Retrospective analysis of surgery postponed or cancelled in the operating room

被引：36

作者：

Lau, Hon-Kit ^{[1
,2
]}

Chen, Tsai-Hsin ^{[1
]}

Liou, Cher-Ming ^{[1
]}

Chou, Ming-Chih ^{[2
]}

Hung, Wei-Te ^{[1
,2
]}

机构：

[1] Chung Shan Med Univ Hosp, Dept Anesthesiol, Taichung 407, Taiwan

[2] Chung Shan Med Univ, Inst Med, Taichung 407, Taiwan

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2010年 / 22卷 / 04期

关键词：

Health care quality; Operating room management; Surgical cancellation; Surgical postponement; PREOPERATIVE EVALUATION; CANCELLATIONS;

D O I：

10.1016/j.jclinane.2009.10.005

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Study Objective: To analyze the reasons for postponement or cancellation of surgery in the operating room (OR), and to determine the effect on patient outcomes. Design: Retrospective analysis. Setting: University-affiliated hospital. Measurements: Over a 5-year period, 45,663 surgeries requiring anesthesia occurred. Surgery was postponed or cancelled in the OR for 67 patients (0.15%). Airway problems, change in medical condition, and change in surgical condition were the reasons recorded. Each patient's surgical result was audited using medical charts and telephone calls for at least 6 months. Main Results: 33 cases (49.3%) were postponed from one day to 6 months (range, one to 165 days; median, 8 days). The scheduled surgeries for 21 (31.3%) patients were never performed; and 9 patients (13.4%) died during their hospitalization (range, one to 20 days; mean, 12.7 days). Conclusions: Surgery was postponed or cancelled in the OR mainly for changes in medical condition (70.2%); either medical risk outweighed the benefits of surgery, or alternative treatments were used. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：237 / 240

页数：4

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