Key result
Afternoon cardiac surgery lacked sufficient evidence of superiority over morning surgery for improving surgical site infections and 1-year mortality among 22,305 patients.
Key points are not available for this paper at this time.
Population
22,305 cardiac surgery patients in Switzerland
Comparison
Afternoon aortic valve replacement surgery vs morning surgery
Design
Prospective cohort study
Follow-up
1 year
Does not support shifting cardiac surgery timing; leaves open whether circadian factors affect outcomes in prospective studies.
Afternoon aortic valve replacement surgery may provide perioperative myocardial protection and improve patient outcomes compared with morning surgery. The results of our large observational study based on Swiss cardiac surgical site infection surveillance data suggest that the current evidence is insufficient to generally promote afternoon cardiac surgeries.
No takes yet. Share an insight, caveat, or question.
Sommerstein et al. (2019) studied this question. Afternoon cardiac surgery lacked sufficient evidence of superiority over morning surgery for improving surgical site infections and 1-year mortality among 22,305 patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: