Surgeon fatigue does not affect surgical outcomes: a systematic review and meta-analysis
| Autor: | Hideaki Shimada, Yoko Oshima, Keiji Koda, Naoya Koda |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Affect (psychology) 03 medical and health sciences Postoperative Complications 0302 clinical medicine Outcome Assessment Health Care Humans Medicine Fatigue Surgeons business.industry General Medicine Confidence interval Surgery Sleep deprivation Treatment Outcome Elective Surgical Procedures Postoperative mortality 030220 oncology & carcinogenesis Relative risk Meta-analysis Sleep Deprivation 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Surgery Today. 51:659-668 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-020-02138-9 |
| Popis: | To systematically review the effects of surgeon fatigue on postoperative mortality and postoperative complications after elective and non-elective surgeries. A database search was conducted for original articles published in PubMed between 2000 and 2020 with the keywords: “surgeon,” “sleep deprivation,” “sleep deprived,” “fatigued,” “mortality,” “morbidity,” and “outcomes.” We selected articles that disclosed actual numbers of patients who underwent surgery by fatigued or rested surgeons, rates of postoperative mortality, or total postoperative complications. Of the 1427 articles identified, 16 met the selection criteria and were included. Eight of the 16 also included total postoperative complications. Analysis revealed no significant differences in the rates of postoperative mortality after elective and non-elective surgeries or total postoperative complications of elective surgeries or non-elective surgeries performed by fatigued vs. rested surgeons. The relative risks were 1.03 [95% confidence interval (CI), 0.86–1.24], 1.08 (95% CI, 0.85–1.38), 0.99 (95% CI, 0.95–1.04), and 0.93 (95% CI, 0.67–1.28), respectively. Surgeon fatigue does not affect the rates of postoperative mortality or total postoperative complications after elective surgeries and may have little to no effect on the rates of postoperative mortality or total postoperative complications after non-elective surgeries. |
| Databáze: | OpenAIRE |
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