TUESDAY, Oct. 24, 2017 (HealthDay News) — Patients who have neurosurgery overnight are more likely to have complications than those whose operations occur during the day, a completely new study finds.
Risk of complications was 50 percent higher when surgeries began between 9 p.m. along with 7 a.m., said University of Michigan researchers. They reviewed more than 15,800 neurosurgical procedures along with their outcomes.
When accounting for the length of the surgery, the research team found the odds of a complication more than doubled.
Patients inside study underwent neurosurgery inside University of Michigan Health System between 2007 along with 2014. There were 785 complications, including mild medication reactions, infections, heart attack along with death.
Complications became more common after hours, yet not necessarily more severe except inside case of emergency surgeries, the researchers said.
They noted of which as This specific got later inside day, the percentage of elective cases fell while emergency cases increased. This specific’s possible of which complications become more likely because patients operated on overnight are sicker, according to the investigators.
The study was published recently inside journal Neurosurgery.
“We need to continue to study This specific relationship [between after-hours surgery along with increased risk of complications] as we aim to minimize surgery-related complications,” said study lead author Dr. Aditya Pandey. He can be an associate professor of neurological surgery at the university.
Pandey said the findings raise serious questions: Do health systems need to invest more to allow a greater proportion of surgeries during day hours? Should urgent cases be stabilized along with operated on during the daytime?
“These are important questions of which must be raised as we continue to solidify the relationship between surgical start time along with surgical complications,” Pandey said in a journal news Discharge.
Previous research has found higher complication rates for off-hour surgeries in additional health fields by orthopedics to heart care, the researchers said in background notes.
— Robert Preidt
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SOURCE: Neurosurgery, news Discharge, Oct. 13, 2017
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