Determinants of Delays in Non-traumatic Emergency Abdominal Surgeries: A Prospective Analysis
Hamza Hafiani *
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
Rania Elmouhib
Department of Visceral Surgery I, Faculty of Medicine and Pharmacy,Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
Wiam Eljellouli
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
Moncef Choubhi
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
Taoufik Kachani
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
Khalil Abouelalaa
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Delays in non-traumatic emergency abdominal surgeries can significantly impact patient outcomes. Identifying the factors contributing to these delays is crucial for improving surgical efficiency and patient care. This study aims to prospectively analyze the determinants of delays in non-traumatic emergency abdominal surgeries and their effects on clinical outcomes.
Methods: A prospective observational study was conducted on patients requiring non-traumatic emergency abdominal surgery over a one-year period. Data were collected on demographic variables, clinical characteristics, and time intervals from hospital admission to surgery. Factors such as diagnostic procedures, availability of surgical staff, operating room logistics, and preoperative optimization were analyzed. Statistical analysis was performed to identify significant predictors of surgical delays.
Results: Out of 217 patients, 40% experienced significant delays (>6 hours) from admission to surgery. Key factors contributing to delays included prolonged diagnostic workup (35%), limited operating room availability (25%), and preoperative medical optimization (20%). Delays were associated with increased postoperative complications (15% in delayed group vs. 8% in non-delayed group, p<0.05) and extended hospital stay (mean of 7 days in delayed group vs. 4 days in non-delayed group, p<0.05).
Discussion: The study highlights that diagnostic delays and operating room logistics are major contributors to surgical postponements. Addressing these issues through streamlined diagnostic protocols and improved operating room management can potentially reduce delays. Enhanced preoperative planning and resource allocation are also essential to mitigate the impact of delays on patient outcomes.
Conclusion:Delays in non-traumatic emergency abdominal surgeries are influenced by multiple factors, including diagnostic processes, operating room availability, and preoperative medical optimization. Reducing these delays through targeted interventions can improve patient outcomes and optimize surgical care.
Keywords: Non-traumatic emergency abdominal surgery, surgical delay, diagnostic workup, operating room availability, preoperative optimization, patient outcomes