Second Look – Clinical News and Views

If you missed these Headline News Now items the first time around, AAOS Now gives you a second chance to review them. Headline News Now—the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons—brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

Shortage of sleep an issue
A study in the Journal of the American Medical Association (Oct. 14, 2009) finds that surgical procedures performed by physicians who had less than 6 hours of sleep were associated with an increased rate of complications. The matched retrospective cohort study found that complications occurred in 82 of 1,317 post-nighttime procedures performed by surgeons with sleep opportunities of 6 hours or less (6.2 percent) compared to 19 of 559 post-nighttime procedures performed by surgeons with sleep opportunities of more than 6 hours (3.4 percent).

Warfarin use in trauma patients
A study in the Journal of the American College of Surgeons (September 2009) finds that warfarin use may be associated with a 30 percent increased risk of death among all trauma patients and a 20 percent increased risk in patients 65 and older. However, the study did not find a definitive connection between warfarin use and post-trauma death.

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