Oluwadiya K S, Olasinde A A, Olakulehin O A, Olatoke S A, Oginni L M, Ako F
Department of Surgery, LAUTECH Teaching Hospital, Osogbo. E-mail:
Niger Postgrad Med J. 2007 Mar;14(1):42-5.
Cancellation of cases on the scheduled day of surgery leads to an inefficient utilisation of scarce hospital and patient's resources. Identifying the causes of such cancellations will assist in taking steps to avoid them.
This is a retrospective study spanning 10 years. Record was taken of all patients who had orthopaedic surgery at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife Nigeria. The age, sex, type of operation, whether or not the surgery was ever postponed or cancelled, the duration and reasons for such postponements and the duration of admission were collated and analysed.
Five hundred and fifty two (40.8%) of the 1,353 orthopaedic patients scheduled for surgery experienced cancellation. The most common reasons were attributable to the hospital (48.7%) mainly due to infrastructural breakdown (28.7%) and procedural lapses by hospital personnel (20.0%). Self cancellation by patient (37.8%) followed and was mainly due to financial constraints (25.6%). Upper respiratory tract infections were responsible for the cancellation in 8.6%. These delays were responsible for more than 30% of the duration of admission in 93 (16.8%) patients.
The incidence of postponement of cases on the scheduled day of surgery is still high. Most of the causes are preventable. Better infrastructural facilities, enhanced interdepartmental communication and improved attitude to work would reduce the rate and thus enhance utilisation of theatre space.
在手术预定日取消手术会导致稀缺的医院和患者资源利用效率低下。识别此类取消的原因将有助于采取措施避免它们。
这是一项为期10年的回顾性研究。记录了在尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院综合体接受骨科手术的所有患者的情况。对患者的年龄、性别、手术类型、手术是否曾被推迟或取消、此类推迟的持续时间和原因以及住院时间进行了整理和分析。
1353名预定手术的骨科患者中有552名（40.8%）经历了手术取消。最常见的原因归因于医院（48.7%），主要是由于基础设施故障（28.7%）和医院工作人员的程序失误（20.0%）。其次是患者自行取消（37.8%），主要原因是经济限制（25.6%）。上呼吸道感染导致8.6%的手术取消。这些延误导致93名（16.8%）患者的住院时间延长了30%以上。
在手术预定日推迟手术的发生率仍然很高。大多数原因是可以预防的。更好的基础设施、加强部门间沟通以及改善工作态度将降低发生率，从而提高手术室空间的利用率。
