外科手术中的迷信：一项基于人群的队列研究，以评估13号星期五进行手术与术后结果之间的关联。

Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes.

作者信息

Ranganathan Sanjana, Riveros Carlos, Geng Michael, Chang Courtney, Tsugawa Yusuke, Ravi Bheeshma, Melchiode Zachary, Hu Siqi, Kobashi Kathleen, Miles Brian J, Klaassen Zachary, Nathens Avery, Coburn Natalie, Detsky Allan S, Jerath Angela, Wallis Christopher J D, Satkunasivam Raj

机构信息

From the Department of Urology, Houston Methodist Hospital, Houston, TX.

Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA.

出版信息

Ann Surg Open. 2024 Feb 12;5(1):e375. doi: 10.1097/AS9.0000000000000375. eCollection 2024 Mar.

DOI:10.1097/AS9.0000000000000375

PMID:38883950

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11175938/

Abstract

OBJECTIVE

We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays.

BACKGROUND

Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th.

METHODS

A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term).

RESULTS

A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94-1.09)], 90 days [aOR = 0.97 (95% CI = 0.90-1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94-1.04)] after surgery.

CONCLUSION

Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.

摘要

目的

我们试图研究在13号星期五接受外科手术的患者的预后是否与在相邻星期五接受手术的患者不同。

背景

大量研究表明，手术前后医护人员或患者的焦虑增加会导致更差的预后。迷信的患者在13号星期五接受外科手术时往往会表现出极大的担忧和焦虑。

方法

一项基于人群的回顾性队列研究，研究对象为2007年1月1日至2019年12月31日期间接受25种常见外科手术之一的19747名成年人，手术时间为13号星期五或相邻的对照星期五（6号星期五和20号星期五），并进行1年的随访。主要结局包括术后30天（短期）、90天（中期）和1年（长期）的死亡、再入院和并发症。

结果

在研究期间，共有7349例（37.2%）患者在13号星期五接受手术，12398例（62.8%）患者在相邻星期五接受手术。两组患者的特征相似。我们没有发现证据表明在13号星期五接受手术的患者在术后30天[调整优势比（aOR）=1.02（95%CI=0.94-1.09）]、90天[aOR=0.97（95%CI=0.90-1.04）]和1年[aOR=0.99（95%CI=0.94-1.04）]更有可能出现综合主要结局。