino, S. Sher, C. Tommasino, F. Rapido, P. Morelli, M. Vargas, G. Servillo, S.M. Raineri, F. Montalto, V. Russotto, A. Giarratano, M. Baciarello, M. Generali, G. Cerati, Y. Leykin, F. Bressan, V. Bartolini, L. Zamidei, L. Brazzi, C. Liperi, G. Sales, L. Pistidda, E. Brugnoni, G. Musella, A. Bacuzzi, D. Muhardri, G.G. Agreta, F. Sada, A. Bytyqi, A. Karbonskiene, R. Aukstakalniene, Z. Teberaite, E. Salciute, R. Tikuisis, P. Miliauskas, S. Jurate, E. Kontrimaviciute, G. Tomkute, J. Xuereb, M. Bezzina, F.J. Borg, S. Hemmes, M. Schultz, M. Hollmann, I. Wiersma, J. Binnekade, L. Bos, C. Boer, A. Duvekot, B.I.‘. Veld, A. Werger, P. Dennesen, C. Severijns, J.D. Jong, J. Hering, R.V. Beek, S. Ivars, I.B. Jammer, A. Breidablik, K.S. Hodt, F. Fjellanger, M.V. Avalos, M.O. Jannicke, E. Andersson, S.K. Amir, R. Molina, S. Wutai, E. Morais, G. Tareco, D. Ferreira, J. Amaral, M.D.L.G. Castro, S. Cadilha, S. Appleton, S. Parente, M. Correia, D. Martins, A. Monteirosa, A. Ricardo, S. Rodrigues, L. Horhota, I.M. Grintescu, L. Mirea, I.C. Grintescu, D. Corneci, S. Negoita, M. Dutu, I. Popescu Garotescu, D. Filipescu, A.B. Prodan, G. Droc, R. Fota, M. Popescu, D. Tomescu, A.M. Petcu, M.I. Tudoroiu, A. Moise, C.T. Guran, I. Gherghina, D. Costea, I. Cindea, S.M. Copotoiu, R. Copotoiu, V. Barsan, Z. Tolcser, M. Riciu, S.G. Moldovan, M. Veres, A. Gritsan, T. Kapkan, G. Gritsan, O. Korolkov, A. Kulikov, A. Lubnin, A. Ovezov, P. Prokoshev, A. Lugovoy, N. Anipchenko, A. Babayants, I. Komissarova, K. Zalina, V. Likhvantsev, S. Fedorov, A. Lazukic, J. Pejakovic, D. Mihajlovic, Z. Kusnierikova, M. Zelinkova, K. Bruncakova, L. Polakovicova, V. Sobona, N.S. Barbka, P.G. Ana, M. Jovanov, B. Strazisar, M.B. Jasmina, N.J. Vesna, M. Voje, A. Grynyuk, I. Kostadinov, S.V. Alenka, V. Moral, M.C. Unzueta, C. Puigbo, J. Fava, E. Moret, M.R. Nunez, M. Sendra, A. Brunelli, F. Rodenas, P. Monedero, F.H. Martinez, M.J.Y. Temino, A.M. Simon, A.D.A. Larriba, A. Lisi, G. Perez, R. Martinez, M. Granell, J.T. Vivo, C.S. Ruiz, J.A.D. Andrés Ibañez, E. Pastor, M. Soro, C. Ferrando, M. Defez, A.S. Cesar Aldecoa, R. Perez, J. Rico, M. Jawad, Y. Saeed, L. Gillberg, Z.K. Bengisun, B.K. Kazbek, N. Coskunfirat, N. Boztug, S. Sanli, M. Yilmaz, N. Hadimioglu, N.M. Senturk, E. Camci, S. Kucukgoncu, Z. Sungur, N. Sivrikoz, S.U. Ozgen, F. Toraman, O. Selvi, O. Senturk, M. Yildiz, B. Kuvaki, F. Gunenc, S. Kucukguclu, S. Ozbilgin, J. Maral, S. Canli, O. Arun, A. Saltali, E. Aydogan, F.N. Akgun, C. Sanlikarip, F.M. Karaman, A. Mazur, S. Vorotyntsev, G. Rousseau, C. Barrett, L. Stancombe, B. Shelley, H. Scholes, J. Limb, A. Rafi, L. Wayman, J. Deane, D. Rogerson, J. Williams, S. Yates, E. Rogers, M. Pulletz, S. Moreton, S. Jones, S. Venkatesh, M. Burton, L. Brown, C. Goodall, M. Rucklidge, D. Fuller, M. Nadolski, S. Kusre, M. Lundberg, L. Everett, H. Nutt, M. Zuleika, P. Carvalho, D. Clements, C.B. Ben, P. Watt, P. Raymode, R. Pearse, O. Mohr, A. Raj, T. Creary, A. Chishti, A. Bell, C. Higham, A. Cain, S. Gibb, S. Mowat, D. Franklin, C. West, G. Minto, N. Boyd, G. Mills, E. Calton, R. Walker, F. Mackenzie, B. Ellison, H. Roberts, M. Chikungwa, C. Jackson, A. Donovan, J. Foot, E. Homan, J. Montgomery, D. Portch, P. Mercer, J. Palmer, J. Paddle, A. Fouracres, A. Datson, A. Andrew, L. Welch, A. Rose, S. Varma, K. Simeson, M. Rambhatla, J. Susarla, S. Marri, K. Kodaganallur, A. Das, S. Algarsamy, J. Colley, S. Davies, M. Szewczyk, T. Smith, F.B. Ana, E. Luzier, A. Almagro, M.V. Melo, L. Fernando, D. Sulemanji, J. Sprung, T. Weingarten, D. Kor, F. Scavonetto, Y. Tze

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)361-369
Number of pages9
JournalBritish Journal of Anaesthesia
Volume122
Issue number3
Early online date8 Feb 2019
DOIs
Publication statusPublished - Mar 2019

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Lung
Incidence
General Anesthesia
Cohort Studies
Anesthesia
Odds Ratio
Confidence Intervals
Artificial Respiration

Keywords

  • general anaesthesia
  • intraoperative complications
  • patient safety
  • postoperative complications
  • pulmonary

Cite this

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. / Cortegiani, A. (Corresponding Author); 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.; Kroell, W.; Metzler, H.; Struber, G.; Wegscheider, T.; Gombotz, H.; Urbanek, B.; Kahn, D.; Momeni, M.; Pospiech, A.; Lois, F.; Forget, P.; Grosu, I.; Poelaert, J.; Mossevelde, V.; van Malderen, M.C.; Dylst, D.; Melkebeek, J.V.; Beran, M.; Hert, S.D.; Baerdemaeker, L.D.; Heyse, B.; Limmen, J.V.; Wyffels, P.; Jacobs, T.; Roels, N.; Bruyne, A.D.; Velde, S.V.D.; Marina, J.Z.; Dejana, D.O.; Pernar, S.; Zunic, J.; Miskovic, P.; Zilic, A.; Kvolik, S.; Ivic, D.; Darija, A.V.; Skiljic, S.; Vinkovic, H.; Oputric, I.; Juricic, K.; Frkovic, V.; Kopic, J.; Mirkovic, I.; Saric, J.P.; Erceg, G.; Dvorscak, M.B.; Branka, M.S.; Pavicic, A.M.; Goranovic, T.; Maldini, B.; Radocaj, T.; Gavranovic, Z.; Inga, M.B.; Sehovic, M.; Stourac, P.; Harazim, H.; Smekalova, O.; Kosinova, M.; Kolacek, T.; Hudacek, K.; Drab, M.; Brujevic, J.; Vitkova, K.; Jirmanova, K.; Volfova, I.; Dzurnakova, P.; Liskova, K.; Dudas, R.; Filipsky, R.; Kafrawy, S.E.; Abdelwahab, H.H.; Metwally, T.; Ahmed, A.R.; Ahmed Mostafa, E.S.; Hasan, W.F.; Ahmed, A.R.; Yassin, H.; Magdy, M.; Abdelhady, M.; Mahran, M.; Herodes, E.; Kivik, P.; Oganjan, J.; Aun, A.; Sormus, A.; Sarapuu, K.; Mall, M.; Karjagin, J.; Futier, E.; Petit, A.; Gerard, A.; Marret, E.; Solier, M.; Jaber, S.; Prades, A.; Krassler, J.; Merzky, S.; Abreu, M.G.D.; Uhlig, C.; Kiss, T.; Bundy, A.; Bluth, T.; Gueldner, A.; Spieth, P.; Scharffenberg, M.; Thiem, D.T.; Koch, T.; Treschan, T.; Schaefer, M.; Bastin, B.; Geib, J.; Weiss, M.; Kienbaum, P.; Pannen, B.; Gottschalk, A.; Konrad, M.; Westerheide, D.; Schwerdtfeger, B.; Simon, P.; Reske, A.; Nestler, C.; Valsamidis, D.; Stroumpoulis, K.; Antholopoulos, G.; Andreou, A.; Karapanos, D.; Theodorak, K.; Gkiokas, G.; Tasoulis, M.K.; Sidiropoulou, T.; Zafeiropoulou, F.; Florou, P.; Pandazi, A.; Tsaousi, G.; Nouris, C.; Pourzitaki, C.; Bystritski, D.; Pizov, R.; Eden, A.; Pesce, C.V.; Campanile, A.; Marrella, A.; Grasso, S.; Michele, M.D.; Bona, F.; Giacoletto, G.; Sardo, E.; Sottosanti, L.G.V.; Solca, M.; Volta, C.A.; Spadaro, S.; Verri, M.; Ragazzi, R.; Zoppellari, R.; Cinnella, G.; Raimondo, P.; Bella, D.L.; Mirabella, L.; D'antini, D.; Molin, A.; Brunetti, I.; Gratarola, A.; Pellerano, G.; Sileo, R.; Pezzatto, S.; Montagnani, L.; Pasin, L.; Landoni, G.; Zangrillo, A.; Beretta, L.; Parma, A.L.D.; Tarzia, V.; Dossi, R.; Sassone, M.E.; Sances, D.; Tredici, S.; Spano, G.; Castellani, G.; Delunas, L.; Peradze, S.; Venturino, M.; Arpino, I.; Sher, S.; Tommasino, C.; Rapido, F.; Morelli, P.; Vargas, M.; Servillo, G.; Raineri, S.M.; Montalto, F.; Russotto, V.; Giarratano, A.; Baciarello, M.; Generali, M.; Cerati, G.; Leykin, Y.; Bressan, F.; Bartolini, V.; Zamidei, L.; Brazzi, L.; Liperi, C.; Sales, G.; Pistidda, L.; Brugnoni, E.; Musella, G.; Bacuzzi, A.; Muhardri, D.; Agreta, G.G.; Sada, F.; Bytyqi, A.; Karbonskiene, A.; Aukstakalniene, R.; Teberaite, Z.; Salciute, E.; Tikuisis, R.; Miliauskas, P.; Jurate, S.; Kontrimaviciute, E.; Tomkute, G.; Xuereb, J.; Bezzina, M.; Borg, F.J.; Hemmes, S.; Schultz, M.; Hollmann, M.; Wiersma, I.; Binnekade, J.; Bos, L.; Boer, C.; Duvekot, A.; Veld, B.I.‘.; Werger, A.; Dennesen, P.; Severijns, C.; Jong, J.D.; Hering, J.; Beek, R.V.; Ivars, S.; Jammer, I.B.; Breidablik, A.; Hodt, K.S.; Fjellanger, F.; Avalos, M.V.; Jannicke, M.O.; Andersson, E.; Amir, S.K.; Molina, R.; Wutai, S.; Morais, E.; Tareco, G.; Ferreira, D.; Amaral, J.; Castro, M.D.L.G.; Cadilha, S.; Appleton, S.; Parente, S.; Correia, M.; Martins, D.; Monteirosa, A.; Ricardo, A.; Rodrigues, S.; Horhota, L.; Grintescu, I.M.; Mirea, L.; Grintescu, I.C.; Corneci, D.; Negoita, S.; Dutu, M.; Popescu Garotescu, I.; Filipescu, D.; Prodan, A.B.; Droc, G.; Fota, R.; Popescu, M.; Tomescu, D.; Petcu, A.M.; Tudoroiu, M.I.; Moise, A.; Guran, C.T.; Gherghina, I.; Costea, D.; Cindea, I.; Copotoiu, S.M.; Copotoiu, R.; Barsan, V.; Tolcser, Z.; Riciu, M.; Moldovan, S.G.; Veres, M.; Gritsan, A.; Kapkan, T.; Gritsan, G.; Korolkov, O.; Kulikov, A.; Lubnin, A.; Ovezov, A.; Prokoshev, P.; Lugovoy, A.; Anipchenko, N.; Babayants, A.; Komissarova, I.; Zalina, K.; Likhvantsev, V.; Fedorov, S.; Lazukic, A.; Pejakovic, J.; Mihajlovic, D.; Kusnierikova, Z.; Zelinkova, M.; Bruncakova, K.; Polakovicova, L.; Sobona, V.; Barbka, N.S.; Ana, P.G.; Jovanov, M.; Strazisar, B.; Jasmina, M.B.; Vesna, N.J.; Voje, M.; Grynyuk, A.; Kostadinov, I.; Alenka, S.V.; Moral, V.; Unzueta, M.C.; Puigbo, C.; Fava, J.; Moret, E.; Nunez, M.R.; Sendra, M.; Brunelli, A.; Rodenas, F.; Monedero, P.; Martinez, F.H.; Temino, M.J.Y.; Simon, A.M.; Larriba, A.D.A.; Lisi, A.; Perez, G.; Martinez, R.; Granell, M.; Vivo, J.T.; Ruiz, C.S.; Andrés Ibañez, J.A.D.; Pastor, E.; Soro, M.; Ferrando, C.; Defez, M.; Cesar Aldecoa, A.S.; Perez, R.; Rico, J.; Jawad, M.; Saeed, Y.; Gillberg, L.; Bengisun, Z.K.; Kazbek, B.K.; Coskunfirat, N.; Boztug, N.; Sanli, S.; Yilmaz, M.; Hadimioglu, N.; Senturk, N.M.; Camci, E.; Kucukgoncu, S.; Sungur, Z.; Sivrikoz, N.; Ozgen, S.U.; Toraman, F.; Selvi, O.; Senturk, O.; Yildiz, M.; Kuvaki, B.; Gunenc, F.; Kucukguclu, S.; Ozbilgin, S.; Maral, J.; Canli, S.; Arun, O.; Saltali, A.; Aydogan, E.; Akgun, F.N.; Sanlikarip, C.; Karaman, F.M.; Mazur, A.; Vorotyntsev, S.; Rousseau, G.; Barrett, C.; Stancombe, L.; Shelley, B.; Scholes, H.; Limb, J.; Rafi, A.; Wayman, L.; Deane, J.; Rogerson, D.; Williams, J.; Yates, S.; Rogers, E.; Pulletz, M.; Moreton, S.; Jones, S.; Venkatesh, S.; Burton, M.; Brown, L.; Goodall, C.; Rucklidge, M.; Fuller, D.; Nadolski, M.; Kusre, S.; Lundberg, M.; Everett, L.; Nutt, H.; Zuleika, M.; Carvalho, P.; Clements, D.; Ben, C.B.; Watt, P.; Raymode, P.; Pearse, R.; Mohr, O.; Raj, A.; Creary, T.; Chishti, A.; Bell, A.; Higham, C.; Cain, A.; Gibb, S.; Mowat, S.; Franklin, D.; West, C.; Minto, G.; Boyd, N.; Mills, G.; Calton, E.; Walker, R.; Mackenzie, F.; Ellison, B.; Roberts, H.; Chikungwa, M.; Jackson, C.; Donovan, A.; Foot, J.; Homan, E.; Montgomery, J.; Portch, D.; Mercer, P.; Palmer, J.; Paddle, J.; Fouracres, A.; Datson, A.; Andrew, A.; Welch, L.; Rose, A.; Varma, S.; Simeson, K.; Rambhatla, M.; Susarla, J.; Marri, S.; Kodaganallur, K.; Das, A.; Algarsamy, S.; Colley, J.; Davies, S.; Szewczyk, M.; Smith, T.; Ana, F.B.; Luzier, E.; Almagro, A.; Melo, M.V.; Fernando, L.; Sulemanji, D.; Sprung, J.; Weingarten, T.; Kor, D.; Scavonetto, F.; Tze, Y.

In: British Journal of Anaesthesia, Vol. 122, No. 3, 03.2019, p. 361-369.

Research output: Contribution to journalArticle

Cortegiani, A, Gregoretti, C, Neto, AS, Hemmes, SNT, Ball, L, Canet, J, Hiesmayr, M, Hollmann, MW, Mills, GH, Melo, MFV, Putensen, C, Schmid, W, Severgnini, P, Wrigge, H, Gama de Abreu, M, Schultz, MJ, Pelosi, P, Kroell, W, Metzler, H, Struber, G, Wegscheider, T, Gombotz, H, Urbanek, B, Kahn, D, Momeni, M, Pospiech, A, Lois, F, Forget, P, Grosu, I, Poelaert, J, Mossevelde, V, van Malderen, MC, Dylst, D, Melkebeek, JV, Beran, M, Hert, SD, Baerdemaeker, LD, Heyse, B, Limmen, JV, Wyffels, P, Jacobs, T, Roels, N, Bruyne, AD, Velde, SVD, Marina, JZ, Dejana, DO, Pernar, S, Zunic, J, Miskovic, P, Zilic, A, Kvolik, S, Ivic, D, Darija, AV, Skiljic, S, Vinkovic, H, Oputric, I, Juricic, K, Frkovic, V, Kopic, J, Mirkovic, I, Saric, JP, Erceg, G, Dvorscak, MB, Branka, MS, Pavicic, AM, Goranovic, T, Maldini, B, Radocaj, T, Gavranovic, Z, Inga, MB, Sehovic, M, Stourac, P, Harazim, H, Smekalova, O, Kosinova, M, Kolacek, T, Hudacek, K, Drab, M, Brujevic, J, Vitkova, K, Jirmanova, K, Volfova, I, Dzurnakova, P, Liskova, K, Dudas, R, Filipsky, R, Kafrawy, SE, Abdelwahab, HH, Metwally, T, Ahmed, AR, Ahmed Mostafa, ES, Hasan, WF, Ahmed, AR, Yassin, H, Magdy, M, Abdelhady, M, Mahran, M, Herodes, E, Kivik, P, Oganjan, J, Aun, A, Sormus, A, Sarapuu, K, Mall, M, Karjagin, J, Futier, E, Petit, A, Gerard, A, Marret, E, Solier, M, Jaber, S, Prades, A, Krassler, J, Merzky, S, Abreu, MGD, Uhlig, C, Kiss, T, Bundy, A, Bluth, T, Gueldner, A, Spieth, P, Scharffenberg, M, Thiem, DT, Koch, T, Treschan, T, Schaefer, M, Bastin, B, Geib, J, Weiss, M, Kienbaum, P, Pannen, B, Gottschalk, A, Konrad, M, Westerheide, D, Schwerdtfeger, B, Simon, P, Reske, A, Nestler, C, Valsamidis, D, Stroumpoulis, K, Antholopoulos, G, Andreou, A, Karapanos, D, Theodorak, K, Gkiokas, G, Tasoulis, MK, Sidiropoulou, T, Zafeiropoulou, F, Florou, P, Pandazi, A, Tsaousi, G, Nouris, C, Pourzitaki, C, Bystritski, D, Pizov, R, Eden, A, Pesce, CV, Campanile, A, Marrella, A, Grasso, S, Michele, MD, Bona, F, Giacoletto, G, Sardo, E, Sottosanti, LGV, Solca, M, Volta, CA, Spadaro, S, Verri, M, Ragazzi, R, Zoppellari, R, Cinnella, G, Raimondo, P, Bella, DL, Mirabella, L, D'antini, D, Molin, A, Brunetti, I, Gratarola, A, Pellerano, G, Sileo, R, Pezzatto, S, Montagnani, L, Pasin, L, Landoni, G, Zangrillo, A, Beretta, L, Parma, ALD, Tarzia, V, Dossi, R, Sassone, ME, Sances, D, Tredici, S, Spano, G, Castellani, G, Delunas, L, Peradze, S, Venturino, M, Arpino, I, Sher, S, Tommasino, C, Rapido, F, Morelli, P, Vargas, M, Servillo, G, Raineri, SM, Montalto, F, Russotto, V, Giarratano, A, Baciarello, M, Generali, M, Cerati, G, Leykin, Y, Bressan, F, Bartolini, V, Zamidei, L, Brazzi, L, Liperi, C, Sales, G, Pistidda, L, Brugnoni, E, Musella, G, Bacuzzi, A, Muhardri, D, Agreta, GG, Sada, F, Bytyqi, A, Karbonskiene, A, Aukstakalniene, R, Teberaite, Z, Salciute, E, Tikuisis, R, Miliauskas, P, Jurate, S, Kontrimaviciute, E, Tomkute, G, Xuereb, J, Bezzina, M, Borg, FJ, Hemmes, S, Schultz, M, Hollmann, M, Wiersma, I, Binnekade, J, Bos, L, Boer, C, Duvekot, A, Veld, BI, Werger, A, Dennesen, P, Severijns, C, Jong, JD, Hering, J, Beek, RV, Ivars, S, Jammer, IB, Breidablik, A, Hodt, KS, Fjellanger, F, Avalos, MV, Jannicke, MO, Andersson, E, Amir, SK, Molina, R, Wutai, S, Morais, E, Tareco, G, Ferreira, D, Amaral, J, Castro, MDLG, Cadilha, S, Appleton, S, Parente, S, Correia, M, Martins, D, Monteirosa, A, Ricardo, A, Rodrigues, S, Horhota, L, Grintescu, IM, Mirea, L, Grintescu, IC, Corneci, D, Negoita, S, Dutu, M, Popescu Garotescu, I, Filipescu, D, Prodan, AB, Droc, G, Fota, R, Popescu, M, Tomescu, D, Petcu, AM, Tudoroiu, MI, Moise, A, Guran, CT, Gherghina, I, Costea, D, Cindea, I, Copotoiu, SM, Copotoiu, R, Barsan, V, Tolcser, Z, Riciu, M, Moldovan, SG, Veres, M, Gritsan, A, Kapkan, T, Gritsan, G, Korolkov, O, Kulikov, A, Lubnin, A, Ovezov, A, Prokoshev, P, Lugovoy, A, Anipchenko, N, Babayants, A, Komissarova, I, Zalina, K, Likhvantsev, V, Fedorov, S, Lazukic, A, Pejakovic, J, Mihajlovic, D, Kusnierikova, Z, Zelinkova, M, Bruncakova, K, Polakovicova, L, Sobona, V, Barbka, NS, Ana, PG, Jovanov, M, Strazisar, B, Jasmina, MB, Vesna, NJ, Voje, M, Grynyuk, A, Kostadinov, I, Alenka, SV, Moral, V, Unzueta, MC, Puigbo, C, Fava, J, Moret, E, Nunez, MR, Sendra, M, Brunelli, A, Rodenas, F, Monedero, P, Martinez, FH, Temino, MJY, Simon, AM, Larriba, ADA, Lisi, A, Perez, G, Martinez, R, Granell, M, Vivo, JT, Ruiz, CS, Andrés Ibañez, JAD, Pastor, E, Soro, M, Ferrando, C, Defez, M, Cesar Aldecoa, AS, Perez, R, Rico, J, Jawad, M, Saeed, Y, Gillberg, L, Bengisun, ZK, Kazbek, BK, Coskunfirat, N, Boztug, N, Sanli, S, Yilmaz, M, Hadimioglu, N, Senturk, NM, Camci, E, Kucukgoncu, S, Sungur, Z, Sivrikoz, N, Ozgen, SU, Toraman, F, Selvi, O, Senturk, O, Yildiz, M, Kuvaki, B, Gunenc, F, Kucukguclu, S, Ozbilgin, S, Maral, J, Canli, S, Arun, O, Saltali, A, Aydogan, E, Akgun, FN, Sanlikarip, C, Karaman, FM, Mazur, A, Vorotyntsev, S, Rousseau, G, Barrett, C, Stancombe, L, Shelley, B, Scholes, H, Limb, J, Rafi, A, Wayman, L, Deane, J, Rogerson, D, Williams, J, Yates, S, Rogers, E, Pulletz, M, Moreton, S, Jones, S, Venkatesh, S, Burton, M, Brown, L, Goodall, C, Rucklidge, M, Fuller, D, Nadolski, M, Kusre, S, Lundberg, M, Everett, L, Nutt, H, Zuleika, M, Carvalho, P, Clements, D, Ben, CB, Watt, P, Raymode, P, Pearse, R, Mohr, O, Raj, A, Creary, T, Chishti, A, Bell, A, Higham, C, Cain, A, Gibb, S, Mowat, S, Franklin, D, West, C, Minto, G, Boyd, N, Mills, G, Calton, E, Walker, R, Mackenzie, F, Ellison, B, Roberts, H, Chikungwa, M, Jackson, C, Donovan, A, Foot, J, Homan, E, Montgomery, J, Portch, D, Mercer, P, Palmer, J, Paddle, J, Fouracres, A, Datson, A, Andrew, A, Welch, L, Rose, A, Varma, S, Simeson, K, Rambhatla, M, Susarla, J, Marri, S, Kodaganallur, K, Das, A, Algarsamy, S, Colley, J, Davies, S, Szewczyk, M, Smith, T, Ana, FB, Luzier, E, Almagro, A, Melo, MV, Fernando, L, Sulemanji, D, Sprung, J, Weingarten, T, Kor, D, Scavonetto, F & Tze, Y 2019, 'Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications', British Journal of Anaesthesia, vol. 122, no. 3, pp. 361-369. https://doi.org/10.1016/j.bja.2018.10.063
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. ; Kroell, W. ; Metzler, H. ; Struber, G. ; Wegscheider, T. ; Gombotz, H. ; Urbanek, B. ; Kahn, D. ; Momeni, M. ; Pospiech, A. ; Lois, F. ; Forget, P. ; Grosu, I. ; Poelaert, J. ; Mossevelde, V. ; van Malderen, M.C. ; Dylst, D. ; Melkebeek, J.V. ; Beran, M. ; Hert, S.D. ; Baerdemaeker, L.D. ; Heyse, B. ; Limmen, J.V. ; Wyffels, P. ; Jacobs, T. ; Roels, N. ; Bruyne, A.D. ; Velde, S.V.D. ; Marina, J.Z. ; Dejana, D.O. ; Pernar, S. ; Zunic, J. ; Miskovic, P. ; Zilic, A. ; Kvolik, S. ; Ivic, D. ; Darija, A.V. ; Skiljic, S. ; Vinkovic, H. ; Oputric, I. ; Juricic, K. ; Frkovic, V. ; Kopic, J. ; Mirkovic, I. ; Saric, J.P. ; Erceg, G. ; Dvorscak, M.B. ; Branka, M.S. ; Pavicic, A.M. ; Goranovic, T. ; Maldini, B. ; Radocaj, T. ; Gavranovic, Z. ; Inga, M.B. ; Sehovic, M. ; Stourac, P. ; Harazim, H. ; Smekalova, O. ; Kosinova, M. ; Kolacek, T. ; Hudacek, K. ; Drab, M. ; Brujevic, J. ; Vitkova, K. ; Jirmanova, K. ; Volfova, I. ; Dzurnakova, P. ; Liskova, K. ; Dudas, R. ; Filipsky, R. ; Kafrawy, S.E. ; Abdelwahab, H.H. ; Metwally, T. ; Ahmed, A.R. ; Ahmed Mostafa, E.S. ; Hasan, W.F. ; Ahmed, A.R. ; Yassin, H. ; Magdy, M. ; Abdelhady, M. ; Mahran, M. ; Herodes, E. ; Kivik, P. ; Oganjan, J. ; Aun, A. ; Sormus, A. ; Sarapuu, K. ; Mall, M. ; Karjagin, J. ; Futier, E. ; Petit, A. ; Gerard, A. ; Marret, E. ; Solier, M. ; Jaber, S. ; Prades, A. ; Krassler, J. ; Merzky, S. ; Abreu, M.G.D. ; Uhlig, C. ; Kiss, T. ; Bundy, A. ; Bluth, T. ; Gueldner, A. ; Spieth, P. ; Scharffenberg, M. ; Thiem, D.T. ; Koch, T. ; Treschan, T. ; Schaefer, M. ; Bastin, B. ; Geib, J. ; Weiss, M. ; Kienbaum, P. ; Pannen, B. ; Gottschalk, A. ; Konrad, M. ; Westerheide, D. ; Schwerdtfeger, B. ; Simon, P. ; Reske, A. ; Nestler, C. ; Valsamidis, D. ; Stroumpoulis, K. ; Antholopoulos, G. ; Andreou, A. ; Karapanos, D. ; Theodorak, K. ; Gkiokas, G. ; Tasoulis, M.K. ; Sidiropoulou, T. ; Zafeiropoulou, F. ; Florou, P. ; Pandazi, A. ; Tsaousi, G. ; Nouris, C. ; Pourzitaki, C. ; Bystritski, D. ; Pizov, R. ; Eden, A. ; Pesce, C.V. ; Campanile, A. ; Marrella, A. ; Grasso, S. ; Michele, M.D. ; Bona, F. ; Giacoletto, G. ; Sardo, E. ; Sottosanti, L.G.V. ; Solca, M. ; Volta, C.A. ; Spadaro, S. ; Verri, M. ; Ragazzi, R. ; Zoppellari, R. ; Cinnella, G. ; Raimondo, P. ; Bella, D.L. ; Mirabella, L. ; D'antini, D. ; Molin, A. ; Brunetti, I. ; Gratarola, A. ; Pellerano, G. ; Sileo, R. ; Pezzatto, S. ; Montagnani, L. ; Pasin, L. ; Landoni, G. ; Zangrillo, A. ; Beretta, L. ; Parma, A.L.D. ; Tarzia, V. ; Dossi, R. ; Sassone, M.E. ; Sances, D. ; Tredici, S. ; Spano, G. ; Castellani, G. ; Delunas, L. ; Peradze, S. ; Venturino, M. ; Arpino, I. ; Sher, S. ; Tommasino, C. ; Rapido, F. ; Morelli, P. ; Vargas, M. ; Servillo, G. ; Raineri, S.M. ; Montalto, F. ; Russotto, V. ; Giarratano, A. ; Baciarello, M. ; Generali, M. ; Cerati, G. ; Leykin, Y. ; Bressan, F. ; Bartolini, V. ; Zamidei, L. ; Brazzi, L. ; Liperi, C. ; Sales, G. ; Pistidda, L. ; Brugnoni, E. ; Musella, G. ; Bacuzzi, A. ; Muhardri, D. ; Agreta, G.G. ; Sada, F. ; Bytyqi, A. ; Karbonskiene, A. ; Aukstakalniene, R. ; Teberaite, Z. ; Salciute, E. ; Tikuisis, R. ; Miliauskas, P. ; Jurate, S. ; Kontrimaviciute, E. ; Tomkute, G. ; Xuereb, J. ; Bezzina, M. ; Borg, F.J. ; Hemmes, S. ; Schultz, M. ; Hollmann, M. ; Wiersma, I. ; Binnekade, J. ; Bos, L. ; Boer, C. ; Duvekot, A. ; Veld, B.I.‘. ; Werger, A. ; Dennesen, P. ; Severijns, C. ; Jong, J.D. ; Hering, J. ; Beek, R.V. ; Ivars, S. ; Jammer, I.B. ; Breidablik, A. ; Hodt, K.S. ; Fjellanger, F. ; Avalos, M.V. ; Jannicke, M.O. ; Andersson, E. ; Amir, S.K. ; Molina, R. ; Wutai, S. ; Morais, E. ; Tareco, G. ; Ferreira, D. ; Amaral, J. ; Castro, M.D.L.G. ; Cadilha, S. ; Appleton, S. ; Parente, S. ; Correia, M. ; Martins, D. ; Monteirosa, A. ; Ricardo, A. ; Rodrigues, S. ; Horhota, L. ; Grintescu, I.M. ; Mirea, L. ; Grintescu, I.C. ; Corneci, D. ; Negoita, S. ; Dutu, M. ; Popescu Garotescu, I. ; Filipescu, D. ; Prodan, A.B. ; Droc, G. ; Fota, R. ; Popescu, M. ; Tomescu, D. ; Petcu, A.M. ; Tudoroiu, M.I. ; Moise, A. ; Guran, C.T. ; Gherghina, I. ; Costea, D. ; Cindea, I. ; Copotoiu, S.M. ; Copotoiu, R. ; Barsan, V. ; Tolcser, Z. ; Riciu, M. ; Moldovan, S.G. ; Veres, M. ; Gritsan, A. ; Kapkan, T. ; Gritsan, G. ; Korolkov, O. ; Kulikov, A. ; Lubnin, A. ; Ovezov, A. ; Prokoshev, P. ; Lugovoy, A. ; Anipchenko, N. ; Babayants, A. ; Komissarova, I. ; Zalina, K. ; Likhvantsev, V. ; Fedorov, S. ; Lazukic, A. ; Pejakovic, J. ; Mihajlovic, D. ; Kusnierikova, Z. ; Zelinkova, M. ; Bruncakova, K. ; Polakovicova, L. ; Sobona, V. ; Barbka, N.S. ; Ana, P.G. ; Jovanov, M. ; Strazisar, B. ; Jasmina, M.B. ; Vesna, N.J. ; Voje, M. ; Grynyuk, A. ; Kostadinov, I. ; Alenka, S.V. ; Moral, V. ; Unzueta, M.C. ; Puigbo, C. ; Fava, J. ; Moret, E. ; Nunez, M.R. ; Sendra, M. ; Brunelli, A. ; Rodenas, F. ; Monedero, P. ; Martinez, F.H. ; Temino, M.J.Y. ; Simon, A.M. ; Larriba, A.D.A. ; Lisi, A. ; Perez, G. ; Martinez, R. ; Granell, M. ; Vivo, J.T. ; Ruiz, C.S. ; Andrés Ibañez, J.A.D. ; Pastor, E. ; Soro, M. ; Ferrando, C. ; Defez, M. ; Cesar Aldecoa, A.S. ; Perez, R. ; Rico, J. ; Jawad, M. ; Saeed, Y. ; Gillberg, L. ; Bengisun, Z.K. ; Kazbek, B.K. ; Coskunfirat, N. ; Boztug, N. ; Sanli, S. ; Yilmaz, M. ; Hadimioglu, N. ; Senturk, N.M. ; Camci, E. ; Kucukgoncu, S. ; Sungur, Z. ; Sivrikoz, N. ; Ozgen, S.U. ; Toraman, F. ; Selvi, O. ; Senturk, O. ; Yildiz, M. ; Kuvaki, B. ; Gunenc, F. ; Kucukguclu, S. ; Ozbilgin, S. ; Maral, J. ; Canli, S. ; Arun, O. ; Saltali, A. ; Aydogan, E. ; Akgun, F.N. ; Sanlikarip, C. ; Karaman, F.M. ; Mazur, A. ; Vorotyntsev, S. ; Rousseau, G. ; Barrett, C. ; Stancombe, L. ; Shelley, B. ; Scholes, H. ; Limb, J. ; Rafi, A. ; Wayman, L. ; Deane, J. ; Rogerson, D. ; Williams, J. ; Yates, S. ; Rogers, E. ; Pulletz, M. ; Moreton, S. ; Jones, S. ; Venkatesh, S. ; Burton, M. ; Brown, L. ; Goodall, C. ; Rucklidge, M. ; Fuller, D. ; Nadolski, M. ; Kusre, S. ; Lundberg, M. ; Everett, L. ; Nutt, H. ; Zuleika, M. ; Carvalho, P. ; Clements, D. ; Ben, C.B. ; Watt, P. ; Raymode, P. ; Pearse, R. ; Mohr, O. ; Raj, A. ; Creary, T. ; Chishti, A. ; Bell, A. ; Higham, C. ; Cain, A. ; Gibb, S. ; Mowat, S. ; Franklin, D. ; West, C. ; Minto, G. ; Boyd, N. ; Mills, G. ; Calton, E. ; Walker, R. ; Mackenzie, F. ; Ellison, B. ; Roberts, H. ; Chikungwa, M. ; Jackson, C. ; Donovan, A. ; Foot, J. ; Homan, E. ; Montgomery, J. ; Portch, D. ; Mercer, P. ; Palmer, J. ; Paddle, J. ; Fouracres, A. ; Datson, A. ; Andrew, A. ; Welch, L. ; Rose, A. ; Varma, S. ; Simeson, K. ; Rambhatla, M. ; Susarla, J. ; Marri, S. ; Kodaganallur, K. ; Das, A. ; Algarsamy, S. ; Colley, J. ; Davies, S. ; Szewczyk, M. ; Smith, T. ; Ana, F.B. ; Luzier, E. ; Almagro, A. ; Melo, M.V. ; Fernando, L. ; Sulemanji, D. ; Sprung, J. ; Weingarten, T. ; Kor, D. ; Scavonetto, F. ; Tze, Y. / Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. In: British Journal of Anaesthesia. 2019 ; Vol. 122, No. 3. pp. 361-369.
@article{22f9f52a6d77423b87c0be13ee569a69,
title = "Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications",
abstract = "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.",
keywords = "general anaesthesia, intraoperative complications, patient safety, postoperative complications, pulmonary",
author = "A. Cortegiani and C. Gregoretti and A.S. Neto and S.N.T. Hemmes and L. Ball and J. Canet and M. Hiesmayr and M.W. Hollmann and G.H. Mills and M.F.V. Melo and C. Putensen and W. Schmid and P. Severgnini and H. Wrigge and {Gama de Abreu}, M. and M.J. Schultz and P. Pelosi and W. Kroell and H. Metzler and G. Struber and T. Wegscheider and H. Gombotz and B. Urbanek and D. Kahn and M. Momeni and A. Pospiech and F. Lois and P. Forget and I. Grosu and J. Poelaert and V. Mossevelde and {van Malderen}, M.C. and D. Dylst and J.V. Melkebeek and M. Beran and S.D. Hert and L.D. Baerdemaeker and B. Heyse and J.V. Limmen and P. Wyffels and T. Jacobs and N. Roels and A.D. Bruyne and S.V.D. Velde and J.Z. Marina and D.O. Dejana and S. Pernar and J. Zunic and P. Miskovic and A. Zilic and S. Kvolik and D. Ivic and A.V. Darija and S. Skiljic and H. Vinkovic and I. Oputric and K. Juricic and V. Frkovic and J. Kopic and I. Mirkovic and J.P. Saric and G. Erceg and M.B. Dvorscak and M.S. Branka and A.M. Pavicic and T. Goranovic and B. Maldini and T. Radocaj and Z. Gavranovic and M.B. Inga and M. Sehovic and P. Stourac and H. Harazim and O. Smekalova and M. Kosinova and T. Kolacek and K. Hudacek and M. Drab and J. Brujevic and K. Vitkova and K. Jirmanova and I. Volfova and P. Dzurnakova and K. Liskova and R. Dudas and R. Filipsky and S.E. Kafrawy and H.H. Abdelwahab and T. Metwally and A.R. Ahmed and {Ahmed Mostafa}, E.S. and W.F. Hasan and A.R. Ahmed and H. Yassin and M. Magdy and M. Abdelhady and M. Mahran and E. Herodes and P. Kivik and J. Oganjan and A. Aun and A. Sormus and K. Sarapuu and M. Mall and J. Karjagin and E. Futier and A. Petit and A. Gerard and E. Marret and M. Solier and S. Jaber and A. Prades and J. Krassler and S. Merzky and M.G.D. Abreu and C. Uhlig and T. Kiss and A. Bundy and T. Bluth and A. Gueldner and P. Spieth and M. Scharffenberg and D.T. Thiem and T. Koch and T. Treschan and M. Schaefer and B. Bastin and J. Geib and M. Weiss and P. Kienbaum and B. Pannen and A. Gottschalk and M. Konrad and D. Westerheide and B. Schwerdtfeger and P. Simon and A. Reske and C. Nestler and D. Valsamidis and K. Stroumpoulis and G. Antholopoulos and A. Andreou and D. Karapanos and K. Theodorak and G. Gkiokas and M.K. Tasoulis and T. Sidiropoulou and F. Zafeiropoulou and P. Florou and A. Pandazi and G. Tsaousi and C. Nouris and C. Pourzitaki and D. Bystritski and R. Pizov and A. Eden and C.V. Pesce and A. Campanile and A. Marrella and S. Grasso and M.D. Michele and F. Bona and G. Giacoletto and E. Sardo and L.G.V. Sottosanti and M. Solca and C.A. Volta and S. Spadaro and M. Verri and R. Ragazzi and R. Zoppellari and G. Cinnella and P. Raimondo and D.L. Bella and L. Mirabella and D. D'antini and A. Molin and I. Brunetti and A. Gratarola and G. Pellerano and R. Sileo and S. Pezzatto and L. Montagnani and L. Pasin and G. Landoni and A. Zangrillo and L. Beretta and A.L.D. Parma and V. Tarzia and R. Dossi and M.E. Sassone and D. Sances and S. Tredici and G. Spano and G. Castellani and L. Delunas and S. Peradze and M. Venturino and I. Arpino and S. Sher and C. Tommasino and F. Rapido and P. Morelli and M. Vargas and G. Servillo and S.M. Raineri and F. Montalto and V. Russotto and A. Giarratano and M. Baciarello and M. Generali and G. Cerati and Y. Leykin and F. Bressan and V. Bartolini and L. Zamidei and L. Brazzi and C. Liperi and G. Sales and L. Pistidda and E. Brugnoni and G. Musella and A. Bacuzzi and D. Muhardri and G.G. Agreta and F. Sada and A. Bytyqi and A. Karbonskiene and R. Aukstakalniene and Z. Teberaite and E. Salciute and R. Tikuisis and P. Miliauskas and S. Jurate and E. Kontrimaviciute and G. Tomkute and J. Xuereb and M. Bezzina and F.J. Borg and S. Hemmes and M. Schultz and M. Hollmann and I. Wiersma and J. Binnekade and L. Bos and C. Boer and A. Duvekot and B.I.‘. Veld and A. Werger and P. Dennesen and C. Severijns and J.D. Jong and J. Hering and R.V. Beek and S. Ivars and I.B. Jammer and A. Breidablik and K.S. Hodt and F. Fjellanger and M.V. Avalos and M.O. Jannicke and E. Andersson and S.K. Amir and R. Molina and S. Wutai and E. Morais and G. Tareco and D. Ferreira and J. Amaral and M.D.L.G. Castro and S. Cadilha and S. Appleton and S. Parente and M. Correia and D. Martins and A. Monteirosa and A. Ricardo and S. Rodrigues and L. Horhota and I.M. Grintescu and L. Mirea and I.C. Grintescu and D. Corneci and S. Negoita and M. Dutu and {Popescu Garotescu}, I. and D. Filipescu and A.B. Prodan and G. Droc and R. Fota and M. Popescu and D. Tomescu and A.M. Petcu and M.I. Tudoroiu and A. Moise and C.T. Guran and I. Gherghina and D. Costea and I. Cindea and S.M. Copotoiu and R. Copotoiu and V. Barsan and Z. Tolcser and M. Riciu and S.G. Moldovan and M. Veres and A. Gritsan and T. Kapkan and G. Gritsan and O. Korolkov and A. Kulikov and A. Lubnin and A. Ovezov and P. Prokoshev and A. Lugovoy and N. Anipchenko and A. Babayants and I. Komissarova and K. Zalina and V. Likhvantsev and S. Fedorov and A. Lazukic and J. Pejakovic and D. Mihajlovic and Z. Kusnierikova and M. Zelinkova and K. Bruncakova and L. Polakovicova and V. Sobona and N.S. Barbka and P.G. Ana and M. Jovanov and B. Strazisar and M.B. Jasmina and N.J. Vesna and M. Voje and A. Grynyuk and I. Kostadinov and S.V. Alenka and V. Moral and M.C. Unzueta and C. Puigbo and J. Fava and E. Moret and M.R. Nunez and M. Sendra and A. Brunelli and F. Rodenas and P. Monedero and F.H. Martinez and M.J.Y. Temino and A.M. Simon and A.D.A. Larriba and A. Lisi and G. Perez and R. Martinez and M. Granell and J.T. Vivo and C.S. Ruiz and {Andr{\'e}s Iba{\~n}ez}, J.A.D. and E. Pastor and M. Soro and C. Ferrando and M. Defez and {Cesar Aldecoa}, A.S. and R. Perez and J. Rico and M. Jawad and Y. Saeed and L. Gillberg and Z.K. Bengisun and B.K. Kazbek and N. Coskunfirat and N. Boztug and S. Sanli and M. Yilmaz and N. Hadimioglu and N.M. Senturk and E. Camci and S. Kucukgoncu and Z. Sungur and N. Sivrikoz and S.U. Ozgen and F. Toraman and O. Selvi and O. Senturk and M. Yildiz and B. Kuvaki and F. Gunenc and S. Kucukguclu and S. Ozbilgin and J. Maral and S. Canli and O. Arun and A. Saltali and E. Aydogan and F.N. Akgun and C. Sanlikarip and F.M. Karaman and A. Mazur and S. Vorotyntsev and G. Rousseau and C. Barrett and L. Stancombe and B. Shelley and H. Scholes and J. Limb and A. Rafi and L. Wayman and J. Deane and D. Rogerson and J. Williams and S. Yates and E. Rogers and M. Pulletz and S. Moreton and S. Jones and S. Venkatesh and M. Burton and L. Brown and C. Goodall and M. Rucklidge and D. Fuller and M. Nadolski and S. Kusre and M. Lundberg and L. Everett and H. Nutt and M. Zuleika and P. Carvalho and D. Clements and C.B. Ben and P. Watt and P. Raymode and R. Pearse and O. Mohr and A. Raj and T. Creary and A. Chishti and A. Bell and C. Higham and A. Cain and S. Gibb and S. Mowat and D. Franklin and C. West and G. Minto and N. Boyd and G. Mills and E. Calton and R. Walker and F. Mackenzie and B. Ellison and H. Roberts and M. Chikungwa and C. Jackson and A. Donovan and J. Foot and E. Homan and J. Montgomery and D. Portch and P. Mercer and J. Palmer and J. Paddle and A. Fouracres and A. Datson and A. Andrew and L. Welch and A. Rose and S. Varma and K. Simeson and M. Rambhatla and J. Susarla and S. Marri and K. Kodaganallur and A. Das and S. Algarsamy and J. Colley and S. Davies and M. Szewczyk and T. Smith and F.B. Ana and E. Luzier and A. Almagro and M.V. Melo and L. Fernando and D. Sulemanji and J. Sprung and T. Weingarten and D. Kor and F. Scavonetto and Y. Tze",
year = "2019",
month = "3",
doi = "10.1016/j.bja.2018.10.063",
language = "English",
volume = "122",
pages = "361--369",
journal = "British Journal of Anaesthesia",
issn = "0007-0912",
publisher = "ELSEVIER APPL SCI PUBL LTD",
number = "3",

}

TY - JOUR

T1 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

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AU - Ana, F.B.

AU - Luzier, E.

AU - Almagro, A.

AU - Melo, M.V.

AU - Fernando, L.

AU - Sulemanji, D.

AU - Sprung, J.

AU - Weingarten, T.

AU - Kor, D.

AU - Scavonetto, F.

AU - Tze, Y.

PY - 2019/3

Y1 - 2019/3

N2 - 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.

AB - 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.

KW - general anaesthesia

KW - intraoperative complications

KW - patient safety

KW - postoperative complications

KW - pulmonary

UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-85058784675&partnerID=MN8TOARS

UR - http://www.scopus.com/inward/record.url?scp=85058784675&partnerID=8YFLogxK

UR - http://www.mendeley.com/research/association-between-nighttime-surgery-occurrence-intraoperative-adverse-events-postoperative-pulmona

U2 - 10.1016/j.bja.2018.10.063

DO - 10.1016/j.bja.2018.10.063

M3 - Article

VL - 122

SP - 361

EP - 369

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

SN - 0007-0912

IS - 3

ER -