ArticleScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society2021
Nighttime Appendectomy is Safe and has Similar Outcomes as Daytime Appendectomy: A Study of 1198 Appendectomies.
Article in Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Outcomes following out-of-hours acute appendectomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2026Pooled it
- Unfavorable management outcome and its predictors among appendicitis patients in ethiopia: a systematic review and meta- analysis.BMC surgery · 2025Pooled it
- Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis.International journal of colorectal disease · 2024Pooled it
- Article
- Rapid recovery vs standard care in laparoscopic appendectomy: a prospective study on patient-reported outcomes.BMC surgery · 2026Observational
- Timing of laparoscopic appendectomy and impacts on outcomes: A retrospective study of patients across in-hours, after-hours and holidays.World journal of gastrointestinal surgery · 2026Article
- Postoperative Complications Following Appendectomy: A Single-Center Retrospective Study.Cureus · 2024Article
- Factors associated with early inhospital adverse outcome following surgery for acute appendicitis in Uganda: a multicenter cohort.Perioperative medicine (London, England) · 2024Article
- Is the performance of acute appendectomy at different times of day equal, in terms of postoperative complications, readmission, death, and length of hospital stay? A Swedish retrospective cohort study of 4950 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Navigating appendicitis care during the Covid-19 pandemic: a retrospective cohort study in China.BMC surgery · 2024Article
- Routine use of laparoscopic techniques in daily practice improves outcomes after appendectomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Timing of pediatric pyloromyotomy on hospital length of stay.Surgery in practice and science · 2023Article
- Clinical Outcomes of Daytime Versus Nighttime Laparoscopic Appendectomy in Children.Children (Basel, Switzerland) · 2023Article
- Article
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Authors and funding
4 authors.
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Abstract
introductionAlthough it is controversial whether appendectomy can be safely delayed, it is often unnecessary to postpone operation as a shorter delay may increase patient comfort, enables quicker recovery, and decreases costs. In this study, we sought to study whether the time of day influences the outcomes among patients operated on for acute appendicitis. MATERIALS AND
methodsConsecutive patients undergoing appendectomy at Tampere University Hospital between 1 September 2014 and 30 April 2017 for acute appendicitis were included. Primary outcome measures were postoperative morbidity, mortality, length of hospital stay, and amount of intraoperative bleeding. Appendectomies were divided into daytime and nighttime operations.
resultsA total of 1198 patients underwent appendectomy, of which 65% were operated during daytime and 35% during nighttime. Patient and disease-related characteristics were similar in both groups. The overall morbidity and mortality rates were 4.8% and 0.2%, respectively. No time categories were associated with risk of complications or complication severity. Neither was there difference in operation time and clinically significant difference in intraoperative bleeding. Patients undergoing surgery during night hours had a shorter hospital stay. In multivariate analysis, only complicated appendicitis was associated with worse outcomes. DISCUSSION: We have shown that nighttime appendectomy is associated with similar outcomes than daytime appendectomy. Subsequently, appendectomy should be planned for the next available slot, minimizing delay whenever possible.
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