Original Article

IJMDC. 2019; 3(11): 13-19

Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital

Authors: Saeed Moshabab Al Qahtani, Abdullah Maeed Al Qahtani, Saad Thamer Alshahrani, Abdullah Mohammed Alqahtani, Saad Ali Al Qahtani, Mohammed Ali Alshahrani, Dafer Mohammed Alshehri.

ABSTRACT

Background: Night shifts, prolonged work hours and insufficient recovery sleep hours mainly affect the homeostatic and circadian processes which influence the physician performance, resulting in more medical errors, failure due to poor attention, and work-related wounds. This study was done to evaluate the differences in outcomes between night time and daytime surgeries. Methodology: This was a retrospective cohort study on 500 patients, with age range of 15 to 75 years or older, done from 2015 2018 in Asir hospital, Saudi Arabia. A comparison was performed of operations completed between daytime versus those between nighttime, and also between those which were completed between weekday and weekend. The data were conducted based on the database of the Asir Hospital. Results: Most of the patients were males (61.7%). The Chi-square test between two times of surgery groups regarding different demographic characters reported significant correlations regarding the age of 75 years or more, male gender, comorbidity, gall bladder stone and obstruction injury type, non-occurrence of injury, gall bladder stone as a mechanism of injury, while laparoscopy, and laparotomy in surgery types. Significant correlations were also reported with 15-24 years old group, diabetes mellitus, and comorbid cardiac disorders, non-occurrence of injury, gall bladder stone as a mechanism of injury and bleeding complications regarding the day of surgery. Conclusion: It is critical to maximize patient safety and provide the best possible care for patients at any time of the day. This includes surgeon self-awareness and carefully choosing when to operate.

Keywords:
Sleep Deprivation, Night Time, Weekday, Weekend, Surgery Outcomes


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Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital


Authors
Saeed Moshabab Al Qahtani
Intern, King Khalid University, Abha, Saudi Arabia
PubMed articlesGoogle scholar articles

Abdullah Maeed Al Qahtani
Intern, King Khalid University, Abha, Saudi Arabia
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Saad Thamer Alshahrani
Intern, King Khalid University, Khamis Mushyt, Saudi Arabia
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Abdullah Mohammed Alqahtani
Intern, King Khalid University, Abha, Saudi Arabia
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Saad Ali Al Qahtani
Intern, King Khalid University, Abha, Saudi Arabia
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Mohammed Ali Alshahrani
Intern, King Khalid University, Khamis Mushyt, Saudi Arabia
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Dafer Mohammed Alshehri
Consultant General Surgeon, Consultant Colorectal Surgeon, Aseer Central Hospital, Abha, Assir Region, Saudi Arabia
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Correspondence to:
. Saeed Moshabab Al_Qahtani, Intern, King Khalid University, Abha, Saudi Arabia;

Publication history
Received 04 Jul 2019
Accepted 21 Jul 2019
Published online 27 Sep 2019
Published in print 04 Nov 2019

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Pubmed Style

Al_Qahtani SM, Qahtani AMA, Alshahrani ST, Alqahtani AM, Qahtani SAA, Alshahrani MA, Alshehri DM. Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. IJMDC. 2019; 3(11): 13-19. doi:10.24911/IJMDC.51-1562275338


Web Style

Al_Qahtani SM, Qahtani AMA, Alshahrani ST, Alqahtani AM, Qahtani SAA, Alshahrani MA, Alshehri DM. Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. http://www.ijmdc.com/?mno=55467 [Access: November 22, 2019]. doi:10.24911/IJMDC.51-1562275338


AMA (American Medical Association) Style

Al_Qahtani SM, Qahtani AMA, Alshahrani ST, Alqahtani AM, Qahtani SAA, Alshahrani MA, Alshehri DM. Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. IJMDC. 2019; 3(11): 13-19. doi:10.24911/IJMDC.51-1562275338


Vancouver/ICMJE Style

Al_Qahtani SM, Qahtani AMA, Alshahrani ST, Alqahtani AM, Qahtani SAA, Alshahrani MA, Alshehri DM. Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. IJMDC. (2019), [cited November 22, 2019]; 3(11): 13-19. doi:10.24911/IJMDC.51-1562275338


Harvard Style

Al_Qahtani, S. M., Qahtani, . A. M. A., Alshahrani, . S. T., Alqahtani, . A. M., Qahtani, . S. A. A., Alshahrani, . M. A. & Alshehri, . D. M. (2019) Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. IJMDC, 3 (11), 13-19. doi:10.24911/IJMDC.51-1562275338


Turabian Style

Al_Qahtani, Saeed Moshabab, Abdullah Maeed Al Qahtani, Saad Thamer Alshahrani, Abdullah Mohammed Alqahtani, Saad Ali Al Qahtani, Mohammed Ali Alshahrani, and Dafer Mohammed Alshehri. 2019. Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. International Journal of Medicine in Developing Countries, 3 (11), 13-19. doi:10.24911/IJMDC.51-1562275338


Chicago Style

Al_Qahtani, Saeed Moshabab, Abdullah Maeed Al Qahtani, Saad Thamer Alshahrani, Abdullah Mohammed Alqahtani, Saad Ali Al Qahtani, Mohammed Ali Alshahrani, and Dafer Mohammed Alshehri. "Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital." International Journal of Medicine in Developing Countries 3 (2019), 13-19. doi:10.24911/IJMDC.51-1562275338


MLA (The Modern Language Association) Style

Al_Qahtani, Saeed Moshabab, Abdullah Maeed Al Qahtani, Saad Thamer Alshahrani, Abdullah Mohammed Alqahtani, Saad Ali Al Qahtani, Mohammed Ali Alshahrani, and Dafer Mohammed Alshehri. "Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital." International Journal of Medicine in Developing Countries 3.11 (2019), 13-19. Print. doi:10.24911/IJMDC.51-1562275338


APA (American Psychological Association) Style

Al_Qahtani, S. M., Qahtani, . A. M. A., Alshahrani, . S. T., Alqahtani, . A. M., Qahtani, . S. A. A., Alshahrani, . M. A. & Alshehri, . D. M. (2019) Does surgery performed at night time shifts lead to a worse outcome? Findings from Asir Central Hospital. International Journal of Medicine in Developing Countries, 3 (11), 13-19. doi:10.24911/IJMDC.51-1562275338


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