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After propensity score matching, the odds of major complication were significantly lower for those receiving surgery within 12 h (odds ratio [OR] 0.77, 95% confidence interval [CI] 0.64 to 0.94). This was also true for immobility-related complications (OR 0.79, 95% CI 0.64 to 0.97). Patients in the early group spent 1.5 fewer days in the critical care unit on average (95% CI -2.09 to -0.88). Although surgery within 12 h may not always be feasible, these data suggest that whenever possible surgeons should strive to reduce the amount of ti