Determinants of pediatric day surgery cancellation

Currently, most elective pediatric surgery is performed on an out-patient basis. The objective of this case-control study was to identify potential determinants of patient cancellation at a children's hospital. Cases were defined as patients that were canceled on the day of surgery, whereas con...

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Bibliographic Details
Published in:Journal of clinical epidemiology 1995-04, Vol.48 (4), p.485-489
Main Authors: Macarthur, Alison J., Macarthur, Colin, Bevan, Joan C.
Format: Article
Language:English
Subjects:
Ambulatory Surgical Procedures
Appointments and Schedules
Biological and medical sciences
Case-Control Studies
Child
Day surgery
Efficiency, Organizational
Female
General aspects
Health care efficiency
Health systems. Social services
Humans
Male
Medical sciences
Odds Ratio
Pediatrics
Preoperative Care - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quebec
Surgery Department, Hospital - organization & administration
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Summary:Currently, most elective pediatric surgery is performed on an out-patient basis. The objective of this case-control study was to identify potential determinants of patient cancellation at a children's hospital. Cases were defined as patients that were canceled on the day of surgery, whereas controls were those patients who underwent surgery on the scheduled date. Demographic and clinical data were collected using chart review. Approximately 10% of all day surgery patients were canceled on the day scheduled for surgery, half for reasons deemed preventable. Of the preventable cancellations, stepwise logistic regression analysis showed that patients attending only the surgeon's office prior to day surgery, were more likely to be canceled because of inadequate preparation, compared to those patients attending both the surgeon's office and the hospital preoperative clinic (adjusted odds ratio = 3.18; 95% CI: 1.32, 7.63).
ISSN:0895-4356
1878-5921
DOI:10.1016/0895-4356(94)00160-R