Evidence map›Paper›PMID 39296458›Full record

ArticleJTCVS open2024

Outcomes of nonemergency cardiac surgery after overnight operative workload: A statewide experience.

Tyler M Bauer, Michael J Pienta, Xiaoting Wu, Michael P Thompson, Robert B Hawkins, Andrew L Pruitt, Alphonse Delucia, Shelly C Lall, Francis D Pagani, Donald S Likosky and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Emergency Gynecologic Surgery Outcomes During Working and Off-Hours.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tyler M BauerDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Michael J PientaDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Xiaoting WuDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Michael P ThompsonDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Robert B HawkinsDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Andrew L PruittDepartment of Cardiac Surgery, St Joseph Mercy, Ann Arbor, Mich.
Alphonse DeluciaDepartment of Cardiac Surgery, Bronson Medical Center, Kalamazoo, Mich.
Shelly C LallDepartment of Cardiac Surgery, Munson Healthcare, Traverse City, Mich.
Francis D PaganiDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Donald S LikoskyDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative and The Video Assessment of CaRdiac Surgery QualITY (VARSITY) Surgery Investigators

Funding

Novel Assessments of Technical and Non-Technical Cardiac Surgery QualityR01HL146619 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S, PAGANI, FRANCIS D · 2020 to 2024
$3.4M
NHLBI NIH HHS R01 HL146619
6 · The paper itself

Abstract

Objective: Cardiac surgeons experience unpredictable overnight operative responsibilities, with variable rest before same-day, first-start scheduled cases. This study evaluated the frequency and associated impact of a surgeon's overnight operative workload on the outcomes of their same-day, first-start operations. Methods: A statewide cardiac surgery quality database was queried for adult cardiac surgical operations between July 1, 2011, and March 1, 2021. Nonemergency, first-start, Society of Thoracic Surgeons predicted risk of mortality operations were stratified by whether or not the surgeon performed an overnight operation that ended after midnight. A generalized mixed effect model was used to evaluate the effect of overnight operations on a Society of Thoracic Surgeons composite outcome (5 major morbidities or operative mortality) of the first-start operation. Results: Of all first-start operations, 0.4% (239/56,272) had a preceding operation ending after midnight. The Society of Thoracic Surgeons predicted risk of morbidity and mortality was similar for first-start operations whether preceded by an overnight operation or not (overnight operation: 11.3%; no overnight operation: 11.7%, Conclusions: First-start cardiac operations performed after an overnight operation represent a small subset of all first-start Society of Thoracic Surgeons predicted risk operations. Overnight operations do not significantly influence the risk of major morbidity or mortality of first-start operations, which suggests that surgeons exercise proper judgment in determining appropriate workloads.

Indexed as

CABGoperative workloadqualityvalve

Identifiers

PMID39296458
PMCPMC11405977

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.