Why are thoracic operations postponed?

Georgios I Tagarakis, Christos Voucharas, Vassilios Simopoulos, Dimos Karangelis, Marios E Daskalopoulos, Charalampos Parisis, Apostolos Tsantilas, Ilias Sataitidis, Stefania Lampoura, Georgios Vretzakis, Nikolaos B Tsilimingas, Georgios I Tagarakis, Christos Voucharas, Vassilios Simopoulos, Dimos Karangelis, Marios E Daskalopoulos, Charalampos Parisis, Apostolos Tsantilas, Ilias Sataitidis, Stefania Lampoura, Georgios Vretzakis, Nikolaos B Tsilimingas

Abstract

Aim: To investigate and present the reasons that cause the postponement of thoracic surgical operations.

Methods: We retrospectively included in the study all patients submitted to elective thoracic surgery in our department during the 4-year period 2007-2010 and noted all cases of postponement after official inclusion in the operating schedule.

Results: 81 out of a total of 542 patients (14.9%) scheduled for elective thoracic operation had their procedure postponed. The reasons were mainly organisatory (in 42 cases, 51.85%), which in order of significance were: shortage in matching erythrocyte units, shortage in anaesthetic/nursing staff and unavailability in operating rooms. The rest of the cases (39, 48.1%) were postponed due to medical reasons, which in descending order of significance were: respiratory infections and exacerbations of COPD, cardiological problems, misregulation of antiplatelet/antithrombotic drugs and infections from other systems (gastrointestinal, urinary, etc.). Elderly male patients planned for major/oncologic surgery were most possible to have their operation postponed for medical reasons. DISCUSSION-CONCLUSIONS: Thoracic operations are postponed owed to organisatory as well as medical reasons, the latter mainly affecting elderly, morbid patients awaiting for major/oncologic surgery.

References

    1. Ivarsson B, Larsson S, Sjoberg T. Postponed or cancelled heart operations from the patient's perspective. J Nurs Manag. 2004;12(1):28–36. doi: 10.1111/j.1365-2834.2004.00400.x.
    1. Ivarsson B, Kimblad PO, Sjoberg T, Larsson S. Patient reactions to cancelled or postponed heart operations. J Nurs Manag. 2002;10(2):75–81. doi: 10.1046/j.0966-0429.2001.00293.x.
    1. Kobayashi KJ, Williams JA, Nwakanma LU, Weiss ES, Gott VL, Baumgartner WA, Conte JV. EuroSCORE predicts short- and mid-term mortality in combined aortic valve replacement and coronary artery bypass patients. J Card Surg. 2009;24(6):637–643. doi: 10.1111/j.1540-8191.2009.00906.x.
    1. Bose AK, Aitchison JD, Dark JH. Aortic valve replacement in octogenarians. J Cardiothorac Surg. 2007;2:33. doi: 10.1186/1749-8090-2-33.
    1. Tagarakis GI, Karangelis D, Voucharas C, Daskalopoulos ME, Koufakis T, Mouzaki M, Lampoura S, Papadopoulos D, Sataitidis I, Tsilimingas NB. Why are heart operations postponed? J Cardiothorac Surg. 2011;6:106. doi: 10.1186/1749-8090-6-106.
    1. Ivanovic B, Tadic M, Markovic D, Brondi Z, Jankovic R, Kalezic N. Preoperative preparation of patients with arterial or pulmonary hypertension in non-cardiac surgery. Acta Chir Iugosl. 2011;58(2):19–24. doi: 10.2298/ACI1102019I.
    1. Lowthian JA, Curtis AJ, Comitti BC, Cameron PA, Keogh MJ, Johnson WR, Tomlinson J, Stripp AM. Streamlining elective surgery care in a public hospital: the Alfred experience. Med J Aust. 2011;194(9):448–451.

Source: PubMed

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