دورية أكاديمية
أعرض في EDS

Impact of nighttime procedures on outcomes after liver transplantation.

التفاصيل البيبلوغرافية
العنوان: Impact of nighttime procedures on outcomes after liver transplantation.
المؤلفون: Felix Becker, Thekla Voß, Annika Mohr, Anne-Sophie Mehdorn, Katharina Schütte-Nütgen, Stefan Reuter, Iyad Kabar, Eike Bormann, Thorsten Vowinkel, Daniel Palmes, Jens G Brockmann, Andreas Pascher, Ralf Bahde, Linus Kebschull, Thomas Vogel
المصدر: PLoS ONE, Vol 14, Iss 7, p e0220124 (2019)
بيانات النشر: Public Library of Science (PLoS), 2019.
سنة النشر: 2019
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Medicine, Science
الوصف: 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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1932-6203
Relation: https://doaj.org/toc/1932-6203
DOI: 10.1371/journal.pone.0220124
URL الوصول: https://doaj.org/article/f11c4aac9c86466fb9a1d84f8b84660d
رقم الأكسشن: edsdoj.f11c4aac9c86466fb9a1d84f8b84660d
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19326203
DOI:10.1371/journal.pone.0220124