Document Type
Article
Publication Date
2023
Journal Title
Journal of Perianesthesia Training
Volume Number
39
Issue Number
1
First Page
116
Last Page
121
DOI
https://doi.org/10.1016/j.jopan.2023.07.011
Version
Publisher PDF: the final published version of the article, with professional formatting and typesetting
Disciplines
Nursing
Abstract
Purpose
The purpose of this study was to describe patient-specific factors predictive of surgical delay in elective surgical cases.Design
Retrospective cohort study.Methods
Data were extracted retrospectively from the electronic health record of 32,818 patients who underwent surgery at a large academic hospital in Los Angeles between May 2012 and April 2017. Following bivariate analysis of patient-specific factors and surgical delay, statistically significant predictors were entered into a logistic regression model to determine the most significant predictors of surgical delay.Findings
Predictors of delay included having monitored anesthesia care (odds ratio [OR], 1.28; 95% confidence intervals [CI], 1.20-1.36), American Society of Anesthesiologist class 3 or above (OR, 1.21; 95% CI, 1.15-1.28), African American race (OR, 1.25; 95% CI, 1.12-1.39), renal failure (OR, 1.20; 95% CI, 1.09-1.32), steroid medication (OR, 1.13; 95% CI, 1.04-1.23) and Medicaid (OR,1.18; 95%CI, 1.09-1.30) or medicare insurance (OR, 1.14; 95% CI, 1.07-1.21). Six surgical specialties also increased the odds of delay. Obesity and cardiovascular anesthesia decreased the odds of delay.Conclusions
Certain patient-specific factors including type of insurance, health status, and race were associated with surgical delay. Whereas monitored anesthesia care anesthesia was predictive of a delay, cardiovascular anesthesia reduced the odds of delay. Additionally, obese patients were less likely to experience a delay. While the electronic health record provided a large amount of detailed information, barriers existed to accessing meaningful data.Digital USD Citation
Myers, Natalie; Giron, Sarah E.; Bush, Ruth A.; and Burkard, Joseph F., "Patient-Specific Predictors of Surgical Delay in a Large Tertiary-Care Hospital Operating Room" (2023). School of Nursing and Health Science: Faculty Scholarship. 40.
https://digital.sandiego.edu/nursing_facpub/40