Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations
Background. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients present...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/1424193 |
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| author | David M. Dalton Enda G. Kelly Terence P. Murphy Gerry F. McCoy Aaron A. Glynn |
| author_facet | David M. Dalton Enda G. Kelly Terence P. Murphy Gerry F. McCoy Aaron A. Glynn |
| author_sort | David M. Dalton |
| collection | DOAJ |
| description | Background. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n=27), followed by pulmonary disease (n=22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation. |
| format | Article |
| id | doaj-art-1bbfd149993e485a9794e8f636be9b0a |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-1bbfd149993e485a9794e8f636be9b0a2025-02-03T07:23:49ZengWileyAdvances in Orthopedics2090-34642090-34722016-01-01201610.1155/2016/14241931424193Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 CancellationsDavid M. Dalton0Enda G. Kelly1Terence P. Murphy2Gerry F. McCoy3Aaron A. Glynn4University Hospital Limerick, Limerick, IrelandCappagh National Orthopaedic Hospital, Dublin, IrelandSunnybrook Hospital, Toronto, ON, CanadaKilcreene Orthopaedic Hospital, Kilkenny, IrelandOur Lady of Lourdes Hospital, Drogheda, IrelandBackground. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n=27), followed by pulmonary disease (n=22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.http://dx.doi.org/10.1155/2016/1424193 |
| spellingShingle | David M. Dalton Enda G. Kelly Terence P. Murphy Gerry F. McCoy Aaron A. Glynn Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations Advances in Orthopedics |
| title | Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations |
| title_full | Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations |
| title_fullStr | Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations |
| title_full_unstemmed | Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations |
| title_short | Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations |
| title_sort | day of surgery admission in total joint arthroplasty why are surgeries cancelled an analysis of 3195 planned procedures and 114 cancellations |
| url | http://dx.doi.org/10.1155/2016/1424193 |
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