Causes for cancellation of elective surgical procedures in a Spanish general hospital.

González-Arévalo, A; Gómez-Arnau, J I; delaCruz, F J; Marzal, J M; Ramírez, S; Corral, E M; García-del-Valle, S · Anaesthesia · 2009

prospective_cohort · Level II

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Abstract

Cancellation of scheduled surgery is undesirable for patients and an inefficient use of resources. We prospectively collected data for 52 consecutive months in a public general hospital to estimate the prevalence and causes. The overall cancellation rate was 6.5% (2559 of 39 115 scheduled operations). Cancellation by broad category was for 'medical reasons' in 50%, 'patient-related factors' in 23%, and due to 'administrative/logistic problems' in 25%. The commonest specific causes within these categories were respectively: infections/fever (18%), patient did not attend (20%) and lack of theatre time (23%). This data will help direct resources to target prevention of cancellations as a result of these main problems.

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