ArticlePloS one2019
Impact of nighttime procedures on outcomes after liver transplantation.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Safety and early outcomes of nighttime lung transplantation with a surgical multidisciplinary team in a low-volume center.Journal of thoracic disease · 2025Article
- Circadian immune system in solid organ transplantation: a review article.Frontiers in immunology · 2025Review
- Impact of late-night liver transplantation on recipient outcome.Updates in surgery · 2024Observational
- Does Timepoint of Surgical Procedure Affect the Outcome in Simultaneous Pancreas-Kidney Transplantation? A Retrospective Single-Center Analysis over 20 Years.Journal of clinical medicine · 2024Article
- Circadian rhythms in solid organ transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Review
- Association Between Daytime vs Overnight Digit Replantation and Surgical Outcomes.JAMA network open · 2022Article
- Pancreatic Fistula and Biochemical Leak after Splenectomy: Incidence and Risk Factors-A Retrospective Single-Center Analysis.Langenbeck's archives of surgery · 2022Article
- Comparing short-term/long-term outcomes of heart transplants that occur inside and outside of normal working hours.ESC heart failure · 2022Review
- How Old Is Old? An Age-Stratified Analysis of Elderly Liver Donors above 65.Journal of clinical medicine · 2022Article
- Comparison of Outcomes of Emergency Laparotomies Performed During Daytime Versus Nights and Weekends in Rwandan University Teaching Hospitals.World journal of surgery · 2022Article
- The Actual Operative Costs of Liver Transplantation and Normothermic Machine Perfusion in a Canadian Setting.PharmacoEconomics - open · 2021Article
- Totally implantable venous access port insertion via open Seldinger approach of the internal jugular vein-a retrospective risk stratification of 500 consecutive patients.Langenbeck's archives of surgery · 2021Article
- Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer.Risk management and healthcare policy · 2021Article
- HTK-N: Modified Histidine-Tryptophan-Ketoglutarate Solution-A Promising New Tool in Solid Organ Preservation.International journal of molecular sciences · 2020Review
- Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh.Medicine · 2020Article
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep deprivation is a well-known risk factor for the performance of medical professionals. Solid organ transplantation (especially orthotopic liver transplantation (oLT)) appears to be vulnerable since it combines technically challenging operative procedures with an often unpredictable start time, frequently during the night. Aim of this study was to analyze whether night time oLT has an impact on one-year graft and patient survival. MATERIAL AND
methodsDeceased donor oLTs between 2006 and 2017 were retrospectively analyzed and stratified for recipients with a start time at day (8 a.m. and 6 p.m.) or at night (6 p.m. to 8 a.m.). We examined donor as well as recipient demographics and primary outcome measure was one-year patient and graft survival.
results350 oLTs were conducted in the study period, 154 (44%) during daytime and 196 (56%) during nighttime. Donor and recipient variables were comparable. One-year patient survival (daytime 75.3% vs nighttime 76.5%, p = 0.85) as well as graft survival (daytime 69.5% vs nighttime 73.5%, p = 0.46) were similar between the two groups. Frequencies of reoperation (daytime 53.2% vs nighttime 55.1%, p = 0.74) were also not significantly different.
conclusionOur retrospective single center data derived from a German transplant center within the Eurotransplant region provides evidence that oLT is a safe procedure irrespective of the starting time. Our data demonstrate that compared to daytime surgery nighttime liver transplantation is not associated with a greater risk of surgical complications. In addition, one-year graft and patient survival do not display inferior results in patients undergoing nighttime transplantation.
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