Could the Timing of Heart Surgery Affect Outcomes?
Synopsis
Key Takeaways
New Delhi, Jan 10 (NationPress) A recent study indicates that heart surgeries commencing in the late morning could lead to an increased risk of cardiovascular fatalities compared to surgeries conducted at other times of the day.
Researchers from The University of Manchester in the UK propose that incorporating the principles of circadian biology into the scheduling of heart surgeries may pave the way for a more tailored, precision medicine approach, as individual body clocks vary, with some people being early risers and others late-night individuals.
The analysis, which examined national datasets of over 24,000 patients across England, Wales, and Northern Ireland, revealed that surgeries starting late in the morning are associated with an 18 percent higher risk of heart-related mortality compared to those performed in the early morning.
The most frequent surgical start time is between 07:00 am and 09:59 am, accounting for 47 percent of all surgeries.
While there were no notable differences in complication rates or readmission statistics based on the time of day, the findings raise important considerations about optimal scheduling for heart procedures.
This research, published in the journal Anaesthesia, sheds light on the potential impact of the body clock—a series of 24-hour biological rhythms found in our cells and organs—on surgical outcomes overall.
Lead author Dr. Gareth Kitchen, a Clinical Senior Lecturer at The University of Manchester, stated, “Our research suggests that there may be a slightly elevated risk of heart-related mortality when surgeries are scheduled for the late morning. Even minor adjustments in timing could lead to substantial improvements in patient outcomes.”
“Although the statistical risk is significant, it remains relatively modest, and patients should feel reassured that the majority will not be adversely affected. Our responsibility as clinicians is to facilitate the best possible outcomes, and adjusting surgical timings could be an affordable strategy,” Kitchen added.
“With increased understanding of how individual body clock biology varies, we may eventually achieve better patient outcomes through personalized scheduling of cardiac surgeries,” the researcher concluded.