Birhanu Yeneabat, Endalamaw Aklilu, Adu Aynalem
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Patient Saf Surg. 2020 Dec 9;14(1):46. doi: 10.1186/s13037-020-00271-5.
Cancellation of elective surgical operation recognized as a major cause of emotional trauma to patients as well as their families. In Ethiopia, prevalence and root causes for elective surgical case cancellation varies from time to time in different settings. This systematic review and meta-analysis aimed to find the pooled prevalence and root causes for elective surgical case cancellation in Ethiopia.
The databases for the search were Web of Science, PubMed, and Google Scholar. The last literature search was performed on February 8, 2020. To assess publication bias Egger's regression analysis was applied. The pooled estimation was estimated using random-effects model meta-analysis. Subgroup analysis was also done based on the root causes of surgical case cancellation.
This meta-analysis included a total of 5 studies with 5591 study participants. The pooled prevalence of elective surgical case cancellation was 21.41% (95% CI: 12.75 to 30.06%). Administration-related reason (34.50%) was the most common identified root cause, followed by surgeon (25.29%), medical (13.90%), and patient-related reasons (13.34%).
The prevalence of elective surgical case cancellation was considerable. The most common root cause for elective surgical case cancellation was administration-related reasons, followed by the surgeon, medical and patient-related reasons. The causes for the surgical cancellations are potentially preventable. Thus, efforts should be made to prevent unnecessary cancellations through careful planning.
择期手术取消被认为是患者及其家属情绪创伤的主要原因。在埃塞俄比亚，不同环境下择期手术取消的发生率和根本原因随时间而变化。本系统评价和荟萃分析旨在找出埃塞俄比亚择期手术取消的合并发生率及根本原因。
检索的数据库有科学网、PubMed和谷歌学术。最后一次文献检索于2020年2月8日进行。应用Egger回归分析评估发表偏倚。采用随机效应模型荟萃分析进行合并估计。还根据手术取消的根本原因进行了亚组分析。
该荟萃分析共纳入5项研究，5591名研究参与者。择期手术取消的合并发生率为21.41%（95%CI：12.75至30.06%）。与管理相关的原因（34.50%）是最常见的确定根本原因，其次是外科医生（25.29%）、医疗（13.90%）和与患者相关的原因（13.34%）。
择期手术取消的发生率相当高。择期手术取消最常见的根本原因是与管理相关的原因，其次是外科医生、医疗和与患者相关的原因。手术取消的原因可能是可以预防的。因此，应通过精心规划努力防止不必要的取消。
