Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before

 Is operating overnight associated with worse outcomes for surgical procedures performed by the attending surgeon the subsequent day? In this cross-sectional study of 498,234 daytime operations performed by 1,131 surgeons at 20 US institutions, there was no significant association between operating the previous night and the incidence of in-hospital death or major complications (sepsis, pneumonia, myocardial infarction, thromboembolic event, or stroke) for daytime operations performed the subsequent day. After adjusting for confounders, the incidence of death or major complications was 5.89% among daytime operations when the attending surgeon operated the night before compared with 5.87% among daytime operations when the attending surgeon did not. These findings suggest that operating overnight does not appear to be associated with worse outcomes when the attending surgeon continues to operate the next day.