Okeke C J, Obi A O, Tijani K H, Eni U E, Okorie C O
Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State; Department of Surgery, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria.
Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital; Department of Surgery, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria.
Niger J Clin Pract. 2020 Jul;23(7):965-969. doi: 10.4103/njcp.njcp_650_19.
Dwindling economic resources and reduced manpower in the health sector require efficient use of the available resources. Day of surgery cancellation has far reaching consequences on the patients and the theatre staff involved. Full use of the theatre space should be pursued by every theatre user.
The study aimed to report on the rates and causes of day of surgery cancellation of elective surgical cases in our hospital as a means towards proffering solutions.
It was a retrospective study of all elective cases that were booked over a 15-month period from January 2016 to March 2017. Cancellation was said to have occurred when the planned surgery did not take place on the proposed day of surgery. Cancellations were categorized into patient-related, surgeon-related, hospital-related and anesthetist-related. Reasons for the cancellations were documented. Data were analyzed using Statistical Package for the Social Sciences (SPSS) software program, version 22. Variables were compared using Chi-square tests. A value of P < 0.05 was considered statistically significant.
During the 15-month period, a total of 1296 elective surgeries were booked. Of this, 118 (9.1%) cases were cancelled. Patient-related factor was the most common reason (47.5%) followed by surgeon-related factor (28%). Lack of funds was the most common patient related-reason for cancellation. Majority of the cancelled cases were general surgical cases (36.4%) followed by orthopedics (25.4%) and urology (11%). Seventy percent of the cancelled cases were first and second on the elective list.
The cancellation rate in this study is high. The reasons for these cancellations are preventable. To ensure effective use of the theatre, efforts should be made to tackle these reasons.
卫生部门经济资源的减少和人力的缩减要求有效利用现有资源。手术日取消对相关患者和手术室工作人员有着深远影响。每个手术室使用者都应充分利用手术室空间。
本研究旨在报告我院择期手术病例的手术日取消率及原因，以寻求解决方案。
这是一项对2016年1月至2017年3月15个月期间所有预约的择期病例进行的回顾性研究。当计划中的手术未在所提议的手术日进行时，即视为发生取消情况。取消情况分为与患者相关、与外科医生相关、与医院相关和与麻醉师相关。记录取消的原因。使用社会科学统计软件包（SPSS）22版软件程序对数据进行分析。使用卡方检验比较变量。P值<0.05被认为具有统计学意义。
在这15个月期间，共预约了1296例择期手术。其中，118例（9.1%）病例被取消。与患者相关的因素是最常见的原因（47.5%），其次是与外科医生相关的因素（28%）。资金短缺是与患者相关的最常见取消原因。大多数取消病例为普通外科病例（36.4%），其次是骨科（25.4%）和泌尿外科（11%）。70%的取消病例在择期名单上排第一和第二。
本研究中的取消率较高。这些取消的原因是可以预防的。为确保有效利用手术室，应努力解决这些原因。
