Last-minute cancellation of adult patients scheduled for cardiothoracic surgery in a large Dutch tertiary care centre
| Autor: | Yuri M. Ganushchak, Jos G. Maessen, Arnoud W J van 't Hof, Bas L.J.H. Kietselaer, Anouk M A Princée, Maike S. V. Imkamp, Bart Scheenstra |
|---|---|
| Přispěvatelé: | RS: Carim - V04 Surgical intervention, RS: Carim - H01 Clinical atrial fibrillation, CTC, MUMC+: MA Med Staf Artsass Cardiologie (9), MUMC+: MA Med Staf Artsass CTC (9), Cardiologie, MUMC+: MA Med Staf Spec Cardiologie (9), MUMC+: MA Cardiothoracale Chirurgie (3) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult medicine.medical_specialty 030204 cardiovascular system & hematology Tertiary care Postponed surgery Tertiary Care Centers Same day cancellation 03 medical and health sciences Appointments and Schedules 0302 clinical medicine Risk Factors Health care medicine Humans Cardiac Surgical Procedures health care economics and organizations Retrospective Studies Last-minute cancellation Adult patients business.industry AcademicSubjects/MED00920 Hazard ratio General Adult Cardiac General Medicine REASONS Confidence interval Distress 030228 respiratory system Cardiothoracic surgery Elective Surgical Procedures Cohort Emergency medicine Surgery Eacts/105 Cardiology and Cardiovascular Medicine business human activities CARDIAC-SURGERY |
| Zdroj: | European Journal of Cardio-Thoracic Surgery, 61(1), 225-232. Oxford University Press European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery |
| ISSN: | 1873-734X 1010-7940 |
| Popis: | OBJECTIVES Unanticipated cancellation of a surgical procedure is a common problem, causing distress to the patient and increases in healthcare costs. However, limited evidence exists on the effects of last-minute cancellations of cardiothoracic surgical procedures in particular. The goal of this study was to gain insight into the prevalence of and the reasons for last-minute cancellations and to examine whether cancellation is associated with adverse medical outcomes. METHODS Patients who were scheduled for elective cardiothoracic surgical procedures between January 2017 and June 2019 were evaluated. The reasons for the cancellations were assigned to the categories medically related or process related. We examined the differences in patient characteristics between those designated as no cancellation, medically related cancellations and process-related cancellations. Lastly, we examined the outcomes of patients who experienced a last-minute cancellation of a scheduled operation. RESULTS A total of 2111 patients were included; of these, 301 (14.3%) had last-minute cancellations. In 78 (26%) cases, the cancellations were attributable to medical reasons (e.g. infection, comorbidities); 215 (71%) of the cancellations were process related (e.g. another patient in more urgent need of surgery, lack of staff). Almost 99% of the operations with a process-related cancellation were rescheduled compared to only 71.8% of the medically related cancelled operations (P Unanticipated cancellation of scheduled surgery often has a negative impact on patient experience, outcomes and healthcare costs [1, 2]. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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