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Anesthesiology handover during cardiac surgery associated with increased mortality


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Journal
JAMA Network Open
Reuters Health - 22/02/2022 - A handover of anesthesia care during cardiac surgery - at least in certain circumstances - is associated with higher risks of patient death at both 30 days and one year later, researchers in Canada report. Specifically, handovers during complex procedures such as coronary-artery-bypass graft (CABG) with valve surgery, cases started during regular work hours, and care transitions during or after bypass were all associated with worse outcomes. Handovers were associated with longer hospital and ICU stays, the team reports in JAMA Network Open. The central issue with anesthesia handovers, the authors explained, is the tradeoff between possibly excessive fatigue in the anesthesia clinician and "unintended information loss during the handover." Their multicenter, retrospective study involved more than 102,000 adul patients in Ontario who underwent CABG, cardiac-valve surgery, or thoracic aorta surgical procedures between 2008 an...


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