Late Operating Room Start Times Impact Mortality and Cost for Nonemergent Cardiac Surgery.

ABSTRACT:

Background

There is growing concern over the effect of starting non-emergent cardiac surgery later in the day on clinical outcomes and resource utilization. Our objective was to determine the differences in patient outcomes for starting non-emergent cardiac surgery after 3 pm.

Methods

All non-emergent cardiac operations performed at a single institution from July 2008 to 2013 were reviewed. Cases were stratified based on "early start" or "late start," defined by incision time before or after 3 pm. Rates of observed and risk-adjusted mortality, major complications, and costs were compared on a univariate basis for all patients and by multivariable linear and logistic regression for patients with a valid The Society of Thoracic Surgeons (STS) Predicted Risk of Mortality (PROM)

SUBMITTER: Yount KW 

PROVIDER: S-EPMC4630095 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature