Key result
Comprehensive preoperative assessment and selective nurse screening significantly reduced day of surgery cancellation rates to 0.48% and 0.60% respectively, compared to 2.02% with no structured assessment.
Why the study?
Does comprehensive preoperative assessment or nurse screening reduce day of surgery cancellation rates in elective surgery patients?
Population
n=14,893 elective surgery patients at a single academic tertiary care hospital
Comparison
Comprehensive preoperative assessment or… vs No assessment by the anesthesiology-supervised…
Design
Cohort
Follow-up
Day of surgery
Authors
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May support nurse screening to curb cancellations; leaves open need for randomized confirmation before practice change.
Cohort (n=14,893)
No
Does comprehensive preoperative assessment or nurse screening reduce day of surgery cancellation rates in elective surgery patients?
Absolute Event Rate: 0.48% vs 2.02%
p-value: p=<0.0001
Selective preoperative telephone screening by nurses achieves very low day of surgery cancellation rates comparable to comprehensive assessment.
Olson et al. (2015) conducted a cohort in Elective surgery (n=14,893). Comprehensive preoperative assessment (CPA) vs. No structured preoperative assessment was evaluated on Day of surgery cancellation (DOSC) rate (p=<0.0001). Comprehensive preoperative assessment and selective nurse screening significantly reduced day of surgery cancellation rates to 0.48% and 0.60% respectively, compared to 2.02% with no structured assessment.