卢旺达一家医院手术取消的发生率及原因
Incidence and Reasons for a Surgical Cancellation at a Hospital in Rwanda.
作者信息
Uwera Thierry, Mukantwari Joselyne, Ryamukuru David, Omondi Lilian A
机构信息
Operating theatre, Rwanda Military Hospital.
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda.
出版信息
Rwanda J Med Health Sci. 2021 Dec 30;4(3):379-386. doi: 10.4314/rjmhs.v4i3.7. eCollection 2021 Dec.
BACKGROUND
Surgery cancellation is a challenging and costly event resulting in operating theatre inefficiency and psychological and financial problems for the patients and their families. This study aimed to find out the incidence and reasons for surgical cancellation at a Rwandan hospital.
METHODS
A retrospective study was conducted on 736 patients' files obtained from theatre registry lists of surgical operations done from January to March 2017. The American Association of Perioperative Nurses (AORN) checklist for documenting cancelled surgical cases was used to establish the rate and reasons for cancellation. Data were analyzed using frequency and percentage descriptive statistics.
RESULTS
Out of the 736 surgeries booked, 179 (24.3%) were cancelled as follows: Orthopedic and general surgeries (28.2%) respectively, gynecology and obstetrics (27.4%), urology surgeries (15.5%), maxillofacial surgeries (15.9%), ENT (15.6%) and plastic surgeries (13.3%). Time constrain/long list (19.6%), acute change in medical status (10.6%), non-turn-up of the patient (8.4%), and abnormal lab findings (7.8%) were the most prevalent reasons.
CONCLUSION
The surgical cancellation rate at the study hospital was 24%, increasing with the number of patients booked and the type of surgical procedure. A prospective study is required to gain more insight into the reason for cancellations, mostly amenable to mitigation measures.
背景
手术取消是一项具有挑战性且成本高昂的事件，会导致手术室效率低下，并给患者及其家属带来心理和经济问题。本研究旨在查明卢旺达一家医院手术取消的发生率及原因。
方法
对从2017年1月至3月进行的外科手术的手术室登记列表中获取的736份患者档案进行回顾性研究。使用美国围手术期护理协会（AORN）记录取消手术病例的检查表来确定取消率和原因。采用频率和百分比描述性统计方法对数据进行分析。
结果
在预定的736例手术中，179例（24.3%）被取消，具体情况如下：骨科手术和普通外科手术分别占28.2%，妇产科手术占27.4%，泌尿外科手术占15.5%，颌面外科手术占15.9%，耳鼻喉科手术占15.6%，整形外科手术占13.3%。时间限制/手术安排过多（19.6%）、病情急性变化（10.6%）、患者未到场（8.4%）以及实验室检查结果异常（7.8%）是最常见的原因。
结论
研究医院的手术取消率为24%，随预定患者数量和手术类型的增加而上升。需要进行前瞻性研究，以更深入地了解取消手术的原因，其中大多数原因可采取缓解措施。
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