Association of Overlapping Surgery With Perioperative Outcomes

JAMA : the Journal of the American Medical Association
Eric SunMulticenter Perioperative Outcomes Group (MPOG)

Abstract

Overlapping surgery, in which more than 1 procedure performed by the same primary surgeon is scheduled so the start time of one procedure overlaps with the end time of another, is of concern because of potential adverse outcomes. To determine the association between overlapping surgery and mortality, complications, and length of surgery. Retrospective cohort study of 66 430 operations in patients aged 18 to 90 years undergoing total knee or hip arthroplasty; spine surgery; coronary artery bypass graft (CABG) surgery; and craniotomy at 8 centers between January 1, 2010, and May 31, 2018. Patients were followed up until discharge. Overlapping surgery (≥2 operations performed by the same surgeon in which ≥1 hour of 1 case, or the entire case for those <1 hour, occurs when another procedure is being performed). Primary outcomes were in-hospital mortality or complications (major: thromboembolic event, pneumonia, sepsis, stroke, or myocardial infarction; minor: urinary tract or surgical site infection) and surgery duration. The final sample consisted of 66 430 operations (mean patient age, 59 [SD, 15] years; 31 915 women [48%]), of which 8224 (12%) were overlapping. After adjusting for confounders, overlapping surgery was not associa...Continue Reading

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Citations

Nov 21, 2019·The Laryngoscope·Alexander LangermanKathleen M Brelsford
Dec 11, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Pedrom C SioshansiEdward J Damrose
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Jul 17, 2019·JAMA : the Journal of the American Medical Association·John W Urwin, Ezekiel J Emanuel
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Dec 16, 2021·Anesthesia and Analgesia·Michael C Grant, Thomas A Anderson

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