title: Why are thoracic operations postponed?
abstract: OBJECTIVE
  To investigate and present the reasons that cause the postponement of thoracic surgical operations.
  
  
  METHODS
  We retrospectively included in the study all patients submitted to elective thoracic surgery in our department during the 4-year period 2007-2010 and noted all cases of postponement after official inclusion in the operating schedule.
  
  
  RESULTS
  81 out of a total of 542 patients (14.9%) scheduled for elective thoracic operation had their procedure postponed. The reasons were mainly organisatory (in 42 cases, 51.85%), which in order of significance were: shortage in matching erythrocyte units, shortage in anaesthetic/nursing staff and unavailability in operating rooms. The rest of the cases (39, 48.1%) were postponed due to medical reasons, which in descending order of significance were: respiratory infections and exacerbations of COPD, cardiological problems, misregulation of antiplatelet/antithrombotic drugs and infections from other systems (gastrointestinal, urinary, etc.). Elderly male patients planned for major/oncologic surgery were most possible to have their operation postponed for medical reasons. DISCUSSION-CONCLUSIONS: Thoracic operations are postponed owed to organisatory as well as medical reasons, the latter mainly affecting elderly, morbid patients awaiting for major/oncologic surgery.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery,, University of Thessaly, Larissa, Greece. gtagarakis@gmail.com
authors.forename: Georgios I
authors.initials: GI
authors.lastname: Tagarakis
authors.forename: Christos
authors.initials: C
authors.lastname: Voucharas
authors.forename: Vassilios
authors.initials: V
authors.lastname: Simopoulos
authors.forename: Dimos
authors.initials: D
authors.lastname: Karangelis
authors.forename: Marios E
authors.initials: ME
authors.lastname: Daskalopoulos
authors.forename: Charalampos
authors.initials: C
authors.lastname: Parisis
authors.forename: Apostolos
authors.initials: A
authors.lastname: Tsantilas
authors.forename: Ilias
authors.initials: I
authors.lastname: Sataitidis
authors.forename: Stefania
authors.initials: S
authors.lastname: Lampoura
authors.forename: Georgios
authors.initials: G
authors.lastname: Vretzakis
authors.forename: Nikolaos B
authors.initials: NB
authors.lastname: Tsilimingas
mesh_terms: D000367:Age Factors; D000368:Aged; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data*; D005260:Female; D006785:Hospitals, University / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D017064:Process Assessment, Health Care; D012189:Retrospective Studies; D012737:Sex Factors; D019616:Thoracic Surgical Procedures / Q000706:statistics & numerical data*