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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| Veröffentlicht in: | Journal of clinical epidemiology 1995-04, Vol.48 (4), p.485-489 |
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| container_end_page | 489 |
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| container_title | Journal of clinical epidemiology |
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| creator | Macarthur, Alison J. Macarthur, Colin Bevan, Joan C. |
| description | 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). |
| doi_str_mv | 10.1016/0895-4356(94)00160-R |
| format | Article |
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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).</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/0895-4356(94)00160-R</identifier><identifier>PMID: 7722602</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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. 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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).</description><subject>Ambulatory Surgical Procedures</subject><subject>Appointments and Schedules</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Day surgery</subject><subject>Efficiency, Organizational</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care efficiency</subject><subject>Health systems. Social services</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Odds Ratio</subject><subject>Pediatrics</subject><subject>Preoperative Care - methods</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quebec</subject><subject>Surgery Department, Hospital - organization & administration</subject><issn>0895-4356</issn><issn>1878-5921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gcIeRPSwmmx2k81FkPoJBaHoOaTJRCL7UZNdof_ebLv06Glg5pnhnQehc4JvCSbsDpeiSHNasGuR3-DYwenyAE1Jycu0EBk5RNM9coxOQviOEMe8mKAJ51nGcDZF2SN04GvXqKYLSWuTNRinOu90YtQmCb3_Ar9JtGo0VJXqXNucoiOrqgBnY52hz-enj_lrunh_eZs_LFJNS9alnFiDmdGY2EJpygArk1sbuwJyyjmlmghCqcFarIoMBLGClCsNYEtgVtAZutrdXfv2p4fQydqFbYoG2j7I4QdOKItgvgO1b0PwYOXau1r5jSRYDqrk4EEOHqTI5VaVXMa1i_F-v6rB7JdGN3F-Oc5V0KqyPjpwYY_RnGNBh5j3Owyii18HXgbtIOoyzoPupGnd_zn-AK0RhQc</recordid><startdate>19950401</startdate><enddate>19950401</enddate><creator>Macarthur, Alison J.</creator><creator>Macarthur, Colin</creator><creator>Bevan, Joan C.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950401</creationdate><title>Determinants of pediatric day surgery cancellation</title><author>Macarthur, Alison J. ; Macarthur, Colin ; Bevan, Joan C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-71fd06dc01f5ac36e0ad4ff1fd9e437733c19133d0c9b52e91f918bceef8e6f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Ambulatory Surgical Procedures</topic><topic>Appointments and Schedules</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Day surgery</topic><topic>Efficiency, Organizational</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care efficiency</topic><topic>Health systems. Social services</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Odds Ratio</topic><topic>Pediatrics</topic><topic>Preoperative Care - methods</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quebec</topic><topic>Surgery Department, Hospital - organization & administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macarthur, Alison J.</creatorcontrib><creatorcontrib>Macarthur, Colin</creatorcontrib><creatorcontrib>Bevan, Joan C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macarthur, Alison J.</au><au>Macarthur, Colin</au><au>Bevan, Joan C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of pediatric day surgery cancellation</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>1995-04-01</date><risdate>1995</risdate><volume>48</volume><issue>4</issue><spage>485</spage><epage>489</epage><pages>485-489</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>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).</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7722602</pmid><doi>10.1016/0895-4356(94)00160-R</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0895-4356 |
| ispartof | Journal of clinical epidemiology, 1995-04, Vol.48 (4), p.485-489 |
| issn | 0895-4356 1878-5921 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| 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 |
| title | Determinants of pediatric day surgery cancellation |
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