Department of Anesthesiology and Reanimation, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Department of Orthopedics and Traumatology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
BMC Pediatr. 2023 Aug 2;23(1):383. doi: 10.1186/s12887-023-04184-x.
Canceling pediatric elective surgery leads to multiple disturbances regarding the inefficient operating room (OR) management, the financial repercussions, and the psychological impact on the patient and his family. This study aims to identify the reasons for cancellations among the pediatric population in our setting and suggest some convenient solutions.
We carried out a prospective and descriptive study over 12 months in the pediatric surgery department of Fattouma Bourguiba University Hospital.
One thousand four hundred twenty-six patients were scheduled for surgery at the pediatric surgery department, of whom 131 (9.2%) were canceled. Medical and anesthesia-related reasons accounted for 62.5% of all cancellations, followed by surgical reasons at 16%, organizational or administrative issues at 11.5%, and patient-related reasons at 10%. The most significant causes were upper respiratory tract infections (URTIs) in 36.6%, abnormal blood test results in 16%, and non-adherence to preoperative fasting in 9.2%.
The rate of pediatric elective surgery cancellations at Fattouma Bourguiba University Hospital was higher than the accepted average rate (5%). Therefore, to prevent these cancellations as much as possible, efforts should be made to promote children's medical care, operation scheduling, and efficient institution resource utilization.
取消小儿择期手术会导致手术室（OR）管理效率低下、经济影响以及对患者及其家庭的心理影响等诸多问题。本研究旨在确定我们医院小儿人群中取消手术的原因，并提出一些可行的解决方案。
我们在法图玛·布尔吉巴大学医院小儿外科进行了为期 12 个月的前瞻性描述性研究。
小儿外科共有 1426 例患者接受手术，其中 131 例（9.2%）被取消。所有取消手术中，因医疗和麻醉相关原因导致的占 62.5%，其次是手术相关原因（16%）、组织或行政问题（11.5%）和患者相关原因（10%）。最常见的原因是上呼吸道感染（URTI）（36.6%）、血液检查异常（16%）和术前禁食不遵守（9.2%）。
法图玛·布尔吉巴大学医院小儿择期手术取消率高于公认的平均水平（5%）。因此，为了尽可能预防这些取消手术的情况，应努力促进儿童医疗保健、手术安排和高效机构资源利用。
