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Research article
Dmitriy Viderman
Nazarbayev University School of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6007-9326
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Cancellation of scheduled cases on the day of surgery leads to waste of resources, financial burden, patient dissatisfaction, extended hospital stay, and unnecessary repetition of preoperative preparations. The purpose of this retrospective study was to analyze the causes of case cancellation in our institution so as to improve hospital quality control as well as perioperative risk management.
Methods
We conducted a retrospective analysis of all cancellations of scheduled elective surgical procedures. We analyzed all cases that were canceled after the patient had been delivered to the operating room (OR). The data about case cancellations was obtained from the Hospital Information System (HIS) of the National Research Oncology and Transplantation Center.
Results
The most common single reason for cancellation was preoperative hypertensive crisis (n=67; 80.7%), followed by heart rhythm disorders (n=6; 7.2%), incomplete preoperative patient evaluation (n=5; 6.1%), myocardial ischemia (n=4; 4.8%), and pneumonia (n=1; 1.2%). Most of the cancellations (76 out of 83; 92%) were considered to be potentially avoidable.
Conclusions
In conclusion, that the most common reasons for case cancellation were patient-related cardiovascular conditions (preoperative hypertensive crisis, dysrhythmia, myocardial ischemia). Improvement in preoperative assessment and management of the cardiovascular condition is needed to reduce scheduled case cancellation rate.
Keywords
case cancellation, perioperative hypertension, perioperative myocardial ischemia, perioperative dysrhythmia
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Dmitriy Viderman
Nazarbayev University School of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6007-9326
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 21 Feb, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine Specialties
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Cancellation of scheduled cases on the day of surgery leads to waste of resources, financial burden, patient dissatisfaction, extended hospital stay, and unnecessary repetition of preoperative preparations. The purpose of this retrospective study was to analyze the causes of case cancellation in our institution so as to improve hospital quality control as well as perioperative risk management.
Methods
We conducted a retrospective analysis of all cancellations of scheduled elective surgical procedures. We analyzed all cases that were canceled after the patient had been delivered to the operating room (OR). The data about case cancellations was obtained from the Hospital Information System (HIS) of the National Research Oncology and Transplantation Center.
Results
The most common single reason for cancellation was preoperative hypertensive crisis (n=67; 80.7%), followed by heart rhythm disorders (n=6; 7.2%), incomplete preoperative patient evaluation (n=5; 6.1%), myocardial ischemia (n=4; 4.8%), and pneumonia (n=1; 1.2%). Most of the cancellations (76 out of 83; 92%) were considered to be potentially avoidable.
Conclusions
In conclusion, that the most common reasons for case cancellation were patient-related cardiovascular conditions (preoperative hypertensive crisis, dysrhythmia, myocardial ischemia). Improvement in preoperative assessment and management of the cardiovascular condition is needed to reduce scheduled case cancellation rate.
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