Off-hours Anesthesia
Conditions
Keywords
off-hours, hip surgery, perioperative care
Brief summary
To explore the impact of the begin time of anesthesia on in-hospital mortality and early prognosis of patients undergoing hip surgery.
Detailed description
The patients undergoing hip surgery between were divided into the on-hours group or the off-hours group depending on the begin time of anesthesia in this retrospective cohort study. In-hospital mortality and early prognosis were compared between the two groups.
Interventions
If the begin time of anesthesia was between 8:00 to 17:59, it was defined as on-hours.
If the start time of anesthesia was between 18:00 to 7:59 or the end time of anesthesia was later than 20:00, it was defined as off-hours.
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients who had hip surgery between January 1, 2015, and December 31, 2020 in Tongji Hospital.
Exclusion criteria
* under 18 years old * had incomplete perioperative data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| in-hospital mortality | up to 7 months | the mortality during hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative LOS | up to 4 months postoperatively | postoperative hospital length of stay |
| total LOS | up to 7 months | total hospital length of stay |
| ICU admission | within 3 days postoperatively | the ratio of ICU admission |
| postoperative complications | within 3 days postoperatively | including renal dysfunction, anemia, hypotension, deep vein thrombosis, arrhythmia, coronary artery disease or heart failure, pulmonary infection, electrolyte disturbance, hyoxemia and delirium |
| intraoperative fluid management | intraoperative | including blood loss, urine volume, concentrated red blood cells, fresh frozen plasma, equilibrium liquid and colloidal solution |
| intraoperative sufentanil | intraoperative | the dosage of intraoperative sufentanil |
| using vasoactive drugs | intraoperative | whether using vasoactive drugs or not intraoperatively |
Countries
China