Impact of sleep deprivation on the outcomes of percutaneous coronary intervention

Ann Iverson, Larissa Stanberry, Ross Garberich, Amber Antos, Yader Sandoval, M. Nicholas Burke, Ivan Chavez, Mario Gössl, Timothy D. Henry, Daniel Lips, Michael Mooney, Anil Poulose, Paul Sorajja, Jay Traverse, Yale Wang, Steven Bradley, Emmanouil S Brilakis

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: This study sought to compare the clinical outcomes of percutaneous coronary interventions (PCIs) performed by sleep deprived and non-sleep deprived operators. Background: Interventional cardiologists are at risk for sleep deprivation as they often have to perform emergent procedures at night, but the effects of sleep deprivation on clinical outcomes have received limited study. Methods: We examined the frequency, clinical characteristics, and outcomes of daytime PCIs performed by sleep deprived and non-sleep deprived operators at a tertiary medical center. Operators were considered sleep deprived when performing a daytime (7 am–11:59 pm) procedure preceded by a nighttime (12 am–6:59 am) procedure on the same date. Results: Of the 12,680 daytime PCIs performed from 6/29/09 to 12/30/2016, 367 (2.9%) were performed by sleep deprived operators. Patients undergoing PCI performed by a sleep deprived operator were more likely to be younger, white, and to present with ST-elevation acute myocardial infarction (STEMI). The incidence of in-hospital death (1.1% vs. 1.3%, P = 1.0) and bleeding within 72 hr (3.9% vs. 2.9%, P = 0.29) were similar for procedures performed by sleep-deprived and non-sleep deprived operators. When the sleep deprived group was further stratified based on degree of sleep deprivation or length of sleep interruption, differences in mortality and total bleeding remained non-significant. Conclusions: In this large single center study, operator sleep deprivation did not appear to adversely impact PCI outcomes.

Original languageEnglish (US)
Pages (from-to)1118-1125
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number6
DOIs
StatePublished - Nov 15 2018

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Sleep Deprivation
Percutaneous Coronary Intervention
Sleep
Hemorrhage
Mortality
Incidence

Keywords

  • bleeding
  • complications
  • PCI
  • primary PCI

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Impact of sleep deprivation on the outcomes of percutaneous coronary intervention. / Iverson, Ann; Stanberry, Larissa; Garberich, Ross; Antos, Amber; Sandoval, Yader; Burke, M. Nicholas; Chavez, Ivan; Gössl, Mario; Henry, Timothy D.; Lips, Daniel; Mooney, Michael; Poulose, Anil; Sorajja, Paul; Traverse, Jay; Wang, Yale; Bradley, Steven; Brilakis, Emmanouil S.

In: Catheterization and Cardiovascular Interventions, Vol. 92, No. 6, 15.11.2018, p. 1118-1125.

Research output: Contribution to journalArticle

Iverson, A, Stanberry, L, Garberich, R, Antos, A, Sandoval, Y, Burke, MN, Chavez, I, Gössl, M, Henry, TD, Lips, D, Mooney, M, Poulose, A, Sorajja, P, Traverse, J, Wang, Y, Bradley, S & Brilakis, ES 2018, 'Impact of sleep deprivation on the outcomes of percutaneous coronary intervention', Catheterization and Cardiovascular Interventions, vol. 92, no. 6, pp. 1118-1125. https://doi.org/10.1002/ccd.27471
Iverson, Ann ; Stanberry, Larissa ; Garberich, Ross ; Antos, Amber ; Sandoval, Yader ; Burke, M. Nicholas ; Chavez, Ivan ; Gössl, Mario ; Henry, Timothy D. ; Lips, Daniel ; Mooney, Michael ; Poulose, Anil ; Sorajja, Paul ; Traverse, Jay ; Wang, Yale ; Bradley, Steven ; Brilakis, Emmanouil S. / Impact of sleep deprivation on the outcomes of percutaneous coronary intervention. In: Catheterization and Cardiovascular Interventions. 2018 ; Vol. 92, No. 6. pp. 1118-1125.
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AU - Iverson, Ann

AU - Stanberry, Larissa

AU - Garberich, Ross

AU - Antos, Amber

AU - Sandoval, Yader

AU - Burke, M. Nicholas

AU - Chavez, Ivan

AU - Gössl, Mario

AU - Henry, Timothy D.

AU - Lips, Daniel

AU - Mooney, Michael

AU - Poulose, Anil

AU - Sorajja, Paul

AU - Traverse, Jay

AU - Wang, Yale

AU - Bradley, Steven

AU - Brilakis, Emmanouil S

PY - 2018/11/15

Y1 - 2018/11/15

N2 - Objectives: This study sought to compare the clinical outcomes of percutaneous coronary interventions (PCIs) performed by sleep deprived and non-sleep deprived operators. Background: Interventional cardiologists are at risk for sleep deprivation as they often have to perform emergent procedures at night, but the effects of sleep deprivation on clinical outcomes have received limited study. Methods: We examined the frequency, clinical characteristics, and outcomes of daytime PCIs performed by sleep deprived and non-sleep deprived operators at a tertiary medical center. Operators were considered sleep deprived when performing a daytime (7 am–11:59 pm) procedure preceded by a nighttime (12 am–6:59 am) procedure on the same date. Results: Of the 12,680 daytime PCIs performed from 6/29/09 to 12/30/2016, 367 (2.9%) were performed by sleep deprived operators. Patients undergoing PCI performed by a sleep deprived operator were more likely to be younger, white, and to present with ST-elevation acute myocardial infarction (STEMI). The incidence of in-hospital death (1.1% vs. 1.3%, P = 1.0) and bleeding within 72 hr (3.9% vs. 2.9%, P = 0.29) were similar for procedures performed by sleep-deprived and non-sleep deprived operators. When the sleep deprived group was further stratified based on degree of sleep deprivation or length of sleep interruption, differences in mortality and total bleeding remained non-significant. Conclusions: In this large single center study, operator sleep deprivation did not appear to adversely impact PCI outcomes.

AB - Objectives: This study sought to compare the clinical outcomes of percutaneous coronary interventions (PCIs) performed by sleep deprived and non-sleep deprived operators. Background: Interventional cardiologists are at risk for sleep deprivation as they often have to perform emergent procedures at night, but the effects of sleep deprivation on clinical outcomes have received limited study. Methods: We examined the frequency, clinical characteristics, and outcomes of daytime PCIs performed by sleep deprived and non-sleep deprived operators at a tertiary medical center. Operators were considered sleep deprived when performing a daytime (7 am–11:59 pm) procedure preceded by a nighttime (12 am–6:59 am) procedure on the same date. Results: Of the 12,680 daytime PCIs performed from 6/29/09 to 12/30/2016, 367 (2.9%) were performed by sleep deprived operators. Patients undergoing PCI performed by a sleep deprived operator were more likely to be younger, white, and to present with ST-elevation acute myocardial infarction (STEMI). The incidence of in-hospital death (1.1% vs. 1.3%, P = 1.0) and bleeding within 72 hr (3.9% vs. 2.9%, P = 0.29) were similar for procedures performed by sleep-deprived and non-sleep deprived operators. When the sleep deprived group was further stratified based on degree of sleep deprivation or length of sleep interruption, differences in mortality and total bleeding remained non-significant. Conclusions: In this large single center study, operator sleep deprivation did not appear to adversely impact PCI outcomes.

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