Are elective surgical operations cancelled due to increasing medical admissions?

Abstract:

BACKGROUND:Cancellation of operations increases theatre costs and decreases efficiency. We examined the causes of theatre cancellations in general surgery. METHODS:The Beaumont hospital database (ORSUS system) and theatre records were examined retrospectively between April 1997 and March 2002. The number and causes of theatre cancellations, the number of emergency admissions and their length of hospital stay were studied. RESULTS:The number of elective operations cancelled between April 1997-March 1998 and April 2001-March 2002 were 368 and 427 respectively. 'No bed' was the reason for theatre cancellation in 114 (31.0%) cases between April 1997-March 1998 and this increased to 267 (62.5%) cases between April 2001-March 2002. Between April 1997-March 1998 and April 2001-March 2002, general surgical emergency admissions decreased by 6.74% (3,116 to 2,906), and emergency surgical admissions across the specialties decreased by 2.02% (4,002 to 3,921). In the same time interval, general medical emergency admissions rose from 4,195 to 5,386 (a 28.39% increase), and emergency medical admissions across the specialties rose from 5,401 to 6,689 (a 23.84% increase). General surgical bed days for emergency admissions fell between April 1997-March 1998 and April 2001-March 2002 from 28,839 to 26,698 (7.4% decrease). There was a similar decrease from 38,188 to 36,004 (5.7% decrease) for all surgical specialties. Total bed days necessitated by general medical emergency admissions increased from 53,226 to 61,623 (15.8%). Across the medical specialties, an increase from 71,590 to 82,180 bed days (14.79%) was seen. CONCLUSIONS:Elective surgery cancellation is a significant problem with far-reaching consequences. While multifactorial in aetiology, increased bed usage by medical specialties is one important factor. This study has implications for doctors, training, administrators and patients.

journal_name

Ir J Med Sci

authors

Robb WB,O'Sullivan MJ,Brannigan AE,Bouchier-Hayes DJ

doi

10.1007/BF03167925

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

129-32

issue

3

eissn

0021-1265

issn

1863-4362

journal_volume

173

pub_type

杂志文章
  • Symptoms of oesophageal reflux are more common following laparoscopic cholecystectomy than in a control population.

    abstract::Previous studies have shown that up to 40 per cent of patients have symptoms after cholecystectomy or laparoscopic cholecystectomy (LC). There are concerns, however, that these symptoms reflect those of the general population and are not a specific post-operative phenomenon. Abdominal symptoms of 212 patients followin...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937544

    authors: McNamara DA,O'Donohoe MK,Horgan PG,Tanner WA,Keane FB

    更新日期:1998-01-01 00:00:00

  • Advanced practice physiotherapy in paediatric orthopaedics: innovation and collaboration to improve service delivery.

    abstract:INTRODUCTION:One in eight paediatric primary care presentations is for a musculoskeletal (MSK) disorder. These patients are frequently referred to paediatric orthopaedic surgeons; however, up to 50% of referrals are for normal variants. This results in excessive wait-times and impedes access for urgent surgical cases. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-017-1611-2

    authors: Ó Mír M,O'Sullivan C

    更新日期:2018-02-01 00:00:00

  • Smartphone and video game use and perceived effects in a community mental health service.

    abstract:BACKGROUND:Gaming is a growing area and there are conflicting reports on its harms and benefits. There is also increasing interest in the use of gaming clinically. AIMS:This research aims to enhance our understanding of video and smartphone game use, and perceptions, among outpatients attending an Irish general adult ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02016-5

    authors: Rowntree R,Feeney L

    更新日期:2019-11-01 00:00:00

  • Biclonal lymphoproliferative disorders: another association with NOTCH1-mutated chronic lymphocytic leukaemias.

    abstract:INTRODUCTION:Biclonal lymphoid disorders, when two distinct lymphoproliferative disorders (LPD) co-exist, are rare (incidence of 1.4%) and associated with a poor prognosis. NOTCH1 mutations occur in 10% of CLL at diagnosis, associated with a short disease-free interval and increased risk of Richter's transformation. We...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02386-1

    authors: Fogarty H,Dowling A,O'Brien D,Langabeer S,Bacon CL,Flavin R,O'Dwyer M,Hennessy B,O'Leary H,Crotty G,Henderson R,Nolan J,Thornton P,Vandenberghe E,Quinn F

    更新日期:2020-10-17 00:00:00

  • Reproductive surrogacy in Ireland - an ethical and legal context.

    abstract::Reproductive surrogacy can be altruistic or commercial, each with complex ethical considerations that are complicated by heterogeneity in governing laws across jurisdictions. Surrogacy in Ireland is relatively new and largely unregulated, so this review aims to elucidate its current regulatory status and associated et...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-020-02402-4

    authors: Gracias CS

    更新日期:2020-10-31 00:00:00

  • Awareness of diabetes complications in an Irish population.

    abstract:BACKGROUND:Patients' awareness of the increased cardiovascular risk associated with their diabetes is poorly documented. AIM:The aim of this study was to assess the awareness of diabetes complications among patients with diabetes in Ireland. METHODS:Patients attending diabetes outpatient clinics in two teaching hospi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0301-0

    authors: O'Sullivan EP,Bhargava A,O'Callaghan M,Buckley U,De Faoite T,Moynihan K,Thabit H,Walsh CH,Sreenan S

    更新日期:2009-12-01 00:00:00

  • A clinical review of cervicography.

    abstract::A new investigative modality, cervicography, has been advocated for cervical screening. In the first 51 patients referred for colposcopy because of an abnormal cervicogram, none had invasive cancer and 75% had preinvasive cancer. The cervicogram appears superior to cytology but inferior to colposcopy in the detection ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937249

    authors: Turner MJ,Byrne BM,Flannelly G,Maguire P,Lenehan PM,Murphy JF

    更新日期:1990-02-01 00:00:00

  • Medical, cognitive and academic outcomes of very low birth weight infants at age 10-14 years in Ireland.

    abstract:BACKGROUND:Low birth weight (LBW) is a leading cause of infant mortality and morbidity, and a specific risk for the development of neuro-developmental and academic problems. AIM:To examine the medical, cognitive and academic outcomes of VLBW (<1,500 g) children, born in one maternity hospital in Dublin between 1995 an...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1040-9

    authors: McNicholas F,Healy E,White M,Sherdian-Pereira M,O'Connor N,Coakley S,Dooley B

    更新日期:2014-12-01 00:00:00

  • Changes in incidence of hepatitis B in Ireland from 1970-1987.

    abstract::This paper analyses data on 2,226 cases of Hepatitis B virus (HBV) infection detected during the years 1970 to 1987. Of those where information on risk-group was available (1,301), infection among intravenous drug-abusers accounted for the largest proportion (49%). Most became infected during and since an outbreak of ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02943614

    authors: Shattock AG,Jones L,O'Mahony M,Hillary IB

    更新日期:1989-08-01 00:00:00

  • Skin manifestations in systemic lupus erythematosus.

    abstract::A study is presented of the skin manifestations of 30 patients, 25 females and 5 males, with systemic lupus erythematosus (S.L.E.) admitted to this hospital over a two year period. Their ages ranged from 20 years to 75 years. The diagnosis of S.L.E. was made according to the criteria laid down for the diagnosis of S.L...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02938956

    authors: Feely RH

    更新日期:1976-12-01 00:00:00

  • A technical report on ultrasound-guided scapulocostal syndrome injection.

    abstract:INTRODUCTION:We describe a case report and technique for using an ultrasound scanner and a linear transducer to guide serratus posterior superior (SPS) muscle injection. A 43-year-old female presented with chronic pain centered under the right upper portion of her scapula impacting her activities of daily living. METH...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1336-z

    authors: McCarthy C,Harmon D

    更新日期:2016-08-01 00:00:00

  • Machine learning for predicting long-term kidney allograft survival: a scoping review.

    abstract::Supervised machine learning (ML) is a class of algorithms that "learn" from existing input-output pairs, which is gaining popularity in pattern recognition for classification and prediction problems. In this scoping review, we examined the use of supervised ML algorithms for the prediction of long-term allograft survi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-020-02332-1

    authors: Sekercioglu N,Fu R,Kim SJ,Mitsakakis N

    更新日期:2020-08-06 00:00:00

  • Microcarrier bioreactor culture system promotes propagation of human intervertebral disc cells.

    abstract:BACKGROUND:Cell-based tissue engineering has emerged as a potential therapy for intervertebral disc degeneration. However, propagating and maintaining high quantity and quality of the seed cells remains a challenge. AIMS:To investigate the feasibility of culturing human disc cells using a microcarrier bioreactor syste...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-010-0537-8

    authors: Zhang L,Ning B,Jia T,Gong W,Cong M,Chen JF,Yang SY

    更新日期:2010-12-01 00:00:00

  • An approach to the education about, and assessment of, attitudes in undergraduate medical education.

    abstract:BACKGROUND:Attitudes have been shown to be important determinants of the quality and efficacy of medical care. There is little research on the education about, and assessment of, attitudes in undergraduate medical education. AIM:To describe the design and delivery of an attitude awareness workshop, and the associated ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03170282

    authors: Kelly ME,Fenlon NP,Murphy AW

    更新日期:2002-10-01 00:00:00

  • Efficacy of combination therapy in non-insulin dependent diabetes mellitus.

    abstract::Secondary failure of oral hypoglycaemic agents raises the dilemma of whether to institute therapy with insulin alone, or in combination. We reviewed our experience of combination therapy following secondary failure of oral hypoglycaemic therapy. Seventeen subjects were receiving combination therapy for 6 months or mor...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02944248

    authors: Griffin ME,Black N,Giblin L,O'Meara NM,Firth RG

    更新日期:1997-10-01 00:00:00

  • Otitis externa: quality of life assessment.

    abstract:INTRODUCTION:Otitis externa (OE) is an extremely common dermatological condition that can affect social life and employment, but formal studies of its general health impact are lacking. OBJECTIVE:The aims of this study were two-folded, first to assess the impact of OE on various health determinants as measured by the ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0137-z

    authors: Ali R,Burns P,Donnelly M

    更新日期:2008-09-01 00:00:00

  • Tumor suppression function of FoxD3 in lung cancer.

    abstract:INTRODUCTION:The transcription factor forkhead box D3 (FoxD3) is a forkhead protein and serves as a transcriptional repressor. The functions of FoxD3 in embryogenesis and in the development of neural crest cells have been diversely studied. Its role associated with tumor development has attracted attention just in rece...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1297-2

    authors: Wang C,Huang Y,Dai W

    更新日期:2016-08-01 00:00:00

  • Clinical outcomes and epidemiology of intraocular foreign body injuries in Cork University Hospital, Ireland: an 11-year review.

    abstract:BACKGROUND/AIMS:To describe the epidemiology, outcomes, and prognostic factors of intraocular foreign body (IOFB) injuries at a tertiary ophthalmic referral centre in Cork University Hospital, Ireland. METHODS:A retrospective review of 23 eyes with IOFB that presented to Cork University Hospital (CUH) from January 200...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02443-9

    authors: Bourke L,Bourke E,Cullinane A,O'Connell E,Idrees Z

    更新日期:2020-11-23 00:00:00

  • Breast cancer: from Halsted to Harney.

    abstract::The management of breast cancer has evolved in the last 40 years to now encompass not only treating the cancer in the most effective way, but also to detect and treat cancers before they can pose a risk to patients. This evolution in therapy and diagnostics has moved away from treating patients with the maximum amount...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-014-1142-z

    authors: Kell MR

    更新日期:2015-03-01 00:00:00

  • Irish coroners' attitudes towards suicide and its prevention.

    abstract:BACKGROUND:Coroners routinely enquire into suicide deaths and communicate with people bereaved by suicide. However, no research has been conducted into coroners' attitudes towards suicide and its prevention. AIMS:We assessed attitudes towards suicide among Irish coroners in order to determine their understanding of su...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0261-9

    authors: Farrow R,Arensman E,Corcoran P,Williamson E,Perry IJ

    更新日期:2009-03-01 00:00:00

  • Interleukin-1β, interleukin-6, and interleukin-17A as indicators reflecting clinical response to celecoxib in ankylosing spondylitis patients.

    abstract:BACKGROUND:This study was to investigate the value of 10 serum inflammatory cytokines for predicting clinical response to celecoxib in ankylosing spondylitis (AS) patients. METHODS:Totally, 103 active AS patients who underwent celecoxib treatment for 12 weeks were enrolled. Then, pre-treatment serum TNF-α, IL-1β, IL-6...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02366-5

    authors: Zhang Y,Ning C,Zhou H,Yan Y,Liu F,Huang Y

    更新日期:2020-09-21 00:00:00

  • The case for the case report: refine to save.

    abstract:INTRODUCTION:The case report is the cornerstone of both medical teaching and writing. However, during recent years the value of the case report has been questioned, so much so that it has been abandoned by many journals. The aim of this study was to assess case reports published by the Irish Journal of Medical Science ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-010-0649-1

    authors: Lennon P,Fenton JE

    更新日期:2011-06-01 00:00:00

  • Hypersplenism is related to age of onset of liver disease.

    abstract:BACKGROUND:The aim of this study was to investigate whether hypersplenism is related to the age of onset of liver disease. METHODS:Hypersplenism was assessed in 84 consecutive cirrhotic patients attending a university hospital liver clinic. RESULTS:Hypersplenism was present in 78% of patients and severe in 39%. Sever...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0089-8

    authors: McCormick PA,Walker S,Benepal R

    更新日期:2007-12-01 00:00:00

  • Lipid targets in clinical practice: successes, failures and lessons to be learned.

    abstract:INTRODUCTION:Optimal risk factor control is integral to managing patients with proven coronary heart disease (CHD+) and for those at risk of coronary heart disease (CHD-). The primary aim of the study was to assess the success rate of reaching lipid risk factor targets in a multiple risk factor clinic. METHODS:A retro...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-0954-6

    authors: Dunne M,Mac Ananey O,Markham C,Maher V

    更新日期:2013-12-01 00:00:00

  • Congenital nasal dermoids in children.

    abstract::The case of a 27 month old male with a congenital midline nasal dermoid cyst is presented. The child attended the Ear, Nose and Throat outpatient's department in July 1995, with an external midline nasal swelling, which had been present at birth and was noted to be gradually increasing in size. Magnetic resonance imag...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02943594

    authors: Carroll CM,Gaffney R,McShane D

    更新日期:1997-07-01 00:00:00

  • Increases in interleukin-6 and interferon-gamma levels is progressive in immature rats with varicocele.

    abstract:BACKGROUND:Pre-pubertal varicocele can result in hypotrophy of testes, progressive deterioration of Sertoli cells and spermatogonia cell number, decrease in seminiferous diameter and cause to sperm damage. AIMS:Because of detrimental time-dependent effects of varicocele, this study describes the effects of varicocele ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-014-1167-3

    authors: Habibi B,Seifi B,Mougahi SM,Ojaghi M,Sadeghipour HR

    更新日期:2015-06-01 00:00:00

  • N-myc oncogene amplification in paediatric tumours.

    abstract::DNA, extracted from tumours arising in 29 paediatric patients [14 neuroblastoma, 9 Wilms tumour (nephroblastoma), 6 miscellaneous] was investigated for evidence of N-myc amplification, using pNb-1, a recombinant plasmid containing a 1.0 Kb fragment homologous to the 5' end of the human N-myc gene. Within the neuroblas...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937236

    authors: McQuaid S,O'Meara A

    更新日期:1990-06-01 00:00:00

  • Occurrence and predictive factors of restenosis in coronary heart disease patients underwent sirolimus-eluting stent implantation.

    abstract:BACKGROUND:This study aimed to investigate the occurrence and predictive factors of restenosis in coronary heart disease (CHD) patients underwent percutaneous coronary intervention (PCI) with sirolimus-eluting stent (SES). METHODS:Demographic data, clinical features, and laboratory tests of 398 CHD patients underwent ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02176-9

    authors: Zhao J,Wang X,Wang H,Zhao Y,Fu X

    更新日期:2020-08-01 00:00:00

  • Prevalence of metronidazole-resistant Helicobacter pylori in dyspeptic patients.

    abstract::Susceptibility to metronidazole of 213 clinical strains of H. pylori from dyspeptic patients was determined by a plate dilution method. Seventy two (33.8%) of the strains were resistant to metronidazole (MIC > 8 mg/L), 20 of these were from 24 patients who had received previously metronidazole (83.3%), giving a primar...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942098

    authors: Xia HX,Daw MA,Beattie S,Keane CT,O'Morain CA

    更新日期:1993-03-01 00:00:00

  • GDPR: an impediment to research?

    abstract:BACKGROUND:The recent introduction of the General Data Protection Regulation and Health Research Regulations has been an area of significant concern for those engaged in clinical research. These European regulations, following subsequent interpretation by Ireland's Department of Health, now place Ireland in a unique po...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-01980-2

    authors: Clarke N,Vale G,Reeves EP,Kirwan M,Smith D,Farrell M,Hurl G,McElvaney NG

    更新日期:2019-11-01 00:00:00