Timing of Intraoperative Transitions of Care Among Anesthesiologists Is Not Associated With Postoperative Adverse Outcomes: Retrospective Cohort Study
Authors' conclusion
Timing of intraoperative handover among attending anesthesiologists during noncardiac surgery is not associated with adverse patient outcomes.
Study context
- Population
- Noncardiac surgical procedures, January 1, 2012 to December 31, 2019, with exactly 1 attending anesthesiologist handover
- Participants
- 36,937 procedures
- Exposure
- Induction vs Surgical period vs Emergence
- Inductionn = 4,370
- Surgical periodn = 24,999
- Emergencen = 7,568
- Outcome
- Composite of:
- 6 categories of surgical complications
- In-hospital mortality
Methodological detailsinverse probability of treatment weighted, Bonferroni correction
- Inverse probability of treatment weighted
- Bonferroni correction
Main finding
As reported in the abstract
Composite outcome (average relative effect OR across components)
Average relative effect OR (98.3% CI)P value
Induction vs Surgical period
1.0002(0.81–1.24)
P = 0.99Induction vs Emergence
1.10(0.87–1.40)
P = 0.32Emergence vs Surgical period
0.91(0.79–1.04)
P = 0.08Observational data: associations, not effects.
Original publication
Timing of Intraoperative Transitions of Care Among Anesthesiologists Is Not Associated With Postoperative Adverse Outcomes: Retrospective Cohort Study. Anesth Analg. Published 17 June 2024. doi:10.
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