Surgical quality in organ procurement during day and night: an analysis of quality forms
| Autor: | Kirsten Ooms-de Vries, Hein Putter, Daan Van der Vliet, Koen E.A. van der Bogt, Bernadette J. J. M. Haase-Kromwijk, Kees Dejong, Dries Braat, Jeroen de Jonge, Jacob D. de Boer, Mijntje Nijboer, Robert A. Pol |
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| Přispěvatelé: | Groningen Kidney Center (GKC), Groningen Institute for Organ Transplantation (GIOT), Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Surgery, MUMC+: MA Heelkunde (9), RS: NUTRIM - R2 - Liver and digestive health |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Evening Adolescent 030230 surgery risk management surgery Young Adult 03 medical and health sciences 0302 clinical medicine Procurement SURGEONS CALL Humans Medicine 030212 general & internal medicine Aged Netherlands Quality of Health Care Retrospective Studies DAMAGE RISK COMPLICATIONS business.industry Research Incidence (epidemiology) Graft Survival General Medicine Middle Aged PERFORMANCE Surgical Injury Acs nsqip TIME Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Transplantation Organ procurement transplant surgery Donation quality In health care Emergency medicine Tissue and Organ Harvesting Female DONATION business |
| Zdroj: | BMJ Open, 8, e022182 BMJ Open, 8(11):022182. BMJ PUBLISHING GROUP BMJ Open, 8(11) BMJ Open BMJ Open, 8, 11, pp. e022182 BMJ Open, 8(11):022182. BMJ Publishing Group BMJ Open, 8(11):e022182. BMJ Publishing Group |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesTo analyse a potential association between surgical quality and time of day.DesignA retrospective analysis of complete sets of quality forms filled out by the procuring and accepting surgeon on organs from deceased donors.SettingProcurement procedures in the Netherlands are organised per region. All procedures are performed by an independent, dedicated procurement team that is associated with an academic medical centre in the region.ParticipantsIn 18 months’ time, 771 organs were accepted and procured in The Netherlands. Of these, 17 organs were declined before transport and therefore excluded. For the remaining 754 organs, 591 (78%) sets of forms were completed (procurement and transplantation). Baseline characteristics were comparable in both daytime and evening/night-time with the exception of height (p=0.003).Primary outcome measureAll complete sets of quality forms were retrospectively analysed for the primary outcome, procurement-related surgical injury. Organs were categorised based on the starting time of the procurement in either daytime (8:00–17:00) or evening/night-time (17:00–8:00).ResultsOut of 591 procured organs, 129 organs (22%) were procured during daytime and 462 organs (78%) during evening/night-time. The incidence of surgical injury was significantly lower during daytime; 22 organs (17%) compared with 126 organs (27%) procured during evening/night-time (p=0.016). This association persists when adjusted for confounders.ConclusionsThis study shows an increased incidence of procurement-related surgical injury in evening/night-time procedures as compared with daytime. Time of day might (in)directly influence surgical performance and should be considered a potential risk factor for injury in organ procurement procedures. |
| Databáze: | OpenAIRE |
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