Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals.

Autor: Sarang, Bhakti, Bhandoria, Geetu, Patil, Priti, Gadgil, Anita, Bains, Lovenish, Khajanchi, Monty, Kizhakke Veetil, Deepa, Dutta, Rohini, Shah, Priyansh, Bhandarkar, Prashant, Kaman, Lileswar, Ghosh, Dhruva, Mandrelle, Kavita, Kumar, Ashwani, Bahadur, Akshay, Krishna, Sunil, Gautam, Kamal Kishore, Dev, Ya, Aggarwal, Manisha, Thivalapill, Neil
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Zdroj: World Journal of Surgery; Feb2022, Vol. 46 Issue 2, p382-390, 9p
Abstrakt: Background: Cancellations of elective surgeries on the day of surgery (DOS) can lead to added financial burden and wastage of resources for healthcare facilities; as well as social and emotional problems to patients. These cancellations act as barriers to delivering efficient surgical services. Optimal utilisation of the available resources is necessary for resource-constrained low-and-middle-income countries (LMIC). This study investigates the rate and causes of cancellations of elective surgeries on the DOS in various surgical departments across ten hospitals in India. Methods: A research consortium 'IndSurg' led by World Health Organisation Collaboration Centre (WHOCC) for Research in Surgical Care Delivery in LMICs, India conducted this multicentre retrospective cross-sectional study to analyse the cancellations of elective/planned surgical operations on DOS across urban secondary and tertiary level hospitals. We audited surgical records of a pre-decided period of six weeks for cancellations, documented relevant demographic information and reasons for cancellations. Results: We analysed records from the participating hospitals, with an overall cancellation rate of 9.7% (508/5231) on the DOS for elective surgical operations. Of these, 74% were avoidable cancellations. A majority (30%) of these 508 cancellations were attributed to insufficient resources, 28% due to patient's refusal or failure to show-up, and 22% due to change in patient's medical status. Conclusion: We saw a preponderance of avoidable reasons for elective surgery cancellations. A multidisciplinary approach with adequate preoperative patient counselling, timely communication between the patients and caregivers, adequate preoperative anaesthetic assessment, and planning by the surgical team may help reduce the cancellation rate. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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