Does surgical start time affect neurosurgery complications? 4 takeaways

Ann Arbor-based University of Michigan Health System researchers assessed whether surgical start time impacted neurosurgery operative morbidity and published the results in Neurosurgery.

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The study included 15,807 patients undergoing neurosurgical surgery between Jan. 1, 2007, and Aug. 1, 2014, at University of Michigan. Faculty and resident neurosurgeon self-reported morbidity and mortality rates revealed 785 complications.

 

Here are four takeaways:

 

1. The researchers found odds of complication rose 50-plus percent when the surgical start time was between 9:01 p.m. and 7:00 a.m.

 

2. Regarding surgery length, odds of complication increased for later time periods 9:01 p.m. and 7:00 a.m.

 

3. Researchers found differentiating a surgery as “emergent compared to elective” offered a statistically significant factor in predicting complication severity.

 

4. The researchers concluded patients undergoing surgery between 9:01 p.m. and 7:00 a.m. experience a higher risk of developing morbidity.

 

More articles on spine:
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8 things for spine surgeons to know for Thursday — Jan. 18, 2018
14 spine surgeons & neurosurgeons on the move in January 2018

 

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