The Rate and Causes of Elective Surgeries Cancellation: A Report From the North of Iran

Sodabeh Kazemi; Gelareh Biazar; Farnoush Farzi; Zahra Atrkarroushan; Mohammad Amin Ashoobi; Yasmin Chaibakhsh; Reyhaneh Shahrokhi Rad; Mohammad Reza Habibi; Mahsa Khosousi Sani

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Jul 2021, Vol 8, Issue 3

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Original Article
The Rate and Causes of Elective Surgeries Cancellation: A Report From the North of Iran
Sodabeh Kazemi¹, Gelareh Biazar², Farnoush Farzi², Zahra Atrkarroushan³, Mohammad Amin Ashoobi⁴, Yasmin Chaibakhsh², Reyhaneh Shahrokhi Rad², Mohammad Reza Habibi², Mahsa Khosousi Sani¹
¹Reproductive Health Research Center, Department of Obstetrics and Gynecology, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran ²Anesthesiology Research Center, Department of Anesthesiology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran. ³Department of Statistic, Guilan University of Medical Sciences, Rasht, Iran ⁴Student Research Committee, Anesthesiology Research Center, Department of Anesthesiology, Al-Zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
CJMB 2021; 8: 205-208 Viewed : 1648 times Downloaded : 1315 times. Keywords : Academic hospital, Elective surgery, Cancellation
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Abstract

Objectives: Day of surgery (DOS) cancellation is an unfortunate situation that affects both patients and hospitals. Cancellation of elective surgeries as a strong indicator for evaluating the management efficacy and quality of care offered by hospital services is associated with several unfavorable consequences. The present study aimed at investigating the rate and causes of elective surgery cancellation in an academic referral hospital. Materials and Methods: This descriptive study was performed at Al-Zahra hospital, an academic center in the North of Iran, during 2018-2019. All scheduled cases for elective surgeries were prospectively enrolled in this study. Then, complete data were collected and recorded from DOS canceled cases, including the type of surgery, age, ASA class, and the reason for cancellation. Results: In general, 82 elective surgeries were canceled (3.3%) during the mentioned period. Among them, hysterectomy was the most canceled one (51.2%) and the lack of intensive care unit (ICU) beds (22%) and the patient"s clinical status changes (20.7%) significantly above 60 (P=0.011) and ASA class III (P=0.001) were the main causes in this regard. Conclusions: To improve operating room (OR) efficiency, great attempts should be made to eliminate the number of DOS cancellations through short intervals between preoperative visits and DOS, and to expand the ICU ward.