Postponement Rate of Elective Surgical Procedures

NCT05352984 | Completed

• 1 other identifier: 616/HEC/B&PSC/2022
• Study Type: observational
• Target: 1,221
• Locations: 1 country
• Sites: 1

Brief Summary

Postponement of elective surgical procedures is a major issue in health care facilities. It increases burden on hospitals and healthcare systems as well as misery of the patients and their family members. Patient's stay in the hospitals is prolonged. Hospitals and patients resources are wasted and their expenses are increased. The rate of postponement is different in different regions. It is estimated to be in between 9 to 44 %. Reason may be organizational or medical. Elective procedures are cancelled due to insufficient OT timings, non-availability of; anesthetists, blood or beds in ICU, change of plan and medical reasons like respiratory infections, cardiac problems, hypertension and uncontrolled diabetes. Tertiary care hospitals in Peshawar, Khyber Pakhtunkhwa, Pakistan are overburdened and patients on OT list are frequently postponed. Operating room timings has been increased to overcome the issue but no recent data is available regarding actual postponement rate and possible causes in this region. The need is felt to assess the problem and suggest recommendations to decrease patients' sufferings and improve hospital workings.

Conditions

Surgical Procedure

Keywords

Postponement; Cancellation; Elective

Outcome Measures

Primary Outcomes (1)

• Postponement rate of elective surgical procedures

  Postponement/ cancellation rate of elective surgical procedures on the same day of surgery will be calculated. Postponement rate= Total number of elective procedures cancelled / Total number of general surgeries performed in the defined time period \* 100

  Eight hours

Secondary Outcomes (1)

• Risk factors assessment of postponement

  Eight hours

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All inpatients admitted in surgical departments of three tertiary care hospitals\[ MTI-(HMC, KTH,LRH)\], Peshawar, Pakistan and scheduled for elective general surgical procedures.

You may qualify if:

• All inpatients of any age and either sex admitted in general surgery departments, scheduled for elective surgeries including laparoscopic surgeries, who arrive or are brought to operation theatre for general surgeries as elective cases.

You may not qualify if:

• All outdoor patients.
• Indoor cases of cardiac, cardiovascular, obstetrics and gynecology, neurosurgery, orthopedics, pediatrics or transplant surgeries or other surgeries considered as specialized surgeries.
• Emergency surgeries.

Sponsors & Collaborators

• Hayatabad Medical Complex: lead

Study Sites (1)

Hayatabad Medical Complex

Peshawar, KPK, 25000, Pakistan

Location

Related Publications (9)

• Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, Bickler SW, Conteh L, Dare AJ, Davies J, Merisier ED, El-Halabi S, Farmer PE, Gawande A, Gillies R, Greenberg SL, Grimes CE, Gruen RL, Ismail EA, Kamara TB, Lavy C, Lundeg G, Mkandawire NC, Raykar NP, Riesel JN, Rodas E, Rose J, Roy N, Shrime MG, Sullivan R, Verguet S, Watters D, Weiser TG, Wilson IH, Yamey G, Yip W. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015 Aug 8;386(9993):569-624. doi: 10.1016/S0140-6736(15)60160-X. Epub 2015 Apr 26. No abstract available.

  PMID: 25924834 BACKGROUND

• Abate SM, Chekole YA, Minaye SY, Basu B. Global prevalence and reasons for case cancellation on the intended day of surgery: A systematic review and meta-analysis. Int J Surg Open. 2020;26:55-63. doi: 10.1016/j.ijso.2020.08.006. Epub 2020 Aug 20.

  PMID: 34568611 BACKGROUND

• O'Rielly C, Ng-Kamstra J, Kania-Richmond A, Dort J, White J, Robert J, Brindle M, Sauro K. Surgery and COVID-19: a rapid scoping review of the impact of the first wave of COVID-19 on surgical services. BMJ Open. 2021 Jun 15;11(6):e043966. doi: 10.1136/bmjopen-2020-043966.

  PMID: 34130956 BACKGROUND

• Tagarakis GI, Voucharas C, Simopoulos V, Karangelis D, Daskalopoulos ME, Parisis C, Tsantilas A, Sataitidis I, Lampoura S, Vretzakis G, Tsilimingas NB. Why are thoracic operations postponed? J Cardiothorac Surg. 2012 Apr 11;7:31. doi: 10.1186/1749-8090-7-31.

  PMID: 22494485 BACKGROUND

• Kurji Z, Premani ZS, Mithani Y. Analysis Of The Health Care System Of Pakistan: Lessons Learnt And Way Forward. J Ayub Med Coll Abbottabad. 2016 Jul-Sep;28(3):601-604.

  PMID: 28712245 BACKGROUND

• Sommer JL, Jacobsohn E, El-Gabalawy R. Impacts of elective surgical cancellations and postponements in Canada. Can J Anaesth. 2021 Mar;68(3):315-323. doi: 10.1007/s12630-020-01824-z. Epub 2020 Oct 21.

  PMID: 33085061 BACKGROUND

• marymarcus. CAUSES OF POSTPONEMENT OF ELECTIVE SURGERY IN MAYO HOSPITAL LAHORE [PDF] [Internet]. Presentica. 2020 [cited 2021 Dec 27]. Available from: https://www.presentica.com/doc/10371391/causes-of-postponement-of-elective-surgery-in-mayo-hospital-lahore

  BACKGROUND

• Bathla S, Mohta A, Gupta A, Kamal G. Cancellation of elective cases in pediatric surgery: An audit. J Indian Assoc Pediatr Surg. 2010 Jul;15(3):90-2. doi: 10.4103/0971-9261.71748.

  PMID: 21124662 BACKGROUND

• Zafar A, Mufti TS, Griffin S, Ahmed S, Ansari JA. Cancelled elective general surgical operations in Ayub Teaching Hospital. J Ayub Med Coll Abbottabad. 2007 Jul-Sep;19(3):64-6.

  PMID: 18444594 BACKGROUND

Study Officials

• Rahman U Jan

  Hayatabad Medical Complex

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 25, 2022
• First Posted: April 29, 2022
• Study Start: May 19, 2022
• Primary Completion: August 19, 2022
• Study Completion: February 15, 2023
• Last Updated: July 14, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: December, 2022 to December, 2025
• Access Criteria: IPD will be shared on inter institutional request basis.

Locations

PA (1)