Key result
Same-day cancellation of cardiac surgery occurred in 16.7% of scheduled cases, primarily due to lack of intensive care unit beds, and was not associated with a significant difference in in-hospital mortality compared to non-cancelled cases (2.6% vs 1.6%, p=0.62).
Why the study?
Same-day cancellation of cardiac surgeries is disheartening for patients, but the frequency, reasons, associated outcomes, and patient reactions required evaluation.
Population
1388 adult patients scheduled for elective or urgent in-patient cardiac surgery
Comparison
Cancelled vs not cancelled procedures
Design
Single-centre prospective observational study and patient survey
Authors
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May inform targeted interventions to cut cardiac surgery cancellations; leaves open impact on outcomes and broader applicability.
Observational (n=1,388)
No
Absolute Event Rate: 2.6% vs 1.6%
p-value: p=0.62
Same-day cardiac surgery cancellations occur frequently (16.7%), primarily due to ITU bed shortages, but do not significantly increase in-hospital mortality, and most patients feel the cancellations are justified.
Jasionowska et al. (2020) conducted an observational in Scheduled for elective or urgent cardiac surgery (n=1,388). Same-day cancellation of cardiac surgery vs. Not cancelled was evaluated on In-hospital mortality (p=0.62). Same-day cancellation of cardiac surgery occurred in 16.7% of scheduled cases, primarily due to lack of intensive care unit beds, and was not associated with a significant difference in in-hospital mortality compared to non-cancelled cases (2.6% vs 1.6%, p=0.62).
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