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Observational Study
. 2024 Jul 2:37:12816.
doi: 10.3389/ti.2024.12816. eCollection 2024.

Is Night Surgery a Nightmare for Lung Transplantation?

Sébastien Tanaka  1   2 , Christian De Tymowski  1   3 , Erevan Dupuis  1 , Alexy Tran-Dinh  1   4   5 , Brice Lortat-Jacob  1 , Adela Harpan  1 , Sylvain Jean-Baptiste  1 , Sandrine Boudinet  1 , Chahra-Zad Tahri  1 , Mathilde Salpin  6 , Yves Castier  4   5   7 , Pierre Mordant  4   5   7 , Hervé Mal  4   6   8 , Antoine Girault  7 , Enora Atchade  1 , Philippe Montravers  1   4   8 ; Bichat Lung Transplant Group
Affiliations
Observational Study

Is Night Surgery a Nightmare for Lung Transplantation?

Sébastien Tanaka et al. Transpl Int. .

Abstract

Night work is frequently associated with sleep deprivation and is associated with greater surgical and medical complications. Lung transplantation (LT) is carried out both at night and during the day and involves many medical healthcare workers. The goal of the study was to compare morbidity and mortality between LT recipients according to LT operative time. We performed a retrospective, observational, single-center study. When the procedure started between 6 AM and 6 PM, the patient was allocated to the Daytime group. If the procedure started between 6 PM and 6 AM, the patient was allocated to the Nighttime group. Between January 2015 and December 2020, 253 patients were included. A total of 168 (66%) patients were classified into the Day group, and 85 (34%) patients were classified into the Night group. Lung Donors' general characteristics were similar between the groups. The 90-day and one-year mortality rates were similar between the groups (90-days: n = 13 (15%) vs. n = 26 (15%), p = 0.970; 1 year: n = 18 (21%) vs. n = 42 (25%), p = 0.499). Daytime LT was associated with more one-year airway dehiscence (n = 36 (21%) vs. n = 6 (7.1%), p = 0.004). In conclusion, among patients who underwent LT, there was no significant association between operative time and survival.

Keywords: lung transplantation; morbidity; mortality; operative time; outcome.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Mortality at 90 days (A) and 1 year (B) as a function of operative time.
See this image and copyright information in PMC

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