Affected person loss of life charges larger on surgeons’ birthdays
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Patients who have surgery on the surgeon’s birthday have a higher mortality rate than patients who have surgery on other days of the year. A US study can be found in the Christmas edition of the BMJ.
These results suggest that surgeons may be distracted by life events not directly related to work, the researchers say.
Laboratory experiments have shown that frequent distractions in the operating room, such as noise, equipment problems, and face-to-face conversations, can adversely affect the surgeon’s performance. However, the evidence using real data is limited.
One theory is that surgeons may be more distracted or rush to complete procedures on their birthdays, so patient outcomes may be different on those days.
To test this theory, the researchers used the nationally representative Medicare data of the elderly population in the United States to study death within 30 days of surgery in patients aged 65 to 99 who underwent a 2011-2014 of 17 common emergency surgical procedures in US hospitals
This was linked to information on the surgeon’s birthdays and factors such as the age and severity of the patient’s disease, the surgeon’s specialty and the hospital staff were taken into account.
A total of 980,876 interventions by 47,489 surgeons were analyzed. Of these, 2,064 (0.2%) were performed on the surgeon’s birthdays.
Patients who had surgery on a surgeon’s birthday had a higher mortality rate than patients who had surgery on other days (6.9% on birthdays versus 5.6% on other days).
While this is significant, it is comparable to the impact of other events, including Christmas and New Year holidays and weekends, which have been claimed to affect the quality of care for patients, the researchers note.
In addition, after further analysis, the results were similar, e.g. B. After excluding surgeons with the highest patient mortality and adjusting to the timing of the operation, suggesting they will stand up to scrutiny.
There are several possible explanations for these results, the researchers note.
For example, surgeons may feel rushed to complete the procedures on time on their birthday because they may have important evening plans. Birthday conversations with team members or birthday messages on their phones during surgery can also be distracting and lead to medical errors.
Or, compared to normal evenings, surgeons may be less likely to return to the hospital to see their patients showing signs of deterioration when they have dinner with family and friends.
This is an observational study, so no cause can be established, and the researchers say they failed to investigate the cause of death or rule out the effects of other unmeasured factors. The focus on common procedures in Medicare elderly patients also means that the results may not apply to other patient populations or surgical procedures.
Taken together, however, these results suggest that a surgeon’s performance could be affected by life events not directly related to work, the researchers say.
This hypothesis, while intuitive, is otherwise difficult to assess because of the lack of detailed information about events that may distract an individual surgeon.
Emergency treatment by elderly surgeons associated with slightly lower mortality rates
Patient mortality after surgery on the surgeon’s birthday: observational study, BMJ (2020). DOI: 10.1136 / bmj.m4381 Provided by the British Medical Journal
Quote: The death rate of patients on the surgeons’ birthdays (2020, December 10th) is higher and was found on December 10th, 2020 from https://medicalxpress.com/news/2020-12-patient-death-higher-surgeons-birthdays .html retrieved
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