this late manner. This study sought to determine whether surgical procedures canceled for medical or anesthetic reasons were ultimately rescheduled, and the time elapsed between cancellation and completion. In addition, the resolution of the underlying issue leading to cancellation was examined. METHODS: Two years of surgical case data were reviewed in the electronic health record to isolate all procedures canceled on the intended operative date. These cases were then filtered by the documented reason for cancellation into 2 categories: 1 for cases related to medical or anesthetic care and 1 for unrelated cases. Medical- or anesthetic-related cases were further categorized to better elucidate the underlying reason for cancellation. Cases were then traced to determine if and when the procedure was ultimately completed. If a case was rescheduled, the record was reviewed to determine whether the underlying reason for cancellation was resolved. RESULTS: A total of 4472 cases were canceled in the study period with only 20% associated with medical or anesthetic causes. Of these, 72% were rescheduled and 83% of all rescheduled cases resolved the underlying issue before the rescheduled procedure. Nearly half of all cases (47.8%) canceled on the day of surgery for reasons linked to medical and/or anesthetic care were due to acute conditions. CONCLUSIONS: Nearly a fifth of cases that are canceled on the date of surgery are never rescheduled and, if they are rescheduled, the delay can be substantial. Although the majority of patients whose procedure are canceled for reasons related to medical or anesthetic care have resolved the underlying issue that led to initial postponement, a significant portion of patients have no change in their status before the ultimate completion of their surgical procedure....

中文翻译：

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手术当天因医疗或麻醉护理原因取消病例后患者的结果和处置：回顾性队列分析

这种迟到的方式。本研究旨在确定因医疗或麻醉原因而取消的外科手术是否最终被重新安排，以及取消和完成之间的时间间隔。此外，还审查了导致取消的潜在问题的解决方案。方法：在电子健康记录中审查两年的手术病例数据，以隔离在预定手术日期取消的所有手术。然后，这些病例按记录的取消原因过滤为 2 类：1 类与医疗或麻醉护理相关的病例，1 类无关病例。进一步对医疗或麻醉相关病例进行分类，以更好地阐明取消的根本原因。然后追踪病例以确定该程序是否以及何时最终完成。如果案件被重新安排，对该记录进行了审查，以确定取消的根本原因是否得到解决。结果：研究期间共有 4472 例病例被取消，其中只有 20% 与医学或麻醉原因相关。其中，72% 被重新安排，所有重新安排的案件中有 83% 在重新安排的程序之前解决了根本问题。由于与医疗和/或麻醉护理相关的原因，在手术当天取消的所有病例中，近一半（47.8%）是由于急性病。结论：在手术当日取消的病例中，近五分之一从未重新安排，如果重新安排，延迟可能会很大。尽管由于医疗或麻醉护理相关原因而取消手术的大多数患者已经解决了导致最初推迟的根本问题，