关键词:

白内障, 日间手术, 手术取消率, 原因分析, 管理对策

Abstract:

Objective　To analyze the reasons for the cancellation of day surgery in cataract patients and explore feasible management countermeasures to reduce the surgery cancellation rate. Methods　A retrospective study was conducted on 784 patients whose day surgeries were canceled in the Cataract Department of Zhongshan Ophthalmic Center between January and December 2022. Among them, there were 404 males and 380 females, with an age of (66.09±15.63) years old. The causes of cancellation were analyzed, and the corresponding management countermeasures were formulated and implemented. Statistical analysis was conducted using the χ² test. Results　The cancellation rate of cataract day surgery was 4.83% (784/16 233). There were 758 cases (96.68%) of patient-related factors and 26 cases (3.32%) of medical and administrative factors; the most common reasons for cancellation included abnormal preoperative examination results (552 cases, 70.41%), changes in systemic conditions (81 cases, 10.33%), and ocular condition changes (53 cases, 6.76%). There was a statistically significant difference in the cancellation rate of day surgery over the four seasons (P<0.01). After implementing targeted management countermeasures, the cancellation rate decreased from 4.83% in 2022 to 3.09% (768/24 867) in 2023, with a statistically significant difference (χ²=81.95, P<0.001). Conclusions　The reasons for day surgery cancellations in cataract patients are multifaceted. Prioritizing patient-related factors, addressing seasonal influences on disease progression, adopting tailored interventions, and enhancing health management for elderly patients, can effectively reduce the cancellation rate, thereby contributing to the improvement and development of elderly healthcare service systems.

Key words:

Cataract, Day surgery, Surgery cancellation rate, Reason analysis, Management countermeasures