Lunar cycle affects mortality, length of stay following acute aortic dissection repair

Waning and full moon cycles impact length of stay, mortality

If you need cardiac surgery in the future, aortic dissection in particular, reach for the moon. Or at least try to schedule your surgery around its cycle. According to a study at Rhode Island Hospital, acute aortic dissection (AAD) repair performed in the waning full moon appears to reduce the odds of death, and a full moon was associated with shorter length of stay (LOS). The study is published online in advance of print in the journal Interactive Cardiovascular and Thoracic Surgery.

The purpose of the study was to assess the effect of natural time variations of both the season and the lunar cycle phase on hospital survival and length of stay (number of days a patient is in the hospital) following acute aortic dissection repair.

"While there has been previous research of seasonal impacts on cardiovascular disease, there has not been any data about the effect of the lunar cycles on cardiac cases, until now," said senior author Frank Sellke, M.D., chief of cardiothoracic surgery and co-director of the Cardiovascular Institute at Rhode Island, The Miriam and Newport hospitals. "We focused the study on patients having aortic dissection and found that the odds of dying following this procedure were greatly reduced during the waning full moon, and that length of stay was also reduced during the full moon."

Researchers studied the relationship of lunar cycles and seasonal variation on two surgical groups: Group A: Patients having repair of ascending aortic dissection, and Group B: Patients having aortic dissection and either aortic valve surgery, coronary bypass surgery, or both. They also studied the relationship of the lunar cycle on patients' length of stay. The study indicates that aortic dissection performed during the full moon phase had a significantly shorter length of stay than two other moon phases - 10 days for the full moon cycle vs. 14 days for the other phases.

"Can we always plan for such procedures to be performed around lunar cycles? Of course not," Sellke said. "But better understanding the effects of the environment - including seasonal and lunar cycles - on our health can help us to better understand these rhythms, and ultimately provide better care for our patients."