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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work
|
|---|---|
| Published in |
New England Journal of Medicine, August 2015
|
| DOI | 10.1056/nejmsa1415994 |
| Pubmed ID | |
| Authors |
Anand Govindarajan, David R Urbach, Matthew Kumar, Qi Li, Brian J Murray, David Juurlink, Erin Kennedy, Anna Gagliardi, Rinku Sutradhar, Nancy N Baxter |
| Abstract |
Background Sleep loss in attending physicians has an unclear effect on patient outcomes. In this study, we examined the effect of medical care provided by physicians after midnight on the outcomes of their scheduled elective procedures performed during the day. Methods We conducted a population-based, retrospective, matched-cohort study in Ontario, Canada. Patients undergoing 1 of 12 elective daytime procedures performed by a physician who had treated patients from midnight to 7 a.m. were matched in a 1:1 ratio to patients undergoing the same procedure by the same physician on a day when the physician had not treated patients after midnight. Outcomes included death, readmission, complications, length of stay, and procedure duration. We used generalized estimating equations to compare outcomes between patient groups. Results We included 38,978 patients, treated by 1448 physicians, in the study, of whom 40.6% were treated at an academic center. We found no significant difference in the primary outcome (death, readmission, or complication) between patients who underwent a daytime procedure performed by a physician who had provided patient care after midnight and those who underwent a procedure performed by a physician who had not treated patients after midnight (22.2% and 22.4%, respectively; P=0.66; adjusted odds ratio, 0.99; 95% confidence interval, 0.95 to 1.03). We also found no significant difference in outcomes after stratification for academic versus nonacademic center, physician's age, or type of procedure. Secondary analyses revealed no significant difference between patient groups in length of stay or procedure duration. Conclusions Overall, the risks of adverse outcomes of elective daytime procedures were similar whether or not the physician had provided medical services the previous night. (Funded by the University of Toronto Dean's Fund and others.). |
X Demographics
The data shown below were collected from the profiles of 278 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 51 | 18% |
| Canada | 33 | 12% |
| United Kingdom | 17 | 6% |
| Saudi Arabia | 9 | 3% |
| Spain | 8 | 3% |
| Colombia | 7 | 3% |
| Mexico | 7 | 3% |
| Japan | 6 | 2% |
| Australia | 5 | 2% |
| Other | 36 | 13% |
| Unknown | 99 | 36% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 157 | 56% |
| Practitioners (doctors, other healthcare professionals) | 69 | 25% |
| Scientists | 45 | 16% |
| Science communicators (journalists, bloggers, editors) | 7 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 233 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 5 | 2% |
| Malaysia | 1 | <1% |
| Italy | 1 | <1% |
| Colombia | 1 | <1% |
| Denmark | 1 | <1% |
| Canada | 1 | <1% |
| Japan | 1 | <1% |
| Spain | 1 | <1% |
| Unknown | 221 | 95% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 34 | 15% |
| Researcher | 32 | 14% |
| Student > Master | 28 | 12% |
| Student > Bachelor | 24 | 10% |
| Student > Postgraduate | 22 | 9% |
| Other | 58 | 25% |
| Unknown | 35 | 15% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 143 | 61% |
| Nursing and Health Professions | 10 | 4% |
| Psychology | 6 | 3% |
| Engineering | 6 | 3% |
| Agricultural and Biological Sciences | 4 | 2% |
| Other | 17 | 7% |
| Unknown | 47 | 20% |
Attention Score in Context
This research output has an Altmetric Attention Score of 276. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 April 2023.
All research outputs
#131,981
of 25,782,917 outputs
Outputs from New England Journal of Medicine
#3,007
of 32,686 outputs
Outputs of similar age
#1,418
of 279,847 outputs
Outputs of similar age from New England Journal of Medicine
#39
of 370 outputs
Altmetric has tracked 25,782,917 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 32,686 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 122.5. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,847 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 370 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 89% of its contemporaries.