Residency

News and briefs: Report finds neurosurgery complications up despite residency duty-hour restrictions

Residency Program Insider, May 8, 2012

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Research presented at the recent Annual Scientific Meeting of the American Association of Neurological Surgeons in Miami states that complication rates for patients at teaching hospitals increased despite the ACGME duty-hour restrictions. Researchers, however, found no change in complication rates and an improvement in mortality rates at non-teaching hospitals, according to an online article in Medscape Medical News.

The researchers studied more than 220,000 neurosurgical trauma admissions in three-year periods immediately before (1999-2002) and after (2005-2008) the 2003 ACGME implementation of duty hour limits from a national database of International Classification of Disease, Ninth Revision (ICD-9) codes. Brian Hoh, MD, associate professor of neurological surgery at the University of Florida in Gainesville, reported a 23% greater rate of complications.

Hoh indicated limitations for the study, including a heavy reliance on the database with potential for coding errors, according to the article.

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