背景:择期手术病例的取消是常见的并且具有显著的负面后果。造成宝贵资源的浪费,病人不快乐,和患者的心理压力。尽管如此,对埃塞俄比亚手术当天的病例取消和相关因素知之甚少,特别是在研究领域。
目的:本研究旨在评估Wolaita地区医院手术当天病例取消的程度和相关因素,南埃塞俄比亚,2023年5月17日至6月17日。
方法:在WolaitaSodo地区进行了一项以医院为基础的横断面研究,涉及322名患者,南埃塞俄比亚。包括在研究期间安排的所有择期手术病例。使用系统随机抽样过程选择参与者的全部数量。EpidataV.3用于输入数据,并采用SPSSV.25进行分析。二元逻辑回归用于检查可能的关联。在多变量分析中使用P值<0.05和95%CI作为显著统计学关联的阈值。
结果:在研究期间,总共有313名研究参与者被安排进行选择性外科手术,反应率为97.2%。研究参与者的平均(±SD)年龄为39.18(±10.64)岁。三分之二的病人,53名(64%)是农村居民,超过一半(178人,55.3%)的参与者是女性。这一发现表明,病例取消率为22.4%(95%CI:19.3-25.9%)。在全部取消的案件中,男性49人(58.3%)。农村住宅等变量(AOR=3.4895%CI:1.22-9.95),缺乏实验室结果(AOR=2.33,95CI:1.20-4.51),眼科.(AOR=2.5395%CI:1.52-4.49),HTN(AOR=2.53,95%CI:1.52-4.49),患者拒绝(AOR=3.0195%CI:1.22-5.05),年龄b/n31和43(AOR=1.50,95%CI:1.02-2.01)是取消择期手术病例的显着相关因素。
结论:在这项研究中,病例取消的时间表很高。案件取消的促成因素是农村居民,缺乏实验室结果,眼科,HTN,病人拒绝,和年龄。为了减少不必要的取消并提高成本效率,医院管理和医务人员必须仔细计划,有效沟通,有效利用医院资源。
BACKGROUND: Cancellations of elective surgery cases are frequent and have significant negative consequences. It causes wasting of valuable resources, patient unhappiness, and psychological stress of patients. Despite this, little is known about the
case cancellation and associated factors on the day of surgery in Ethiopia, particularly in the study area.
OBJECTIVE: This study aimed to assess the magnitude of
case cancellation and associated factors on the day of surgery in hospitals in Wolaita zone, South Ethiopia, from May 17 to June 17, 2023.
METHODS: A hospital-based cross-sectional study involving 322 patients was conducted at Wolaita Sodo Zone, South Ethiopia. All elective surgical cases scheduled during the study period were included. The entire number of participants was selected using a systematic random sampling process. Epidata V.3 was used to enter data, and SPSS V.25 was used to analyze it. Binary logistic regression was used to check for a possible association. P-values < 0.05 and 95% CI were used on multi-variable analysis as the threshold for the significant statistical association.
RESULTS: A total of 313 study participants were scheduled for elective surgical procedures during the study period and gave a response rate of 97.2%. The mean (± SD) age of the study participants was 39.18 (± 10.64) years. The two-third of patients, 53(64%) were rural residents, and more than half (178, or 55.3%) of the participants were female. This finding showed that the
case cancellation was 22.4% (95% CI: 19.3 -25.9%). Among the total canceled cases, 49(58.3%) were males. Variables like rural residence (AOR = 3.48 95% CI: 1.22-9.95), Lack of lab result (AOR = 2.33, 95%CI:1.20-4.51), ophthalmology dept. (AOR = 2.53 95% CI:1.52-4.49), HTN (AOR = 2.53, 95% CI:1.52-4.49), patient refusal (AOR = 3.01 95% CI:1.22-5.05), and age b/n 31 and 43 (AOR = 1.50, 95% CI:1.02-2.01) were significantly associated factors with cancellation of elective surgical cases.
CONCLUSIONS: In this study schedule of
case cancellation was high. The contributing factors of
case cancellation were rural residence, Lack of lab results, ophthalmology dept, HTN, patient refusal, and age. To decrease unnecessary cancellations and increase cost efficiency, hospital administration and medical staff must plan ahead carefully, communicate effectively, and make efficient use of hospital resources.