Noise in the operating room coincides with surgical difficulty.
Détails
ID Serval
serval:BIB_EDCA292A2E9A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Noise in the operating room coincides with surgical difficulty.
Périodique
BJS open
ISSN
2474-9842 (Electronic)
ISSN-L
2474-9842
Statut éditorial
Publié
Date de publication
03/09/2024
Peer-reviewed
Oui
Volume
8
Numéro
5
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Publication Status: ppublish
Résumé
Noise in the operating room has been shown to distract the surgical team and to be associated with postoperative complications. It is, however, unclear whether complications after noisy operations are the result of objective or subjective surgical difficulty or the consequence of distraction of the operating room team by noise.
Noise level measurements were prospectively performed during operations in four Swiss hospitals. Objective difficulty for each operation was calculated based on surgical magnitude as suggested by the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), duration of operation and surgical approach. Subjective difficulty and distraction were evaluated by a questionnaire filled out by the operating room team members. Complications were assessed 30 days after surgery. Using regression analyses, the relationship between objective and subjective difficulty, distraction, intraoperative noise and postoperative complications was tested.
Postoperative complications occurred after 121 (38%) of the 294 procedures included. Noise levels were significantly higher in operations that were objectively and subjectively more difficult (59.89 versus 58.35 dB(A), P < 0.001) and operations that resulted in postoperative complications (59.05 versus 58.77 dB(A), P = 0.004). Multivariable regression analyses revealed that subjective difficulty as reported by all members of the surgical team, but not distraction, was highly associated with noise and complications. Only objective surgical difficulty independently predicted noise and postoperative complications.
Noise in the operating room is a surrogate of surgical difficulty and thereby predicts postoperative complications.
Noise level measurements were prospectively performed during operations in four Swiss hospitals. Objective difficulty for each operation was calculated based on surgical magnitude as suggested by the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), duration of operation and surgical approach. Subjective difficulty and distraction were evaluated by a questionnaire filled out by the operating room team members. Complications were assessed 30 days after surgery. Using regression analyses, the relationship between objective and subjective difficulty, distraction, intraoperative noise and postoperative complications was tested.
Postoperative complications occurred after 121 (38%) of the 294 procedures included. Noise levels were significantly higher in operations that were objectively and subjectively more difficult (59.89 versus 58.35 dB(A), P < 0.001) and operations that resulted in postoperative complications (59.05 versus 58.77 dB(A), P = 0.004). Multivariable regression analyses revealed that subjective difficulty as reported by all members of the surgical team, but not distraction, was highly associated with noise and complications. Only objective surgical difficulty independently predicted noise and postoperative complications.
Noise in the operating room is a surrogate of surgical difficulty and thereby predicts postoperative complications.
Mots-clé
Operating Rooms, Humans, Prospective Studies, Postoperative Complications/etiology, Postoperative Complications/epidemiology, Male, Female, Noise/adverse effects, Middle Aged, Switzerland, Aged, Surveys and Questionnaires, Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/10/2024 14:12
Dernière modification de la notice
26/10/2024 6:12