A Retrospective Analysis Investigating Whether Case Volume Experience of the Anesthesiologist Correlates with Intraoperative Efficiency for Joint Arthroplasty.
The objective of this retrospective study was to determine if there was an association between anesthesiology experience (e.g. historic case volume) and operating room (OR) efficiency times for lower extremity joint arthroplasty cases. The primary outcome was time from patient in the OR to anesthesi...
| Publicado en: | Journal of Medical Systems Vol. 47; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
11/16/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173963180&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173963180 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 11/16/2023 vid: 47 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 173963180 173963180 173963180 10.1007/s10916-023-02015-1 173963180 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Retrospective Analysis Investigating Whether Case Volume Experience of the Anesthesiologist Correlates with Intraoperative Efficiency for Joint Arthroplasty. aug: au: Macias, Alvaro A. Bongbong, Dale N. Waterman, Ruth S. Simpson, Sierra Gabriel, Rodney A. affil: https://ror.org/0168r3w48 Division of Perioperative Informatics, Department of Anesthesiology, University of California San Diego, 9300 Campus Point Drive, MC7770, 92037-7770, La Jolla, CA, USA sug: subj: Arthroplasty, Replacement, Knee Intraoperative Monitoring Anesthesiologists Clinical Competence Job Experience Workload Time Factors Human Retrospective Design Linear Regression Confidence Intervals Descriptive Statistics Multivariate Analysis Data Analysis, Statistical Workflow ab: The objective of this retrospective study was to determine if there was an association between anesthesiology experience (e.g. historic case volume) and operating room (OR) efficiency times for lower extremity joint arthroplasty cases. The primary outcome was time from patient in the OR to anesthesia ready (i.e. after spinal or general anesthesia induction was complete). The secondary outcomes included time from anesthesia ready to surgical incision, and time from incision to closing completed. Mixed effects linear regression was performed, in which the random effect was the anesthesiology attending provider. There were 4,575 patients undergoing hip or knee arthroplasty included. There were 82 unique anesthesiology providers, in which the median [quartile] frequency of cases performed was 79 [45, 165]. On multivariable mixed effects linear regression – in which the primary independent variable (anesthesiologist case volume history for joint arthroplasty anesthesia) was log-transformed – the estimate for log-transformed case volume was − 0.91 (95% confidence interval [CI] -1.62, -0.20, P = 0.01). When modeling time from incision to closure complete, the estimate for log-transformed case volume was − 2.07 (95% -3.54, -0.06, P = 0.01). Thus, when comparing anesthesiologists with median case volume (79 cases) versus those with the lowest case volume (10 cases), the predicted difference in times added up to only approximately 6 min. If the purpose of faster anesthesia workflows was to open up more OR time to increase surgical volume in a given day, this study does not support the supposition that anesthesiologists with higher joint arthroplasty case volume would improve throughput. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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