Sung Wei-Che, Chou An-Hsun, Liao Chia-Chih, Yang Min-Wen, Chang Chee-Jen
Department of Anesthesiology, Chang Gung Memorial Hospital at Linkuo, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chang Gung Med J. 2010 Sep-Oct;33(5):568-75.
Roughly 60,000 operations are performed at our medical center every year, so making efficient use of operating rooms (OR) is an important issue. Decreasing the cancellation rate of surgery is one method that could increase efficiency. We reviewed all OR cancellations in 2007 to survey the cancellation rates and causes.
The present study was retrospective. Data were collected from the Department of Anesthesiology Quality Assurance Database of Chang Gung Memorial Hospital. We analyzed medical records for cancellations from January 1 to December 31, 2007. Data were analyzed using SPSS 16.0, employing descriptive measures and logistic regression.
There were 61855 operations scheduled during this period; 229 were cancelled (0.37%). The mean age of patients in the cancelled group was significantly higher than that in the the non-cancelled group. We found a positive correlation between the cancellation rate and American Society of Anesthesiologists physical status. Cancellations for outpatient surgery were most frequent, as were those in the ophthalmology department. Forty-seven cases were cancelled because of cardiovascular problems; 136 operations were done later after the original cancellation issues were addressed while 11 were done under local anesthesia.
Of all causes of cancellation of surgery, 54.1% were avoidable. Medical teams must communicate better with patients and relatives, identify and treat relevant comorbidities, and make adequate preparations for surgery.
我们的医疗中心每年大约进行60000台手术，因此有效利用手术室是一个重要问题。降低手术取消率是提高效率的一种方法。我们回顾了2007年所有手术室取消手术的情况，以调查取消率和原因。
本研究为回顾性研究。数据从长庚纪念医院麻醉科质量保证数据库收集。我们分析了2007年1月1日至12月31日取消手术的病历。使用SPSS 16.0进行数据分析，采用描述性统计和逻辑回归分析。
在此期间共安排了61855台手术；229台被取消（0.37%）。取消手术组患者的平均年龄显著高于未取消手术组。我们发现取消率与美国麻醉医师协会身体状况之间存在正相关。门诊手术取消最为频繁，眼科手术也是如此。47例因心血管问题取消手术；136例在解决原取消问题后后来进行了手术，11例在局部麻醉下进行了手术。
在所有手术取消原因中，54.1%是可以避免的。医疗团队必须更好地与患者及家属沟通，识别并治疗相关合并症，并为手术做好充分准备。
