Why is Elective Ophthalmic Surgery Cancelled? A Retrospective Evaluation
Journal of Ophthalmic Research and Ocular Care
Magrabi Eye Hospital in Sana'a, Republic of Yemen is a tertiary eye hospital that provides eye services not only to the Review Article Abstract Aim: Making efficient use of operating rooms (OR) is an important issue so decreasing the cancellation rate of surgery is one method that could increase efficiency. This study was done to report potentially preventable causes of elective ophthalmic surgery cancellations and we reviewed all OR cancellations in 2017 to survey the cancellation causes.
... d: A retrospective review of elective ophthalmic surgery cancellation records and patient medical records was conducted in Yemen Magrabi Eye hospital in Sana'a. Data were collected from the Anesthesiology Quality Assurance Database. We analyzed medical records for cancellations from January 1 to December 31, 2017. Data were analyzed using SPSS 21.0, employing descriptive measures and logistic regression. Result: One hundred and forty four ophthalmic surgeries were cancelled on the day of surgery at the operating room. This accounted for 1.4% of total elective ophthalmic surgeries done in the same period. Cases that did not appear or cases that were cancelled at the reception were not included. Cancellation rates varied by patient age, with the rate among the age group 41-60 being highest (36.8%) and that among older patients (age 80+) lowest (2.8%). Of all causes, the majority were considered "preventable", and can be avoided by proper pre-operative evaluation. Forty-eight cases (34%) were cancelled because of high blood pressure; nineteen cases (13%) due to high blood sugar and six cases (4%) due to both high blood pressure and high blood sugar. Chest infection and cough attributed to cancellation of 18 cases (12%) and 11 cases were cancelled because patient was not cooperative with local anesthesia. Most operations were done later after the original cancellation issues were addressed and treated. Conclusion: Majority of cancellation causes are avoidable. Medical teams must communicate better with patients and relatives, identify and treat relevant comorbidities, and make adequate preparations for surgery.