Perioperative medicine & outcomes

Outcomes of after‐hours surgeries performed under general anaesthesia: a South Korean nationwide cohort study

AnaesthesiaPublished Population-based cohort study

Authors' conclusion

After-hours surgery was associated with a higher risk of death within 90 days, an increase in all-cause mortality after 1-year and a higher incidence of postoperative complications.

Study context

Population
Patients who underwent surgery under GA, National Health Insurance Service of South Korea1,416,844 considered
Participants
281,717 patients
Exposure
After-hours vs in-hours surgery under GA
  • After-hoursn = 57,497
  • In-hoursn = 224,220reference
Outcome
90-day and 1-year mortality, and incidence of postoperative complications
Methodological detailspropensity score-matched (1:5), nationwide
  • Propensity score-matched (1:5)
  • Nationwide

Main finding

As reported in the abstract

After-hours vs In-hoursEstimate (95% CI)P value
90-day all-cause mortality
OR 3.58(3.47–3.69)
P < 0.001
1-year all-cause mortality
HR 2.51(2.46–2.57)
P < 0.001
Postoperative complications
OR 2.14(2.10–2.19)
P < 0.001

Observational data: associations, not effects.

Original publication

Outcomes of after‐hours surgeries performed under general anaesthesia: a South Korean nationwide cohort study. Anaesthesia. Published 10 February 2025. doi:10.1111/anae.16559

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