Clinical Scorecard: Surgeon Sleep Timing Tied to Risk
At a Glance
| Category | Detail |
|---|---|
| Condition | Major adverse events following surgery |
| Key Mechanisms | Association between surgeon sleep timing irregularity and postoperative complications |
| Target Population | Adult patients undergoing surgery |
| Care Setting | University hospitals |
Key Highlights
- Surgeons with severe social jet lag (≥2 hours) had a 36% higher adjusted risk of major adverse events.
- Major adverse events occurred in 20% of operations studied.
- Only 5% of operations were performed by surgeons with severe social jet lag.
- Midsleep time variability and sleep duration were not independently associated with adverse events.
- Burnout among surgeons correlated with higher social jet lag and midsleep time variability.
Guideline-Based Recommendations
Diagnosis
- Assess surgeon sleep timing using social jet lag metrics.
Management
- Consider surgeon sleep regularity as a factor in surgical outcomes.
Monitoring & Follow-up
- Monitor sleep patterns of surgeons to identify potential risks.
Risks
- Severe social jet lag is associated with increased risk of major adverse events.
Patient & Prescribing Data
Adult surgical patients excluding palliative and organ donation procedures.
Surgeon sleep timing may influence postoperative outcomes.
Clinical Best Practices
- Encourage consistent sleep schedules for surgeons.
- Evaluate surgeon burnout as part of preoperative assessments.
- Implement monitoring of sleep patterns in surgical teams.
Related Resources & Content
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