Featured Research

from universities, journals, and other organizations

New Study Compares After-hours And Daytime Surgery Success Rates

Date:
September 5, 2009
Source:
American Academy of Orthopaedic Surgeons
Summary:
Patients who have after-hour orthopaedic surgeries risk a slightly higher rate of necessary follow-up surgeries, according to a new study.

Patients who have after-hour orthopaedic surgeries risk a slightly higher rate of necessary follow-up surgeries, according to a study published in the September 2009 issue of The Journal of Bone and Joint Surgery (JBJS). The data also suggests that patients whose surgeries took place during the day have the same healing, recovery time, and major complication rates as patients who have surgery after hours.

Related Articles


"Although everyone wants to be treated immediately, it may be in a patient's best interest to wait until morning. The reality is that the on-call night surgical team may not be well rested as it is likely they had just finished a normal day shift." said study lead author William M. Ricci MD, Associate Professor of Orthopaedic Surgery and Chief of the Orthopaedic Trauma Service in the Department of Orthopaedic Surgery at the Washington University School of Medicine.

The prospective study tracked the results of 203 patients with either a femoral (thighbone) fracture or tibial shaft (shin bone) fracture, who were each treated with intramedullary nail fixation (a supportive rod used to stabilize the bone.) The patients were primarily divided into two groups:

  • a daytime group, defined as those who had surgery between 6 a.m. and 4 p.m. and;
  • an after-hours group of those who had surgery between 4 p.m. and 6 a.m.

All patients were given the same treatments, based on the bone injured. The data suggested similar healing time and intra-operative radiation exposure for the two groups. However, the data also showed some notable differences in outcomes between after-hours and daytime surgeries:

  • The after-hours group had more unplanned follow-up operations than the daytime group;
  • Removal of painful hardware was more frequent in an after-hours group (27%) than the corresponding daytime group (3 %) and;
  • Operative times were slightly shorter in the after-hours groups

"The results of the study suggest that the system is working fairly well and it is not always best to rush a patient to the OR in the middle of the night. Naturally, when the medical condition is emergent and time is a critical factor, immediate surgery should proceed regardless of time of day" said Dr. Ricci.

The study results suggest that daytime operative time for orthopaedic trauma surgery has the potential to reduce minor complication rates with intramedullary nail fixation.

"We, in the healthcare industry don't have unlimited resources. Many hospitals in the U.S. do have a dedicated night team of orthopaedic surgeons who otherwise are without daytime responsibilities. There are surgical teams on-call for those instances when treatment must be immediate. For non-emergent fracture care, sufficient daytime resources should be made available to avoid unnecessary night-time surgery," said Dr. Ricci


Story Source:

The above story is based on materials provided by American Academy of Orthopaedic Surgeons. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Orthopaedic Surgeons. "New Study Compares After-hours And Daytime Surgery Success Rates." ScienceDaily. ScienceDaily, 5 September 2009. <www.sciencedaily.com/releases/2009/09/090901164042.htm>.
American Academy of Orthopaedic Surgeons. (2009, September 5). New Study Compares After-hours And Daytime Surgery Success Rates. ScienceDaily. Retrieved October 24, 2014 from www.sciencedaily.com/releases/2009/09/090901164042.htm
American Academy of Orthopaedic Surgeons. "New Study Compares After-hours And Daytime Surgery Success Rates." ScienceDaily. www.sciencedaily.com/releases/2009/09/090901164042.htm (accessed October 24, 2014).

Share This



More Health & Medicine News

Friday, October 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Breakfast Debate: To Eat Or Not To Eat?

Breakfast Debate: To Eat Or Not To Eat?

Newsy (Oct. 23, 2014) Conflicting studies published in the same week re-ignited the debate over whether we should be eating breakfast. Video provided by Newsy
Powered by NewsLook.com
Ebola Fears Keep Guinea Hospitals Empty

Ebola Fears Keep Guinea Hospitals Empty

AP (Oct. 23, 2014) Fears of Ebola are keeping doctors and patients alike away from hospitals in the West African nation of Guinea. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Despite Rising Death Toll, Many Survive Ebola

Despite Rising Death Toll, Many Survive Ebola

AP (Oct. 23, 2014) The family of a Dallas nurse infected with Ebola in the US says doctors can no longer detect the virus in her. Despite the mounting death toll in West Africa, there are survivors there too. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins