Study of factors associated with waiting time for patients undergoing emergency surgery in a tertiary care centre in Nepal.

Authors

  • Subhash Prasad Acharya Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Dinesh Dharel Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Smrity Upadhyaya Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Nabin Khanal Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Sandesh Dahal Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Sumit Dahal Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Karmapath Aryal Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Keywords:

Delaying Factors, Emergency surgery, waiting times

Abstract

Background: Emergency surgeries throughout the world are demanding earlier surgical times. In a developing country like Nepal this cannot be possible because of lot of factors. So we planned to study such factors that could interplay and increase the waiting time for emergency surgeries.

Methods: A prospective observational study was conducted over 45 days and all patients diagnosed with general surgical and orthopedic emergencies were followed till they were operated.

Results: Out of 1211 patients presenting to emergency department, 92 required emergency surgery. The mean age was 29.72 year and 76.1% of the patients were male. The mean time from presentation to the emergency department to the first surgical consultation was 170 minutes, from surgical consultation to decision of surgery was 28 minutes, from decision of surgery to transfer to operating room was 426 minutes, from arrival in operating room to anesthesia consultation was 18 minutes, and from anesthesia consultation to start of surgical incision was 75 minutes. The total average waiting time from arrival at emergency department to the start of surgery was 717 minutes. The factors were, viz., pre-occupancy of theatre (59.8%), special procedures/intervention required prior to surgery (23.9%), arrangement of logistics/finances by patient family (13%), arrangement of blood products (10.9%), consultations (9.8%), delay in giving consent by patients/family (5.4%), delay in arrangement of supplies (9.8%), and shift change of nursing staff (3.3%).

Conclusion: This study shows that various preventable factors increases waiting times for emergency surgeries that should be minimized so that waiting times can be reduced.

Author Biography

Subhash Prasad Acharya, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Intensivist and Clinical Coordinator, TUTH ICU

Lecturer, Department of Anaesthesiology, Institute of Medicine (IOM)

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Published

2014-03-01

How to Cite

Acharya, S. P., Dharel, D., Upadhyaya, S., Khanal, N., Dahal, S., Dahal, S., & Aryal, K. (2014). Study of factors associated with waiting time for patients undergoing emergency surgery in a tertiary care centre in Nepal. Journal of Society of Anesthesiologists of Nepal, 1(1), 7-12. Retrieved from https://www.jsan.org.np/jsan/index.php/jsan/article/view/pdf_15

Issue

Vol. 1 No. 1 (2014): The Inaugural Issue

Section

Original Article

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Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

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