Risk Factors for Surgical Cancellation in Non-emergency Surgery Requiring Anesthesia in Vachira Phuket Hospital
Keywords:
Surgical cancellation, Anesthesia serviceAbstract
Background: Cancellation case is the one of common problem in the operating room affecting utilization time, delay treatment and it is also reflects the service quality. Identifying risk factors for the surgical cancellation may helps the surgical team to make a good peri-operative planning leading to reduce surgical cancellation rate, improve operating room utilization time, avoid delay treatment and improve patient outcomes.
Objective: To study risk factors for surgical cancellation in non emergency surgery requiring anesthesia in Vachira Phuket hospital.
Materials and Methods: The retrospective case control study was performed to identify risk factors for the surgical cancellation. All non emergency surgery requiring anesthesia cancellation from 1st January 2021 – 31 December 2021 were included. The patient characteristics including age, sex and ASA physical status, the time to schedule surgery, the department of surgery, anesthetic technique and the reason for cancellation were recorded. Each cancellation was matched 1:1 with non canceled case. Multivariate logistic regression analysis was used to identify risk factors for the surgical cancellation.
Results: Incidence of non emergency surgery requiring anesthesia cancellation from 1st January 2021 – 31 December 2021 is 1.84%. Multivariate logistic regression analysis in our study reveal the surgical cancellation associated with male (Adjusted Odds ratio, AOR 1.96, 95%CI 1.33-2.85), age ≥ 65 years (AOR 2.20, 95%CI 1.41-3.44), anesthetic technique with general anesthesia (AOR 1.68, 95%CI 1.11-2.54) and the case scheduled in office hours (AOR 3.32, 95%CI 2.04-5.56).
Conclusions: Identifying risk factors associated surgical cancellation may reduce cancellation rate and improve operating room utilization time, avoid delay treatment of the patients, improve patient outcomes and service quality.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
