Abstract
Objective: In this study, we aimed to investigate causes of delay in elective surgical interventions and its additional economic burden. Methods: Cases were chosen among the patients required an elective surgery and had no obstacle during diagnosis for the anesthesia, in a two-year period in the Atatürk University Faculty of Medicine Pediatric Surgery Clinic. All patients appointed to a date. The study group consists of 100 patients whose intervention was delayed because of an anesthesia obstacle at the appointment day. Control group consists of 50 patients whose surgical intervention was not delayed. Results: In study group 41% of patients were admitted from district of Erzurum province, 59% from other provinces or cities. In control group, 80% of appointments on the day of surgery and district of Erzurum, 20% from other provinces. Delay in operations was more common for patients admitting from other provinces. The percentage of delayed operations were significantly higher within the age range of 2-4 years. 227 TL average cost per patient in our study group and 70 TL in the control group has been recorded. Conclusion: In east Anatolia, upper respiratory tract infections are important problems causing delay in operation especially for patients admitting from other providences. Elective surgical interventions should be performed in patient\'s hometown or patients who will be directed to other provinces should have routine examination in their hometown for a contraindication of general anesthesia. In conclusion, this simple attempt could have a positive impact on the family budget and the country\'s economy.
Keywords
References
- Ganem EM, Modolo NSP, Castiglia YMM. Patient with up- per airway infectious disease. When to induce anesthesia? Rev Bras Anestesiol 2003;53:3:396-400.
- Tait AR, Malviya S, Voepel-Lewis T, et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 2001;95:299-306.
- Parnis SJ, Barker DS, Van Der Walt JH. Clinical predictors of anaesthetic complications in children with respiratory tract infections. Pediatric Anaesth 2001;11:29-40.
- Cohen MM, Cameron CB. Should you cancel the opera- tion when a child has an upper respiratory tract infections? Anesth Analg 1991;72:282-288.
- McGill WA, Coveler LA, Epstein BS. Subacut upper respira- tory infection in small children Anesth. Analg 1979;58:331- 333.
- Mamie C, Habre W, Delhumeau C, et al. Incidence and risk factors of perioperative respiratory adverse events in chil- dren undergoing elective surgery. Science Ltd, Paediatric Anaesthesia 2004;14:218-224.
- Cote CJ. The Upper respiratory tract infection (URI) dilem- ma: Fear of a complication or litigation? Anaesthesiology 2001;95:2:283-285.
Abstract
Amaç: Bu çalışmada elektif cerrahi girişimlerin ertelenme sebepleri ve getirdiği ek mali yükün önemini araştırmayı amaçladık. Yöntemler: Olgular, yaklaşık 2 yıllık süre içerisinde Atatürk Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Polikliniği\'nde muayene olan ve elektif cerrahi gerektiren, tanı esnasında anestezi almasına engel görülmeyen ve operasyon için randevu verilmiş olgular arasından seçildi. Randevu günü anesteziye engel çeşitli nedenlerle operasyonu ertelenip, verilen ikinci randevu gününde opere olan 100 olgu çalışma grubuna dâhil edildi. Kontrol grubu, randevu günü yatırılıp, hemen ameliyat edilen 50 olgudan oluşturuldu. Bulgular: Operasyonu ertelemeli olarak gerçekleştirilen olguların % 41\'i Erzurum ili ve ilçelerinden, % 59\'u çevre illerden müracaat etmekteydi. Kontrol grubunda randevu gününde opere edilenlerin % 80\'i Erzurum ili ve ilçelerinden, % 20\'si dışarıdan gelen olgulardan oluşmaktaydı. Bu verilere göre çevre illerden müracaat edenlerde ertelenme oranı daha yüksekti. Operasyonun ertelenme yüzdesinin 2-4 yaş aralığında istatistiksel olarak anlamlı oranda arttığı gözlendi. Olgu başına ortalama gider çalışma grubumuzda 227 TL, kontrol grubunda 70 TL olarak kaydedildi. Sonuç: Üst solunum yolu enfeksiyonu, yoğun kış şartlarının yaşandığı Doğu Anadolu Bölgesinde özellikle çevre illerden müracaat eden olgularda sık karşılaşılan önemli bir erteleme sebebidir. Elektif cerrahi gerektiren olguların, yaşadıkları il merkezlerinde ameliyat edilmelerinin ya da bu amaçla yönlendirilecek olguların rutin muayene ve tetkiklerinin bulundukları yerleşim birimlerinde yapılarak anesteziye uygun olanların sevk edilmesinin aile bütçesi ve ülkemiz ekonomisi üzerine olumlu etkileri olabileceği sonucuna vardık.
Keywords
References
- Ganem EM, Modolo NSP, Castiglia YMM. Patient with up- per airway infectious disease. When to induce anesthesia? Rev Bras Anestesiol 2003;53:3:396-400.
- Tait AR, Malviya S, Voepel-Lewis T, et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 2001;95:299-306.
- Parnis SJ, Barker DS, Van Der Walt JH. Clinical predictors of anaesthetic complications in children with respiratory tract infections. Pediatric Anaesth 2001;11:29-40.
- Cohen MM, Cameron CB. Should you cancel the opera- tion when a child has an upper respiratory tract infections? Anesth Analg 1991;72:282-288.
- McGill WA, Coveler LA, Epstein BS. Subacut upper respira- tory infection in small children Anesth. Analg 1979;58:331- 333.
- Mamie C, Habre W, Delhumeau C, et al. Incidence and risk factors of perioperative respiratory adverse events in chil- dren undergoing elective surgery. Science Ltd, Paediatric Anaesthesia 2004;14:218-224.
- Cote CJ. The Upper respiratory tract infection (URI) dilem- ma: Fear of a complication or litigation? Anaesthesiology 2001;95:2:283-285.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | September 1, 2013 |
| Submission Date | March 2, 2015 |
| Published in Issue | Year 2013 Volume: 40 Issue: 3 |