Demilew Basazinew Chekol, Yisak Hiwot, Terefe Agazhe Aemiro
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
SAGE Open Med. 2021 Mar 17;9:20503121211003357. doi: 10.1177/20503121211003357. eCollection 2021.
Elective surgical case cancelation is a common problem and can cause prolonged wait times, harm to patients, and is a waste of scarce resources. Reasons for cancelations are complex and change place to place because they are related to patients, organizational issues, and clinical staff. So, this study is aimed to assess the magnitude and causes of the case cancelation among elective surgical cases in a general hospital.
A cross-sectional prospective study design was conducted on 221 patients scheduled for elective surgery from March 1 to May 30 2019 G.C. All consecutive elective surgical cases scheduled during the study period were included in the study. Data were collected using prepared and pretested questionnaire and entered in the SPSS version 20 for analysis purpose.
During the study, 221 patients were scheduled for elective surgical operations, among these 150 (67.9%) patients were operated on the planned date of surgery whereas 71 (32.1%) operations were canceled. The decision for the cancelation was done by the anesthetist due to preoperative coexisting disease findings and inadequate preparation of the patient for the intended operations were 33 (46.5%) followed by administrative-related issues which account 26 (36.6%).
Cancelation of elective surgical procedures on the day of surgery was high in this study due to different reasons. Cancelation can be minimized if all the responsible bodies can communicate early regard to the patient.
择期手术病例取消是一个常见问题，会导致等待时间延长、对患者造成伤害，且浪费稀缺资源。取消手术的原因复杂，因地点而异，因为它们与患者、组织问题和临床工作人员有关。因此，本研究旨在评估一家综合医院择期手术病例取消的程度和原因。
对2019年公历3月1日至5月30日计划进行择期手术的221例患者进行了横断面前瞻性研究设计。研究期间安排的所有连续择期手术病例均纳入研究。使用预先准备和预测试的问卷收集数据，并输入SPSS 20版本进行分析。
在研究期间，221例患者计划进行择期手术，其中150例（67.9%）患者在计划手术日期进行了手术，而71例（32.1%）手术被取消。取消手术的决定由麻醉师做出，原因是术前发现并存疾病以及患者对预期手术准备不足的有33例（46.5%），其次是行政相关问题，占26例（36.6%）。
本研究中，由于不同原因，手术当天择期手术程序的取消率很高。如果所有责任机构能够尽早就患者情况进行沟通，取消率可以降至最低。
