Prevalence and Predictors of Cancellation of Elective Surgical Procedures at a Tertiary Hospital in Uganda: A Cross-Sectional Study
Joint Authors
Ogwal, Alfred
Oyania, Felix
Nkonge, Emmanuel
Makumbi, Timothy
Galukande, Moses
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
The cancellation of elective procedures has been shown to waste resources and to have the potential to increase morbidity and mortality among patients.
This study aimed to determine the prevalence of the cancellation of elective surgical procedures and to identify the factors associated with these cancellations at Mulago Hospital, a large public hospital in Kampala, Uganda.
Methods.
A cross-sectional study was conducted from January 10, 2018, to February 20, 2018.
We recruited patients of all ages who were admitted to surgical wards and scheduled for elective surgery.
Data on patients’ demographic characteristics and diagnosis, as well as the specialty of the surgery, the planned procedure, the specific operating theatre, cancellation, and the reasons for cancellation were extracted and analyzed using logistic regression.
Results.
Of a total of 400 cases, 115 procedures were canceled—a cancellation prevalence of 28.8%.
Orthopedic surgery had the highest cancellation rate, at 40.9% (n = 47).
Facility-related factors were responsible for 67.8% of all cancellations.
The most common reason for cancellation was insufficient time in the theatre to complete the procedure on the scheduled day.
No procedures were canceled because of a lack of intensive care unit beds.
There was a significant association between surgical specialty and cancellation (P<0.05) at multivariate analysis.
Conclusion.
The prevalence of cancellation of elective surgical procedures at Mulago Hospital was 28.8%, with orthopedic surgery having the highest cancellation rate.
Two-thirds of the factors causing cancellations were facility-related, and more than 50% of all cancellations were potentially preventable.
Quality-improvement strategies are necessary in the specialties that are susceptible to procedure cancellation because of facility factors.
American Psychological Association (APA)
Ogwal, Alfred& Oyania, Felix& Nkonge, Emmanuel& Makumbi, Timothy& Galukande, Moses. 2020. Prevalence and Predictors of Cancellation of Elective Surgical Procedures at a Tertiary Hospital in Uganda: A Cross-Sectional Study. Surgery Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1209363
Modern Language Association (MLA)
Ogwal, Alfred…[et al.]. Prevalence and Predictors of Cancellation of Elective Surgical Procedures at a Tertiary Hospital in Uganda: A Cross-Sectional Study. Surgery Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1209363
American Medical Association (AMA)
Ogwal, Alfred& Oyania, Felix& Nkonge, Emmanuel& Makumbi, Timothy& Galukande, Moses. Prevalence and Predictors of Cancellation of Elective Surgical Procedures at a Tertiary Hospital in Uganda: A Cross-Sectional Study. Surgery Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1209363
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1209363