Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study

Objective: This study aimed to investigate the causes and prevalence of elective surgery cancellations in the operating room, and the clinical outcomes of affected patients. Methods: This prospective, cross-sectional study assessed the prevalence and causes of elective surgery cancellations once pat...

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Main Authors: Mustafa Soner Özcan, Eyyüp Sabri Özden, Filiz Alkaya Solmaz, Ayşe Kösem, Yiğit Akyol, Pakize Kırdemir
Format: Article
Language:English
Published: Galenos Publishing House 2024-02-01
Series:Turkish Journal of Anaesthesiology and Reanimation
Subjects:
Online Access: http://www.turkjanaesthesiolreanim.org/archives/archive-detail/article-preview/prevalence-and-causes-of-elective-surgery-cancella/64554
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author Mustafa Soner Özcan
Eyyüp Sabri Özden
Filiz Alkaya Solmaz
Ayşe Kösem
Yiğit Akyol
Pakize Kırdemir
author_facet Mustafa Soner Özcan
Eyyüp Sabri Özden
Filiz Alkaya Solmaz
Ayşe Kösem
Yiğit Akyol
Pakize Kırdemir
author_sort Mustafa Soner Özcan
collection DOAJ
description Objective: This study aimed to investigate the causes and prevalence of elective surgery cancellations in the operating room, and the clinical outcomes of affected patients. Methods: This prospective, cross-sectional study assessed the prevalence and causes of elective surgery cancellations once patients are in the operating room. A tertiary academic referral center hosted the study between January 2022 and January 2023. The study sample consisted of 7,482 adult patients scheduled for elective surgeries and taken to the operating room. The 7,415 completed procedures were in Group 2, whereas the 67 cancelled surgeries were in Group 1. Patients were divided into two groups on the basis of whether their surgeries were completed or cancelled. Factors such as age, American Society of Anesthesiologists (ASA) status, and surgical department were analyzed. The two groups were compared on the basis of age, ASA status, surgical department, and surgery time (month and day). Results: Elective surgery cancellations occurred in the operating room at a rate of 0.9%. Group 1 was substantially older than Group 2 (p<0.001). Group 1 had a larger number of ASA III patients (p<0.001). The department with the highest cancellation rate was ophthalmology (2.5%), followed by general surgery (2.1%), urology (1.5%), and ear, nose, and throat (1.4%). It was possible to avoid 59.7% of cancelations. Conclusion: The study revealed a 0.9% prevalence rate of elective surgery cancelations in the operating room. Older age and higher ASA status greatly influenced these cancellations. Optimized surgery scheduling and patient assessment processes may prevent many of these cancellation.
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spelling doaj.art-509f33cba2624843bcf6bb2d57ed80922024-02-28T11:19:01ZengGalenos Publishing HouseTurkish Journal of Anaesthesiology and Reanimation2667-63702024-02-01521142110.4274/TJAR.2024.23145413049054Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional StudyMustafa Soner Özcan0Eyyüp Sabri Özden1Filiz Alkaya Solmaz2Ayşe Kösem3Yiğit Akyol4Pakize Kırdemir5 Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Süleyman Demirel University Faculty of Medicine, Department of Anaesthesia and Reanimation, Isparta, Turkey Objective: This study aimed to investigate the causes and prevalence of elective surgery cancellations in the operating room, and the clinical outcomes of affected patients. Methods: This prospective, cross-sectional study assessed the prevalence and causes of elective surgery cancellations once patients are in the operating room. A tertiary academic referral center hosted the study between January 2022 and January 2023. The study sample consisted of 7,482 adult patients scheduled for elective surgeries and taken to the operating room. The 7,415 completed procedures were in Group 2, whereas the 67 cancelled surgeries were in Group 1. Patients were divided into two groups on the basis of whether their surgeries were completed or cancelled. Factors such as age, American Society of Anesthesiologists (ASA) status, and surgical department were analyzed. The two groups were compared on the basis of age, ASA status, surgical department, and surgery time (month and day). Results: Elective surgery cancellations occurred in the operating room at a rate of 0.9%. Group 1 was substantially older than Group 2 (p<0.001). Group 1 had a larger number of ASA III patients (p<0.001). The department with the highest cancellation rate was ophthalmology (2.5%), followed by general surgery (2.1%), urology (1.5%), and ear, nose, and throat (1.4%). It was possible to avoid 59.7% of cancelations. Conclusion: The study revealed a 0.9% prevalence rate of elective surgery cancelations in the operating room. Older age and higher ASA status greatly influenced these cancellations. Optimized surgery scheduling and patient assessment processes may prevent many of these cancellation. http://www.turkjanaesthesiolreanim.org/archives/archive-detail/article-preview/prevalence-and-causes-of-elective-surgery-cancella/64554 cancellationelective surgeriessurgery schedulingperioperative carepre-operative assessment
spellingShingle Mustafa Soner Özcan
Eyyüp Sabri Özden
Filiz Alkaya Solmaz
Ayşe Kösem
Yiğit Akyol
Pakize Kırdemir
Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
Turkish Journal of Anaesthesiology and Reanimation
cancellation
elective surgeries
surgery scheduling
perioperative care
pre-operative assessment
title Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
title_full Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
title_fullStr Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
title_full_unstemmed Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
title_short Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study
title_sort prevalence and causes of elective surgery cancellations after patients are taken to the operating room a prospective cross sectional study
topic cancellation
elective surgeries
surgery scheduling
perioperative care
pre-operative assessment
url http://www.turkjanaesthesiolreanim.org/archives/archive-detail/article-preview/prevalence-and-causes-of-elective-surgery-cancella/64554
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