Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 27974973.
- Also identified by PMC identifier 5128686.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
<i>Background</i>. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. <i>Aims</i>. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. <i>Methods</i>. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). <i>Results</i>. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (<i>n</i> = 27), followed by pulmonary disease (<i>n</i> = 22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. <i>Conclusion</i>. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.