Rasoul Farasatkish, Nahid Aghdaii, Rasoul Azarfarin, Froozan Yazdanian.
Can preoperative anesthesia consultation clinic help to reduce operating room cancellation rate on the day of surgery?.
Rawal Med J Jan ;34(1):26-8.

Objective To evaluate the role of “pre-anesthesia consultation clinic” in reducing operating room cancellation. Method We prospectively studied cancellation rate of 1716 scheduled cases for open heart surgery during a four months period. Of these, 866 cases were scheduled for operation before establishment of pre-anesthesia consultation clinic (Group 1) and 850 cases scheduled for after that (Group 2). The data collected included patient age, ASA physical status and date of the preoperative assessment. Results Of 1716 patients studied, 15.93% of cases were cancelled. Cancellation rate in Group 1 was 16.8% and in Group 2 it was 13.29% (p=0.046). The most common cause of cancellation in the two groups was incomplete medical work-up (32%). The percentage of incomplete medical work-up as an important cause of cancellation in group1 was 19.8% and in group 2 it was 12.6%. Conclusions Most common cause of surgery cancellation in two groups was incomplete medical work-up, and was higher in group1 than group 2. Therefore, pre-anesthesia consultation would minimize cancellation rate on the day of surgery. (Rawal Med J 2009; 34: 26-28).

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