Clinical Medicine Research

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Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia

Received: 17 June 2020    Accepted: 21 July 2020    Published: 10 August 2020
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Abstract

Back ground: Elective surgery is a term used for non-emergency surgery which is medically Necessary, but which can be delayed for at least 24 hours. Elective surgery is usually performed in an operating theatre or procedure room under some form of Anesthesia by a surgeon. Operation theatre requires considerable human resources and expenditure from Hospital budget. Objective: To assess the magnitude of cancelation of elective operations and associated factors among elective surgical patients at Arsi University, Assella Referral and Teaching Hospital. Method: a cross sectional hospital based study was conducted at Arsi University, Assella Referral and Teaching Hospital from April 20 to June 1, 2018. The total sample size was 112 elective surgical patients Who was planned to have a surgery at ATRH. The data was collected by reviewing the daily schedule lists for elective surgery with a predesigned form. The data was analyzed using SPSS software version 20. Result: a total of 112 patients were planned to be operated during our study period; from those 36 (32.2%) was canceled. Rate of cancelation in male and female is 36.6%, 27% respectively. surgery department has the highest number of cancelation procedures 19 (52.7%) The most common reasons for cancellations were administration related from surgical side and shortage of time 17 (47.2%), medical reasons 9 (25%) and inadequate preparation of the patient 7 (16.6%). Conclusion: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related, medical reasons and inadequate preparation of patient. Most of the reasons were avoidable.

DOI 10.11648/j.cmr.20200904.14
Published in Clinical Medicine Research (Volume 9, Issue 4, July 2020)
Page(s) 91-96
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cancellation, Surgery, Panned Procedure

References
[1] Elective Surgery Patient Information. Government Of Western Australia. 2014, 1 (1): 1-2.
[2] Einar H. A New Pathway For Elective Surgery To Reduce Cancellation Rate. BMC Health Serviceresearch. 2012, Volume 12: 154.
[3] Addis Shiferaw. Magnitude Of Case Cancellation And Associatedfactors Among Elective Surgical Cases In Tikur Anbesaspecialized Hospitalhospital, Addis Ababa, Ethiopia. 2016, 1 (1): 1-37.
[4] A. Gonzalez-Are´Valoetal. Causes For Cancellation Of Elective Surgical Procedures. Journalofthe Association Of Anesthetists Of Great Britain And Ireland. 2009, 1 (1): 487–493.
[5] Arshadzafar, Tariq Saeed Mufti, Samson Griffin. CANCELLED ELECTIVE GENERAL SURGICAL OPERATIONS IN AYUB TEACHING HOSPITAL. 2007, 19 (3): 64-66.
[6] Martin Schuster, Christianneuman. The Effect Of Hospital Size And Surgical Services On Case Cancellation In Elective Surgery. International Anesthesia Research Society. 2011, 113 (3): 578-585.
[7] Charisma. I. Why Is Surgery Cancelled? South Africa Journal Of Surgery. 2008, 3 (46): No Page Number.
[8] Ahmed A Elrahman, Aamir A Hamza, & Mohayad A El-Haj. Cancellation Of Elective General Surgical Operations At The Day Of Intended Surgery. Global Journal Of HUMANSOCIAL SCIENCE: I Surgeries And Cardiovascular System. 2014, 14: 2249-4618.
[9] Haile M, Negadesalegn. Prospective Study Of Proportions And Causes Of Cancellation of Surgical Operations At Jimma University Teaching Hospital, Ethiopia. International Journal Of Anesthesiology & Research. 2015, 3 (2): 87-90.
[10] Rakesh G, Anju, Poonam B, Nishkarshg, And Rakia. Reasons For Cancellation of Caseson The Day Of Surgery–A Prospective Study. Indianjoornal Of Anesthesia. 2009 Feb; 53 (1).
[11] Aziza Mohamed. Anesthetic Reasons For Cancellation Of Elective Surgical Inpatients On The Day Of Surgery In A Teaching Hospital. Aga Khan University Hospital. 2005, 55 (9): 374-378.
[12] Farhanulhuda. A Retrospective Analysis Of Reasons For Cancellation Of Elective Surgery In A Teaching Hospital. International Journal Of Scientific Study. 2014, 2 (2): 28-30.
[13] CH Chiu, A Lee, Phd, PT Chui. Cancellation Of Elective Operations On The Day Of Intended Surgery In A Hong Kong Hospital: Point Prevalence And Reasons. Hong Kong Med J. 2012, 18 (1): 5-10.
[14] Laisi J, Tomah, Kearney U. Surgery Cancelation On The Day of Surgery In Semenov. 3204-208.
Author Information
  • Department of Anesthesia, Arsi University, Asella, Ethiopia

  • Department of Anesthesia, Arsi University, Asella, Ethiopia

  • Department of Anesthesia, Arsi University, Asella, Ethiopia

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    Abdurahman Tune Dedecho, Beleaneh Tefera Geda, Gemechis Kabe Gonfa. (2020). Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia. Clinical Medicine Research, 9(4), 91-96. https://doi.org/10.11648/j.cmr.20200904.14

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    Abdurahman Tune Dedecho; Beleaneh Tefera Geda; Gemechis Kabe Gonfa. Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia. Clin. Med. Res. 2020, 9(4), 91-96. doi: 10.11648/j.cmr.20200904.14

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    AMA Style

    Abdurahman Tune Dedecho, Beleaneh Tefera Geda, Gemechis Kabe Gonfa. Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia. Clin Med Res. 2020;9(4):91-96. doi: 10.11648/j.cmr.20200904.14

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  • @article{10.11648/j.cmr.20200904.14,
      author = {Abdurahman Tune Dedecho and Beleaneh Tefera Geda and Gemechis Kabe Gonfa},
      title = {Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia},
      journal = {Clinical Medicine Research},
      volume = {9},
      number = {4},
      pages = {91-96},
      doi = {10.11648/j.cmr.20200904.14},
      url = {https://doi.org/10.11648/j.cmr.20200904.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20200904.14},
      abstract = {Back ground: Elective surgery is a term used for non-emergency surgery which is medically Necessary, but which can be delayed for at least 24 hours. Elective surgery is usually performed in an operating theatre or procedure room under some form of Anesthesia by a surgeon. Operation theatre requires considerable human resources and expenditure from Hospital budget. Objective: To assess the magnitude of cancelation of elective operations and associated factors among elective surgical patients at Arsi University, Assella Referral and Teaching Hospital. Method: a cross sectional hospital based study was conducted at Arsi University, Assella Referral and Teaching Hospital from April 20 to June 1, 2018. The total sample size was 112 elective surgical patients Who was planned to have a surgery at ATRH. The data was collected by reviewing the daily schedule lists for elective surgery with a predesigned form. The data was analyzed using SPSS software version 20. Result: a total of 112 patients were planned to be operated during our study period; from those 36 (32.2%) was canceled. Rate of cancelation in male and female is 36.6%, 27% respectively. surgery department has the highest number of cancelation procedures 19 (52.7%) The most common reasons for cancellations were administration related from surgical side and shortage of time 17 (47.2%), medical reasons 9 (25%) and inadequate preparation of the patient 7 (16.6%). Conclusion: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related, medical reasons and inadequate preparation of patient. Most of the reasons were avoidable.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Magnitude of Elective Surgical Patient Cancelation and Associated Factors at Assella Teaching and Referral Hospital, Oromia Region, South East Ethiopia
    AU  - Abdurahman Tune Dedecho
    AU  - Beleaneh Tefera Geda
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    AB  - Back ground: Elective surgery is a term used for non-emergency surgery which is medically Necessary, but which can be delayed for at least 24 hours. Elective surgery is usually performed in an operating theatre or procedure room under some form of Anesthesia by a surgeon. Operation theatre requires considerable human resources and expenditure from Hospital budget. Objective: To assess the magnitude of cancelation of elective operations and associated factors among elective surgical patients at Arsi University, Assella Referral and Teaching Hospital. Method: a cross sectional hospital based study was conducted at Arsi University, Assella Referral and Teaching Hospital from April 20 to June 1, 2018. The total sample size was 112 elective surgical patients Who was planned to have a surgery at ATRH. The data was collected by reviewing the daily schedule lists for elective surgery with a predesigned form. The data was analyzed using SPSS software version 20. Result: a total of 112 patients were planned to be operated during our study period; from those 36 (32.2%) was canceled. Rate of cancelation in male and female is 36.6%, 27% respectively. surgery department has the highest number of cancelation procedures 19 (52.7%) The most common reasons for cancellations were administration related from surgical side and shortage of time 17 (47.2%), medical reasons 9 (25%) and inadequate preparation of the patient 7 (16.6%). Conclusion: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related, medical reasons and inadequate preparation of patient. Most of the reasons were avoidable.
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