Department of Surgery, Keesler Medical Center, Keesler Air Force Base, Mississippi 39534, USA.
J Surg Educ. 2011 May-Jun;68(3):199-201. doi: 10.1016/j.jsurg.2010.12.001. Epub 2011 Jan 15.
Recent literature reports an increased risk of morbidity and mortality in nonemergency operations performed during nonregular duty hours at large institutions. Of the nonemergency operations performed after regular duty hours, appendectomies remain the most common. The study seeks to answer the question as to whether it is safe to continue performing appendectomies during non-normal duty hours at a low-volume institution.
The study is a retrospective cohort review examining 102 appendectomies for suspected appendicitis over a 46-month period from July 2005 to May 2010. The total number of cases, gender, type of procedure, start and stop time, and complications were recorded and analyzed.
Keesler Medical Center, located on Keesler Air Force Base, Mississippi.
All patients with appendectomies for presumed appendicitis observed between July 2005 and May 2010.
No statistical difference was found between complication rates during off-duty hours and normal duty hours at our institution (p = 0.619; odds ratio = 0.34722, 95% confidence interval = 0.035-2.45).
Performing appendectomies after regular-duty hours at our institution does not increase the risk of mortality and morbidity.
最近的文献报告表明，在大型机构的非正常工作时间进行非紧急手术会增加发病率和死亡率。在非正常工作时间进行的非紧急手术中，阑尾切除术仍然最为常见。本研究旨在回答在低容量医疗机构，在非正常工作时间继续进行阑尾切除术是否安全的问题。
本研究是一项回顾性队列研究，对 2005 年 7 月至 2010 年 5 月期间的 102 例疑似阑尾炎的阑尾切除术进行了检查。记录并分析了总病例数、性别、手术类型、开始和结束时间以及并发症。
密西西比州基斯勒空军基地的基斯勒医疗中心。
所有在 2005 年 7 月至 2010 年 5 月期间接受疑似阑尾炎阑尾切除术的患者。
我们机构在非工作时间和正常工作时间的并发症发生率之间没有发现统计学差异（p = 0.619；优势比= 0.34722，95%置信区间= 0.035-2.45）。
在我们机构，在正常工作时间后进行阑尾切除术不会增加死亡率和发病率。
