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Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population

INTRODUCTION: Cancellation of surgery or delay on the day of service is a huge burden for the patient, family, and healthcare system. Preventable delays impact efficiency and workflow, which may increase costs due to overtime and idle rooms during peak hours. Non-compliance to nil per os (NPO) guide...

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Autores principales: Ghimire, Anuranjan, Maves, Gregory S, Kim, Stephani S, Raman, Vidya T, Tobias, Joseph D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208666/
https://www.ncbi.nlm.nih.gov/pubmed/35734604
http://dx.doi.org/10.2147/PHMT.S361866
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author Ghimire, Anuranjan
Maves, Gregory S
Kim, Stephani S
Raman, Vidya T
Tobias, Joseph D
author_facet Ghimire, Anuranjan
Maves, Gregory S
Kim, Stephani S
Raman, Vidya T
Tobias, Joseph D
author_sort Ghimire, Anuranjan
collection PubMed
description INTRODUCTION: Cancellation of surgery or delay on the day of service is a huge burden for the patient, family, and healthcare system. Preventable delays impact efficiency and workflow, which may increase costs due to overtime and idle rooms during peak hours. Non-compliance to nil per os (NPO) guidelines remains one of the most common preventable causes for surgical cancellations. The current study sought to investigate and understand patient factors that may be associated with non-compliance to NPO guidelines. METHODS: After IRB approval, a retrospective review of completed and cancelled pediatric procedures requiring the use of anesthesia over a 5-year period was performed. Emergency procedures and inpatient surgeries were excluded. Data regarding patient demographics and surgical service were extracted from the electronic medical records for comparison. A logistic regression model was used to identify factors associated with cancellations due to NPO non-compliance. RESULTS: There were 825 cancellations due to NPO non-compliance of 144,049 cases for an incidence of 0.57% over the 5-year period. Patients in the 6–12 year old age range and those who self-identified as non-White or non-English speaking had a higher incidence of cancelling due to NPO non-compliance. Compared to ear, nose, and throat (ENT) procedures, cancellations due to NPO non-compliance were more likely in radiology, dental, and urology procedures. DISCUSSION: Many factors may impact a family’s compliance with NPO guidelines. Patient-related factors included those who self-identified as non-White or non-English speaking. Patients having ENT surgery were less likely to have NPO non-compliance than those having radiologic procedures, dental surgery, or urologic surgery. Future interventions focused on these groups may be most effective in limiting day of surgery cancellations.
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spelling pubmed-92086662022-06-21 Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population Ghimire, Anuranjan Maves, Gregory S Kim, Stephani S Raman, Vidya T Tobias, Joseph D Pediatric Health Med Ther Original Research INTRODUCTION: Cancellation of surgery or delay on the day of service is a huge burden for the patient, family, and healthcare system. Preventable delays impact efficiency and workflow, which may increase costs due to overtime and idle rooms during peak hours. Non-compliance to nil per os (NPO) guidelines remains one of the most common preventable causes for surgical cancellations. The current study sought to investigate and understand patient factors that may be associated with non-compliance to NPO guidelines. METHODS: After IRB approval, a retrospective review of completed and cancelled pediatric procedures requiring the use of anesthesia over a 5-year period was performed. Emergency procedures and inpatient surgeries were excluded. Data regarding patient demographics and surgical service were extracted from the electronic medical records for comparison. A logistic regression model was used to identify factors associated with cancellations due to NPO non-compliance. RESULTS: There were 825 cancellations due to NPO non-compliance of 144,049 cases for an incidence of 0.57% over the 5-year period. Patients in the 6–12 year old age range and those who self-identified as non-White or non-English speaking had a higher incidence of cancelling due to NPO non-compliance. Compared to ear, nose, and throat (ENT) procedures, cancellations due to NPO non-compliance were more likely in radiology, dental, and urology procedures. DISCUSSION: Many factors may impact a family’s compliance with NPO guidelines. Patient-related factors included those who self-identified as non-White or non-English speaking. Patients having ENT surgery were less likely to have NPO non-compliance than those having radiologic procedures, dental surgery, or urologic surgery. Future interventions focused on these groups may be most effective in limiting day of surgery cancellations. Dove 2022-06-16 /pmc/articles/PMC9208666/ /pubmed/35734604 http://dx.doi.org/10.2147/PHMT.S361866 Text en © 2022 Ghimire et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Ghimire, Anuranjan
Maves, Gregory S
Kim, Stephani S
Raman, Vidya T
Tobias, Joseph D
Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title_full Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title_fullStr Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title_full_unstemmed Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title_short Patient Characteristics Associated with NPO (Nil Per Os) Non-Compliance in the Pediatric Surgical Population
title_sort patient characteristics associated with npo (nil per os) non-compliance in the pediatric surgical population
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208666/
https://www.ncbi.nlm.nih.gov/pubmed/35734604
http://dx.doi.org/10.2147/PHMT.S361866
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