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Cancellation of Elective Cases on the Day of Intended Surgery in a Tertiary Care Paediatric Hospital: Is it a Concern?

Rachana Reddy A.G., Senior Resident, Department of Anaesthesia, Indira Gandhi Institute of Child Health, Bangalore, Karnataka 560029, India. , Sheetal K.1 , Rachana Reddy A.G.2

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Indian Journal of Anesthesia and Analgesia 5(8):p 1262-1267, August 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5818.2

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Abstract

Background: Cancellation of elective cases, which may be due to patient factors, administrative and surgeon related factors is an immense burden for all healthcare services economically and also in terms of inconvenience caused to both patients and their families, wastage of resource and loss of income and time to the patient and family members.

Materials and Methods: Medical records of all the patients was collected from Indira Gandhi Institute of Child health, a tertiary care paediatric hospital in Bengaluru, India from Janaury 2016 to December 2017, who had their operations cancelled on the day of surgery in all surgical departments retrospectively. Number of cases cancelled and the reason for cancellation were noted and analysed.

Results: 5,375 elective surgeries were performed of which 749 cases were cancelled on the day of surgery. The most common category for cancellation was time constraint or due to lack of OT time which accounted for 217 ( 28.97%) cancelled cases. Highest number of elective cases as well as cancelled cases were in the surgery department. This was followed by posting of emergency cases (n = 163 or 21.76 %), unexpected sudden infections like URTI, LRTI in children (n = 104 or 13.88 %). 76 cases were cancelled due to lack of instruments or other equipments which accounts to 10.14% of elective cancellations. Most common reason for cancellation of orthopaedic surgeries was due to non-availability of implants. Most common reason for cancellation of ENT surgeries were due to chest infections.

Conclusion: This study shows that the most of the causes for cancellation of operation are avoidable, with careful planning. 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5818.2

Keywords

Cancellation; Elective Cases; Avoidable.

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