Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis

Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Emb...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Tang, Gang [verfasserIn] Wang, Jumei [verfasserIn] Chen, Rui [verfasserIn] Zhang, Jie [verfasserIn] Zhou, Rongxing [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Nighttime appendectomy Daytime appendectomy Postoperative complications Mortality Meta-analysis

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: International journal of colorectal disease - Springer Berlin Heidelberg, 1986, 39(2024), 1 vom: 14. Aug.
Übergeordnetes Werk:	volume:39 ; year:2024 ; number:1 ; day:14 ; month:08

Links:	Volltext

DOI / URN:	10.1007/s00384-024-04705-9

Katalog-ID:	SPR056964285

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520			\|a Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night.
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allfields	10.1007/s00384-024-04705-9 doi (DE-627)SPR056964285 (SPR)s00384-024-04705-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.87 bkl Tang, Gang verfasserin aut Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213 Wang, Jumei verfasserin aut Chen, Rui verfasserin aut Zhang, Jie verfasserin aut Zhou, Rongxing verfasserin aut Enthalten in International journal of colorectal disease Springer Berlin Heidelberg, 1986 39(2024), 1 vom: 14. Aug. (DE-627)253724244 (DE-600)1459217-4 1432-1262 nnns volume:39 year:2024 number:1 day:14 month:08 https://dx.doi.org/10.1007/s00384-024-04705-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.87 VZ AR 39 2024 1 14 08
spelling	10.1007/s00384-024-04705-9 doi (DE-627)SPR056964285 (SPR)s00384-024-04705-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.87 bkl Tang, Gang verfasserin aut Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213 Wang, Jumei verfasserin aut Chen, Rui verfasserin aut Zhang, Jie verfasserin aut Zhou, Rongxing verfasserin aut Enthalten in International journal of colorectal disease Springer Berlin Heidelberg, 1986 39(2024), 1 vom: 14. Aug. (DE-627)253724244 (DE-600)1459217-4 1432-1262 nnns volume:39 year:2024 number:1 day:14 month:08 https://dx.doi.org/10.1007/s00384-024-04705-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.87 VZ AR 39 2024 1 14 08
allfields_unstemmed	10.1007/s00384-024-04705-9 doi (DE-627)SPR056964285 (SPR)s00384-024-04705-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.87 bkl Tang, Gang verfasserin aut Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213 Wang, Jumei verfasserin aut Chen, Rui verfasserin aut Zhang, Jie verfasserin aut Zhou, Rongxing verfasserin aut Enthalten in International journal of colorectal disease Springer Berlin Heidelberg, 1986 39(2024), 1 vom: 14. Aug. (DE-627)253724244 (DE-600)1459217-4 1432-1262 nnns volume:39 year:2024 number:1 day:14 month:08 https://dx.doi.org/10.1007/s00384-024-04705-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.87 VZ AR 39 2024 1 14 08
allfieldsGer	10.1007/s00384-024-04705-9 doi (DE-627)SPR056964285 (SPR)s00384-024-04705-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.87 bkl Tang, Gang verfasserin aut Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213 Wang, Jumei verfasserin aut Chen, Rui verfasserin aut Zhang, Jie verfasserin aut Zhou, Rongxing verfasserin aut Enthalten in International journal of colorectal disease Springer Berlin Heidelberg, 1986 39(2024), 1 vom: 14. Aug. (DE-627)253724244 (DE-600)1459217-4 1432-1262 nnns volume:39 year:2024 number:1 day:14 month:08 https://dx.doi.org/10.1007/s00384-024-04705-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.87 VZ AR 39 2024 1 14 08
allfieldsSound	10.1007/s00384-024-04705-9 doi (DE-627)SPR056964285 (SPR)s00384-024-04705-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.87 bkl Tang, Gang verfasserin aut Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213 Wang, Jumei verfasserin aut Chen, Rui verfasserin aut Zhang, Jie verfasserin aut Zhou, Rongxing verfasserin aut Enthalten in International journal of colorectal disease Springer Berlin Heidelberg, 1986 39(2024), 1 vom: 14. Aug. (DE-627)253724244 (DE-600)1459217-4 1432-1262 nnns volume:39 year:2024 number:1 day:14 month:08 https://dx.doi.org/10.1007/s00384-024-04705-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.87 VZ AR 39 2024 1 14 08
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topic_title	610 VZ 44.87 bkl Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis Nighttime appendectomy (dpeaa)DE-He213 Daytime appendectomy (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Meta-analysis (dpeaa)DE-He213
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title_sort	daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis
title_auth	Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis
abstract	Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. © The Author(s) 2024
abstractGer	Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. © The Author(s) 2024
abstract_unstemmed	Background Appendicitis is one of the most common acute surgical conditions globally. However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. However, future studies should assess the reasons for higher conversion rates during the night. © The Author(s) 2024
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title_short	Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis
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However, the association between nighttime appendectomy and patients’ morbidity and mortality is unclear. This study aims to compare outcomes following nighttime versus daytime appendectomy. Methods The PubMed, Embase, Cochrane Library, and Web of Science databases up to March 26, 2024 (updated on July 1, 2024) were searched. The primary outcomes were postoperative complications and mortality. Secondary outcomes included intraoperative complications, reoperation, readmission, conversion to laparotomy, hospital stay and operation time. Mean difference (MD) or odds ratios (OR) and 95% confidence intervals were calculated. Results Fifteen studies totaling 33,596 patients were included. There were no differences between nighttime and daytime appendectomy for rates of overall postoperative complications (OR 0.93, 95% CI 0.87, 1.00, 14 studies), mortality (OR 1.70, 95% CI 0.37, 7.88, 7 studies), intraoperative complications (OR 0.88, 95% CI 0.08, 9.86; 2 studies), reoperation (OR 0.39, 95% CI 0.06, 2.55; 3 studies) and readmission (OR 0.86, 95% CI 0.65, 1.13; $ I^{2} $ = 0%, 5 studies). However, the conversion to laparotomy risks (OR 1.92, 95% CI 1.12, 3.29; 6 studies) among patients who underwent appendectomy during nighttime was significantly elevated compared to daytime. Conclusions There was no increased risk or difference in postoperative mortality and complication rates associated with nighttime compared with daytime appendectomy. 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Daytime versus nighttime appendectomy in term of complications and clinical outcomes: a meta-analysis

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