Dalton David M, Kelly Enda G, Murphy Terence P, McCoy Gerry F, Glynn Aaron A
University Hospital Limerick, Limerick, Ireland.
Cappagh National Orthopaedic Hospital, Dublin, Ireland.
Adv Orthop. 2016;2016:1424193. doi: 10.1155/2016/1424193. Epub 2016 Nov 16.
. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. . The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. . A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). . Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation ( = 27), followed by pulmonary disease ( = 22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. . DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.
手术入院日（DOSA）作为降低全关节置换术成本的一种手段正成为标准做法。本研究的目的是审核一家专科医院中DOSA的使用情况并确定取消手术的原因。对2008年至2013年间接受髋关节或膝关节置换术的患者进行了一项回顾性研究。所有患者均在术前评估门诊（PAC）接受评估。在3195名被认为适合手术的患者中，有114名患者（3.5%）的手术被取消。92例取消手术（80%）是因为麻醉师认为患者在医学上不适合手术。心脏病是取消手术最常见的原因（=27），其次是肺部疾病（=22）。77名患者（67.5%）的手术被重新安排，并在我们机构日后成功进行。手术入院日与手术当天的低取消率相关。患有心肺合并症的患者取消手术的风险最大。
