Survey of cancellation rate of hypertensive patients undergoing anaesthesia and elective surgery

Dix, P.; Howell, S.J.

doi:10.1093/bja/86.6.789

Cited by 82 publications

(55 citation statements)

References 25 publications

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“…[3][4][5][6][7][8][9][10][11][12] This audit was a retrospective study in a medical teaching hospital. The aim was to assess the causes of cancellation of orthopedic procedures scheduled on day of surgery and ABSTRACT Background: A retrospective observational study was conducted to find out the reasons for cancellation of elective orthopedic surgical inpatients on the day of surgery and to plan for future suggestive actions to decrease unnecessary cancellations.…”

Section: Introductionmentioning

confidence: 99%

“…2 A variety of studies have examined the reasons for late cancellations based on the retrospective analysis of hospital records. [3][4][5][6][7][8][9][10][11][12] This audit was a retrospective study in a medical teaching hospital. The aim was to assess the causes of cancellation of orthopedic procedures scheduled on day of surgery and to suggest measures so that there can be optimum utilization of manpower and resources.…”

Section: Introductionmentioning

confidence: 99%

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Causes of cancellation for elective orthopedic procedures on the day of surgery

Karnalkar¹,

Karnalkar²

2015

Int J Sci Rep

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INTRODUCTIONThe cost of health care delivery is increasing everyday. Hence there is need for healthcare teams to encourage cost effectiveness in every aspect of patient care. It also leads to prolonged hospital stay and in many cases repetition of various aspects of pre-operative preparation. Apart from economic loss to hospital, it is also stressful for patients and their families. All of these increase patients therapeutic expense. Avoidance of cancellation of elective surgery, therefore should lead to reduction in the overall cost of treatment.In UK 8% of scheduled elective operations are cancelled nationally, within 24 hours of surgery.1 In total 10 to 40% of booked elective operations are cancelled before the surgery takes place. The reasons include cancellation by the patient, cancellation for poorly optimized medical conditions or cancellations due to poor organization, lack of co-ordination among the surgical team and the anaesthetist, or sometimes poor co-ordination between the patient and the hospital administration.2 A variety of studies have examined the reasons for late cancellations based on the retrospective analysis of hospital records. [3][4][5][6][7][8][9][10][11][12] This audit was a retrospective study in a medical teaching hospital. The aim was to assess the causes of cancellation of orthopedic procedures scheduled on day of surgery and ABSTRACT Background: A retrospective observational study was conducted to find out the reasons for cancellation of elective orthopedic surgical inpatients on the day of surgery and to plan for future suggestive actions to decrease unnecessary cancellations. Methods: This was a retrospective observational study conducted at medical teaching hospital for 3 years from January 1, 2012 to December 31, 2014. The data was collected from postponement register. The files of cases that were cancelled were reviewed for the reasons of cancellations. The reasons were classified as anaesthetist related, administrative issues, surgeon related and patient related issues. Results: During the study period, 7673patients were posted for elective orthopedic procedures. 6.49 % patients were cancelled on the day of surgery. The frequency of cancellations was more in anesthetist related issues (38.9%). Cancellations due to administrative issues, patient related issues and surgeon related were 30%, 27.7% & 3.4% respectively. Conclusions: Although cancellations were only 6.49% of total elective operations, this can be reduced by implementing and following the recommendations that have been proposed. More thorough and detailed documentation is needed to achieve this.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Causes of cancellation for elective orthopedic procedures on the day of surgery

Karnalkar¹,

Karnalkar²

2015

Int J Sci Rep

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“…8 Prevalence of hypertension is about 28% in the north American and 44% in European population. 9 Among Indians it is 28-32% among urban and 27.6% in rural population.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and distribution of hypertension among the patients presenting for surgery under anaesthesia in a tertiary care hospital in South India

Paulose

Raajesh

Puthupattan

2016

Int J Community Med Public Health

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INTRODUCTIONDuring perioperative period there are important events which cause escalation in blood pressure like tracheal intubation, surgical incision, emergence from anaesthesia and post-operative pain.1 This rise in blood pressure is exaggerated in patients who have preoperative untreated hypertension.2 In a study on the contribution of hypertension to death due to cardiovascular complications within 30 days of anaesthesia and surgery, preoperative hypertension was found to be four times likely than matched controls.3 So detecting and treating these patients is of paramount importance due to the high degree of morbidity and mortality these patients carry. ABSTRACTBackground: Untreated perioperative hypertension can have deleterious effect on patient outcome following surgery. Therefore, many anaesthesiologists prefer to have elective surgeries deferred till the blood pressure is under control. This results in delay and inconvenience to the patient. We designed this study to determine the magnitude of this problem. Methods:The pre-anaesthesia records of 400 consecutive patients who underwent surgery under general or regional anaesthesia were reviewed. They were grouped into known hypertensive, newly detected hypertensive in the present visit or normal. Results: 6.4% of patients in the above 40 year age group, who are the population at risk for developing hypertension, had newly detected hypertension. Higher percentage of women than men in this age group were hypertensive though not statistically significant. The prevalence of hypertension (the sum of known hypertensive and newly detected hypertensive patients) was 9.25% in our study. In the above 40 age group this figure was 18.8%. Significantly higher numbers of women were hypertensive as compared to men (23.4% vs 11.6%) in this age group. Conclusions: Our findings show that the number of newly detected hypertensive patients in the surgical population is low and hence this does not pose a significant problem. The percentage of newly detected hypertension and the prevalence of hypertension in the present study are lower than that reported in the general population from other parts of India. This warrants further studies in our geographical area to determine if similar trend exists in the general population too.

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“…The previous diagnosis of hypertension is the most common medical condition for the postponement of a surgery 65 . It is well established that during a surgical procedure, major hemodynamic changes may occur, especially in patients with hypertension.…”

Section: Hypertensionmentioning

confidence: 99%