Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies

<h3>Purpose</h3><p dir="ltr">This research aims to study whether the time of day impacts the outcome of laparoscopic appendectomy. Peri/post-operative data including type of surgery, operating room time, length of stay, re-hospitalization rates, and short/long term morbid...

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Main Author: Amjad A. Shah (17337805) (author)
Other Authors: Raed M. Al-Zoubi (2037490) (author), Ahmad R. Al-Qudimat (17337808) (author), Mohamed Amine Rejeb (17337811) (author), Laxmi Kumari Ojha (17337814) (author), Sharif Abdulzem (17337817) (author), Khadija Qadir (17337820) (author), Sara Sameer (17337823) (author), Ahmad Zarour (768894) (author), Mohamed Said Ghali (17337826) (author)
Published: 2022
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_version_ 1864513541611978752
author Amjad A. Shah (17337805)
author2 Raed M. Al-Zoubi (2037490)
Ahmad R. Al-Qudimat (17337808)
Mohamed Amine Rejeb (17337811)
Laxmi Kumari Ojha (17337814)
Sharif Abdulzem (17337817)
Khadija Qadir (17337820)
Sara Sameer (17337823)
Ahmad Zarour (768894)
Mohamed Said Ghali (17337826)
author2_role author
author
author
author
author
author
author
author
author
author_facet Amjad A. Shah (17337805)
Raed M. Al-Zoubi (2037490)
Ahmad R. Al-Qudimat (17337808)
Mohamed Amine Rejeb (17337811)
Laxmi Kumari Ojha (17337814)
Sharif Abdulzem (17337817)
Khadija Qadir (17337820)
Sara Sameer (17337823)
Ahmad Zarour (768894)
Mohamed Said Ghali (17337826)
author_role author
dc.creator.none.fl_str_mv Amjad A. Shah (17337805)
Raed M. Al-Zoubi (2037490)
Ahmad R. Al-Qudimat (17337808)
Mohamed Amine Rejeb (17337811)
Laxmi Kumari Ojha (17337814)
Sharif Abdulzem (17337817)
Khadija Qadir (17337820)
Sara Sameer (17337823)
Ahmad Zarour (768894)
Mohamed Said Ghali (17337826)
dc.date.none.fl_str_mv 2022-11-29T15:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.heliyon.2022.e11911
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Daytime_versus_nighttime_laparoscopic_appendectomy_in_term_of_complications_and_clinical_outcomes_A_retrospective_study_of_1001_appendectomies/24501127
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Laparoscopic
Appendectomy
Outcomes
Shifts
Complications
Delay
dc.title.none.fl_str_mv Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Purpose</h3><p dir="ltr">This research aims to study whether the time of day impacts the outcome of laparoscopic appendectomy. Peri/post-operative data including type of surgery, operating room time, length of stay, re-hospitalization rates, and short/long term morbidity and mortality were assembled and analyzed.</p><h3>Methods</h3><p dir="ltr">A retrospective review of all patient's charts who underwent an appendectomy for acute appendicitis at the Acute Care Surgery division at Hamad Medical Corporation (HMC) from December 2017 to July 2020 was performed. Our institution implemented SAGES protocol to patients with laparoscopic appendectomy. Medical history, symptoms, duration of symptoms, type of treatment, complication, experience level of surgeons in different shift, morbidity, mortality, and length of hospital stay were extracted and analyzed.</p><h3>Results</h3><p dir="ltr">Multivariate logistic regression analysis was used to identify the odds ratio (OR) and the correlation of variables with different surgical groups. A total of 1001 patients were included in this study and underwent laparoscopic appendectomy, 51.3% were operated during the daytime shifts and 48.7% during the nighttime shifts. The majority of surgeries were operated during the nighttime shift C (1:00 a.m. to 7:00 a.m.). Neither there was any difference in clinical outcomes nor day/night operation time with physicians. A statistically significant correlation was found between hospital-stay of patients with different surgical group (OR: 2.13, 95% CI: 0.75–0.93, P < 0.001).</p><h3>Conclusion</h3><p dir="ltr">Appendectomy conducted at night is correlated with similar complications as appendectomy performed during the day, and that the varied shift hours had no effect on the complication rates or on the quality of care provided to patients at our hospital.</p><h2>Other Information</h2><p dir="ltr">Published in: Heliyon<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.heliyon.2022.e11911" target="_blank">https://dx.doi.org/10.1016/j.heliyon.2022.e11911</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1016/j.heliyon.2022.e11911
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24501127
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomiesAmjad A. Shah (17337805)Raed M. Al-Zoubi (2037490)Ahmad R. Al-Qudimat (17337808)Mohamed Amine Rejeb (17337811)Laxmi Kumari Ojha (17337814)Sharif Abdulzem (17337817)Khadija Qadir (17337820)Sara Sameer (17337823)Ahmad Zarour (768894)Mohamed Said Ghali (17337826)Biomedical and clinical sciencesClinical sciencesLaparoscopicAppendectomyOutcomesShiftsComplicationsDelay<h3>Purpose</h3><p dir="ltr">This research aims to study whether the time of day impacts the outcome of laparoscopic appendectomy. Peri/post-operative data including type of surgery, operating room time, length of stay, re-hospitalization rates, and short/long term morbidity and mortality were assembled and analyzed.</p><h3>Methods</h3><p dir="ltr">A retrospective review of all patient's charts who underwent an appendectomy for acute appendicitis at the Acute Care Surgery division at Hamad Medical Corporation (HMC) from December 2017 to July 2020 was performed. Our institution implemented SAGES protocol to patients with laparoscopic appendectomy. Medical history, symptoms, duration of symptoms, type of treatment, complication, experience level of surgeons in different shift, morbidity, mortality, and length of hospital stay were extracted and analyzed.</p><h3>Results</h3><p dir="ltr">Multivariate logistic regression analysis was used to identify the odds ratio (OR) and the correlation of variables with different surgical groups. A total of 1001 patients were included in this study and underwent laparoscopic appendectomy, 51.3% were operated during the daytime shifts and 48.7% during the nighttime shifts. The majority of surgeries were operated during the nighttime shift C (1:00 a.m. to 7:00 a.m.). Neither there was any difference in clinical outcomes nor day/night operation time with physicians. A statistically significant correlation was found between hospital-stay of patients with different surgical group (OR: 2.13, 95% CI: 0.75–0.93, P < 0.001).</p><h3>Conclusion</h3><p dir="ltr">Appendectomy conducted at night is correlated with similar complications as appendectomy performed during the day, and that the varied shift hours had no effect on the complication rates or on the quality of care provided to patients at our hospital.</p><h2>Other Information</h2><p dir="ltr">Published in: Heliyon<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.heliyon.2022.e11911" target="_blank">https://dx.doi.org/10.1016/j.heliyon.2022.e11911</a></p>2022-11-29T15:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.heliyon.2022.e11911https://figshare.com/articles/journal_contribution/Daytime_versus_nighttime_laparoscopic_appendectomy_in_term_of_complications_and_clinical_outcomes_A_retrospective_study_of_1001_appendectomies/24501127CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/245011272022-11-29T15:00:00Z
spellingShingle Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
Amjad A. Shah (17337805)
Biomedical and clinical sciences
Clinical sciences
Laparoscopic
Appendectomy
Outcomes
Shifts
Complications
Delay
status_str publishedVersion
title Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
title_full Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
title_fullStr Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
title_full_unstemmed Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
title_short Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
title_sort Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
topic Biomedical and clinical sciences
Clinical sciences
Laparoscopic
Appendectomy
Outcomes
Shifts
Complications
Delay