Supplementary tables from the SHFA Fitness for Theatre Assessments Interim Report 2007.pdf
Inclusion/exclusion by hospital
Inc lusion/exc lusion
Inc luded
Total
Exc luded managed
conserv atively
by
choice/r efus ed
Total
Exc luded - died
bef ore
ass essment or
cas enotes
unavailable
Exc luded - pr ior
to initiation of
ass essment
audit
N
N
N
%
N
%
N
%
%
RIE
455
99.1%
2
.4%
2
.4%
BGH
93
95.9%
4
4.1%
DGRI
80
98.8%
QMH
182
95.8%
7
For th Valley
164
96.5%
5
Ninew ells
225
99.1%
2
.9%
ARI
248
99.2%
1
.4%
Hairmyr es
95
100.0%
GRI
143
67.8%
7
3.3%
Wis haw
137
97.9%
2
1.4%
Elgin
76
100.0%
WIG
121
69.5%
4
2.3%
Crosshouse
97
89.8%
1
.9%
Raigmor e
178
99.4%
1
.6%
RA H
203
97.6%
4
1.9%
Inv ercly de
104
98.1%
2
1.9%
Monklands
97
100.0%
Vic toria
92
74.8%
2
1.6%
29
23.6%
123
Ay r
86
94.5%
1
1.1%
4
4.4%
91
SGH
62
74.7%
6
7.2%
15
18.1%
83
2938
92.8%
51
1.6%
166
5.2%
3165
459
97
1
1.2%
81
3.7%
1
.5%
190
2.9%
1
.6%
170
227
1
.4%
250
95
61
1
28.9%
.7%
211
140
76
2
1.1%
47
27.0%
174
10
9.3%
108
179
1
.5%
208
106
97
10
.3%
Pe rth Ro yal I nfirm ary om itted as o nly su bmit ted a ssessm ent data from 10 of 97 p atien ts
Who completed the assessment proforma?
Proforma filled in by
Medical staff
Total
Loc al A udit Co-ordinator
N
Hospital
Total
N
%
N
%
RIE
257
56.5
198
43.5
455
BGH
77
82.8
16
17.2
93
DGRI
69
86.3
11
13.8
80
QMH
89
48.9
93
51.1
182
For th Valley
128
78.0
36
22.0
164
Ninew ells
118
52.4
107
47.6
225
ARI
110
44.4
138
55.6
248
Hairmyr es
65
68.4
30
31.6
95
GRI
61
42.7
82
57.3
143
Wis haw
59
43.1
78
56.9
137
Elgin
57
75.0
19
25.0
76
WIG
34
28.1
87
71.9
121
Crosshouse
57
58.8
40
41.2
97
Raigmor e
121
68.0
57
32.0
178
RA H
195
96.1
8
3.9
203
Inv ercly de
23
22.1
81
77.9
104
Monklands
37
38.1
60
61.9
97
Vic toria
36
39.1
56
60.9
92
Ay r
45
52.3
41
47.7
86
SGH
13
21.0
49
79.0
62
1651
56.2
1287
43.8
2938
Summary of fitness for theatre decisions at first and
subsequent re-assessments by hospital
As sess ment theatre delay
Not pos tponed
Hospital
Total
Postponed,
subsequently
operated
Total
Postponed,
subsequently
conserv ative/
palliative
N
N
N
%
N
%
%
RIE
372
81.8%
83
18.2%
455
BGH
75
80.6%
18
19.4%
93
DGRI
66
82.5%
13
16.3%
1
1.3%
80
QMH
154
84.6%
23
12.6%
5
2.7%
182
Forth V alley
120
73.2%
38
23.2%
6
3.7%
164
Ninew ells
169
75.1%
51
22.7%
5
2.2%
225
ARI
210
84.7%
32
12.9%
6
2.4%
248
Hairmyr es
70
73.7%
21
22.1%
4
4.2%
95
GRI
82
57.3%
55
38.5%
6
4.2%
143
Wishaw
100
73.0%
29
21.2%
8
5.8%
137
Elgin
58
76.3%
12
15.8%
6
7.9%
76
WIG
89
73.6%
26
21.5%
6
5.0%
121
Crosshouse
67
69.1%
26
26.8%
4
4.1%
97
Raigmor e
140
78.7%
35
19.7%
3
1.7%
178
RA H
158
77.8%
38
18.7%
7
3.4%
203
Inv ercly de
68
65.4%
32
30.8%
4
3.8%
104
Monklands
71
73.2%
21
21.6%
5
5.2%
97
Vic toria
77
83.7%
13
14.1%
2
2.2%
92
Ay r
60
69.8%
24
27.9%
2
2.3%
86
SGH
44
71.0%
18
29.0%
2250
76.6%
608
20.7%
62
80
2.7%
2938
Assessor specialty by hospital
Specialty of asses sor
Anaesthesia
Orthopaedic
COE
Ac ute medicine
Total
know n
grades
Other
Mis sing data
Recorded
Total, all
patients
Not recorded
N
Hospital
Total
N
%
N
%
N
%
N
%
N
%
RIE
424
94%
19
4%
5
1%
2
0%
1
0%
BGH
85
91%
8
DGRI
75
94%
QMH
160
For th Valley
121
Ninew ells
N
N
%
N
%
451
451
99%
4
1%
9%
93
93
100%
93
5
6%
80
80
100%
80
88%
21
12%
181
181
99%
1
1%
182
75%
38
24%
2
1%
161
161
98%
3
2%
164
189
86%
27
12%
3
1%
219
219
97%
6
3%
225
ARI
183
94%
12
6%
195
195
79%
53
21%
248
Hairmyr es
87
95%
3
3%
GRI
88
83%
18
17%
Wis haw
116
85%
20
15%
Elgin
67
92%
4
5%
WIG
102
85%
12
10%
Crosshouse
75
77%
22
23%
Raigmor e
154
87%
24
13%
RA H
176
87%
27
13%
Inv ercly de
92
88%
11
11%
1
Monklands
91
94%
5
5%
1
Vic toria
58
95%
3
5%
Ay r
67
78%
19
22%
SGH
59
97%
1
2%
2469
88%
299
11%
2
1
2
92
92
97%
3
3%
95
106
106
74%
37
26%
143
137
137
100%
73
73
96%
3
4%
76
120
120
99%
1
1%
121
97
97
100%
97
178
178
100%
178
203
203
100%
203
1%
104
104
100%
104
1%
97
97
100%
61
61
66%
86
86
100%
61
61
98%
1
2%
62
2795
2795
95%
143
5%
2938
1%
3%
4
7
2%
0%
455
3%
1
2%
17
1%
2
3
2%
0%
137
97
31
34%
92
86
Fitness for theatre decisions at first and subsequent re-assessments by
grade of assessor
As sess ment theatre delay
Not pos tponed
Specialty of
ass essor
Pos tponed,
subsequently
conserv ative/palliative
N
N
%
N
%
N
%
Anaesthesia
2117
86%
322
13%
30
1%
2469
Orthopaedic
34
11%
44
15%
299
221
74%
COE
7
100%
Ac ute medicine
13
76%
Other
3
100%
NR
Total
Pos tponed,
subsequently
operated
Total
7
4
24%
17
3
99
69%
42
29%
2
1%
143
2250
77%
608
21%
80
3%
2938
Reasons for postponement by hospital
No
postponement
Coag corr/haem
Metabolic/renal
Cardiac etc
Resp/Infection
Combined
reasons
Other medical
reason/NR
Lack of info
Total
N
%
N
%
N
%
N
%
N
%
N
%
N
%
N
%
N
RIE
372
81.8%
11
2.4%
9
2.0%
21
4.6%
7
1.5%
12
2.6%
5
1.1%
18
4.0%
455
BGH
75
80.6%
7
7.5%
1
1.1%
3
3.2%
3
3.2%
1
1.1%
3
3.2%
93
DGRI
66
82.5%
4
5.0%
3
3.8%
2
2.5%
1
1.3%
4
5.0%
80
QMH
154
84.6%
7
3.8%
3
1.6%
5
2.7%
5
2.7%
3
1.6%
2
1.1%
3
1.6%
182
Forth V alley
120
73.2%
6
3.7%
3
1.8%
6
3.7%
12
7.3%
5
3.0%
2
1.2%
10
6.1%
164
Ninew ells
169
75.1%
17
7.6%
4
1.8%
6
2.7%
9
4.0%
14
6.2%
2
.9%
4
1.8%
225
ARI
210
84.7%
4
1.6%
1
.4%
12
4.8%
6
2.4%
8
3.2%
2
.8%
5
2.0%
248
Hairmyr es
70
73.7%
4
4.2%
2
2.1%
5
5.3%
4
4.2%
6
6.3%
4
4.2%
95
GRI
82
57.3%
11
7.7%
2
1.4%
29
20.3%
8
5.6%
4
2.8%
2
1.4%
5
3.5%
143
Wishaw
100
73.0%
6
4.4%
3
2.2%
3
2.2%
7
5.1%
10
7.3%
2
1.5%
6
4.4%
137
Elgin
58
76.3%
1
1.3%
2
2.6%
4
5.3%
2
2.6%
6
7.9%
3
3.9%
76
WIG
89
73.6%
4
3.3%
4
3.3%
3
2.5%
8
6.6%
9
7.4%
2
1.7%
2
1.7%
121
Crosshouse
67
69.1%
11
11.3%
1
1.0%
6
6.2%
5
5.2%
2
2.1%
4
4.1%
1
1.0%
97
Raigmor e
140
78.7%
14
7.9%
1
.6%
5
2.8%
1
.6%
5
2.8%
7
3.9%
5
2.8%
178
RA H
158
77.8%
10
4.9%
5
2.5%
5
2.5%
12
5.9%
7
3.4%
2
1.0%
4
2.0%
203
Inv ercly de
68
65.4%
9
8.7%
2
1.9%
7
6.7%
8
7.7%
5
4.8%
1
1.0%
4
3.8%
104
Monklands
71
73.2%
2
2.1%
1
1.0%
5
5.2%
2
2.1%
7
7.2%
1
1.0%
8
8.2%
97
Vic toria
77
83.7%
4
4.3%
2
2.2%
4
4.3%
1
1.1%
2
2.2%
2
2.2%
92
Ay r
60
69.8%
11
12.8%
2
2.3%
3
3.5%
3
3.5%
6
7.0%
44
71.0%
2
3.2%
4
6.5%
4
6.5%
1
1.6%
3
4.8%
2250
76.6%
145
4.9%
52
1.8%
139
4.7%
106
3.6%
115
3.9%
SGH
Total
Oth er m edica l rea sons includ e ne urolo gical , lack of IT U/HDU, se nior anae stheti st req uirem ent a nd a llerg ies
1
1.2%
36
1.2%
86
4
6.5%
62
95
3.2%
2938
Plans of Action after postponement by reason for delay
Plan of Action
Further
inv estigations
Commence
treatment
Specialist
opinion
Or ganis e
additional
res ourc es
N
%
N
%
N
%
N
%
Coagulation
correction/haematology
55
30.2%
105
57.7%
9
4.9%
3
1.6%
Metabolic/renal
20
29.4%
39
57.4%
5
7.4%
Cardiac
failure/arrythmias /ischaemia
99
55.9%
24
13.6%
29
16.4%
2
Respiratory/Infec tion
31
22.5%
71
51.4%
19
13.8%
Combined reasons
54
30.9%
63
36.0%
35
Other medical reasons or not
rec orded
19
43.2%
3
6.8%
Lack of Prev ious Medic al
His tory, results or preparation
20
19.4%
Total
298
33.6%
305
34.4%
Total
Conserv ative/pal
liative
N
%
Get further info
Not know n
N
N
%
N
%
10
5.5%
182
68
1
1.5%
3
4.4%
1.1%
10
5.6%
12
6.8%
2
1.4%
9
6.5%
6
4.3%
138
20.0%
4
2.3%
15
8.6%
4
2.3%
175
12
27.3%
3
6.8%
2
4.5%
3
6.8%
2
1.9%
81
78.6%
111
12.5%
119
13.4%
14
No te tha t som e pa tient s had two docum ente d Pl ans o f Acti on an d wo uld t heref ore b e inc luded twic e
1.6%
37
4.2%
1
2
.6%
4.5%
177
44
103
3
.3%
887
Plans of Action after postponement by hospital
Specialist opinion
Further
inv estigations
Commence
treatment
Specialist
opinion
Or ganis e
additional
res ourc es
N
%
N
%
N
%
N
%
RIE
44
40.7%
23
21.3%
17
15.7%
2
1.9%
BGH
3
16.7%
11
61.1%
1
5.6%
DGRI
3
15.8%
6
31.6%
4
21.1%
QMH
6
18.8%
15
46.9%
1
3.1%
Forth V alley
24
38.7%
22
35.5%
5
8.1%
Ninew ells
16
20.5%
35
44.9%
15
ARI
17
30.4%
7
12.5%
Hairmyr es
12
37.5%
9
GRI
41
64.1%
Wishaw
15
Elgin
7
WIG
2
6.3%
19.2%
1
1.3%
13
23.2%
3
5.4%
28.1%
3
10
15.6%
28.8%
18
33.3%
6
23
46.9%
Crosshouse
10
Raigmor e
Total plans
of action
Conserv ative/
palliative
N
%
Get further info
Not know n
N
N
%
N
%
20
18.5%
2
1.9%
3
16.7%
18
6
31.6%
19
108
3
9.4%
5
15.6%
32
1
1.6%
10
16.1%
62
3
3.8%
8
10.3%
78
5
8.9%
11
19.6%
56
9.4%
1
3.1%
7
21.9%
32
4
6.3%
3
4.7%
6
9.4%
64
34.6%
8
15.4%
4
7.7%
5
9.6%
28.6%
2
9.5%
3
14.3%
3
14.3%
21
20
40.8%
3
6.1%
1
2.0%
1
2.0%
49
26.3%
19
50.0%
7
18.4%
2
5.3%
15
33.3%
14
31.1%
8
17.8%
2
4.4%
6
13.3%
45
RA H
10
18.2%
28
50.9%
6
10.9%
5
9.1%
6
10.9%
55
Inv ercly de
9
19.6%
19
41.3%
8
17.4%
2
4.3%
5
10.9%
46
Monklands
14
34.1%
11
26.8%
4
9.8%
1
2.4%
11
26.8%
41
Vic toria
6
40.0%
6
40.0%
1
6.7%
2
13.3%
15
Ay r
13
38.2%
19
55.9%
SGH
10
45.5%
7
31.8%
4
18.2%
298
33.6%
305
34.4%
119
13.4%
Total
2
111
1
1
3
1.9%
2.0%
6.5%
1
1.9%
38
5.9%
12.5%
52
34
1
4.5%
14
1.6%
No te tha t som e pa tient s had two d ocum ente d Pl ans o f Acti on an d wo uld t heref ore b e inc luded twic e
37
4.2%
22
3
.3%
887
McLaughlin abnormalities
McLaughlin et al (2006) 1 defined 11 major classes of clinical abnormalities affecting preoperative status: Angela – could you include link from each of these lines (1-11) to their corresponding
tables on pages 12-20?
Major
Minor
Abnormalities:
McLaughlin Description
SHFA equivalent
McLaughlin Description
SHFA equivalent
1
Blood pressure (BP)
Sys BP <= 90
Sys BP <= 90
Systolic BP >=181; diastolic BP
>=111
Systolic BP >=181; diastolic BP
>=111
2
Rate and rhythm
AF or SVT >= 121; ventricular
tachycardia; 3rd degree heart block or
heart rate <= 45 bpm
Pulse <= 45; Pulse >= 121 & AF/flutter;
Pulse >= 121 & highlighted other
problem; complete heart block;
ventricular tachycardia
Atrial fibrillation (AF) or
supraventricular tachycardia (SVT)
101-120; sinus tachycardia >= 121;
or heart rate 46-50 bpm
Pulse 46-50; Pulse >= 121 with no
other Rate/Rhythm problem; Pulse
101-120 & AF/flutter; Pulse 101-120
& highlighted other Rate/Rhythm
problem
3
Infection/pneumonia
Temp < 35C; T >= 38.5 C with clinical
diagnosis of pneumonia or infiltrate
on CXR
Temp < 35C; infection on CXR & temp
>= 38.5 C
T >= 38.5 C; clinical diagnosis of
pneumonia; or infiltrate on CXR
T >=38.5 but no documented
infection; infection on CXR but T
normal or not recorded
4
Chest pain
Any new MI on ECG, or chest pain
with abnormal ECG
Evidence of new MI; angina with ST
depression or elevation
Chest pain but normal ECG
Angina in combination with
ischaemia or other highlighted
concerns on ECG or otherwise
(rhythm, ectopics, pacemaker)
5
Congestive heart failure
(CHF)
Pulmonary edema on CXR; or CHF
on CXR with dyspnea and/or
abnormal exam
Evidence of failure on CXR; pulmonary
oedema; other highlighted CHF problem
on CXR; pleural effusion (in absence of
infection)
Dyspnea or pulmonary rales or S3
but a normal CXR; or CHF on CXR
with a normal exam and no dyspnea
None
6
Respiratory failure
Pulse oximetry < 90%; pO2 < 60 mm
Hg (8); or pCO2 >= 55 mm Hg (7.4)
O2 sat < 90; pO2 < 8 k/Pa; pCO2 >= 7.4
k/Pa
46 mmHg < pCO2 < 55mmHg (6.27.3)
pCO2 >= 6.2-7.3 k/Pa
7
INR
> 1.6
> 1.6
1.4-1.6
1.4-1.6
8
Electrolytes
Na <= 125 or > 155 mEq/L; K <2.5 or
>= 6.1 mEq/L; or HCO3 < 18 or >
36.nEq/L
Na <= 125 or > 155mEq/L; K <2.5 or >=
6.1 mEq/L; or HCO3 < 18 or > 36.Eq/L
Na 126-128 or 151-155 mEq/L; K
2.5-2.9 or 5.6-6.0 mEq/L; or HCO3
18-19 or 35-36.mEq/L
Na 126-128 or 151-155 mEq/L; K
2.5-2.9 or 5.6-6.0 mEq/L; or HCO3
18-19 or 35-36.mEq/L
9
Glucose
>600 mg/dL
> 33 mmol/L
451-600 mg/dL
25-33 mmol/L
10
BUN/creatinine
BUN > 50 mg/dL; or Creatinine >=
2.6 mg/dL without h/o ESRD
Urea >= 18 mmol/L; creatinine > 225
umol/L
BUN 41-50 mg/dL; or Creatinine 2.12.5 mg/dL without h/o ESRD
Urea 14.5-17.9 mmol/L; creatinine
186-225 umol/L
11
Anaemia
Hgb <= 7.5 g/dL
Hgb <= 7.5 g/dL
Hgb <= 7.6-8.0 g/dL
Hgb <= 7.6-8.0 g/dL
Preoperative status and risk of complications in patients with hip fracture – J Gen Intern Med 2006; 21:219-225
Comments
Not included if pt in
Sinus Rhythm with
AF/flutter only or pulse
101-120
SHFA did not record a
variable reflecting
dyspnea, pulmonary
rales or S3
ESRD not recorded by
SHFA
Frequency of Abnormalities by hospital
Extent of abnormality
None
Minor
Major
Multiple major
Total
patients
N
%
N
%
N
%
N
%
RIE
272
59.8%
107
23.5%
63
13.8%
13
2.9%
455
BGH
51
54.8%
27
29.0%
14
15.1%
1
1.1%
93
DGRI
47
58.8%
21
26.3%
10
12.5%
2
2.5%
80
QMH
111
61.0%
38
20.9%
26
14.3%
7
3.8%
182
For th Valley
87
53.0%
49
29.9%
23
14.0%
5
3.0%
164
Ninew ells
141
62.7%
50
22.2%
30
13.3%
4
1.8%
225
ARI
141
56.9%
68
27.4%
28
11.3%
11
4.4%
248
Hairmyr es
53
55.8%
23
24.2%
15
15.8%
4
4.2%
95
GRI
79
55.2%
38
26.6%
24
16.8%
2
1.4%
143
Wis haw
74
54.0%
43
31.4%
17
12.4%
3
2.2%
137
Elgin
52
68.4%
15
19.7%
4
5.3%
5
6.6%
76
WIG
62
51.2%
33
27.3%
22
18.2%
4
3.3%
121
Crosshouse
50
51.5%
30
30.9%
16
16.5%
1
1.0%
97
Raigmor e
113
63.5%
42
23.6%
18
10.1%
5
2.8%
178
RA H
111
54.7%
55
27.1%
32
15.8%
5
2.5%
203
Inv ercly de
52
50.0%
25
24.0%
24
23.1%
3
2.9%
104
Monklands
44
45.4%
33
34.0%
13
13.4%
7
7.2%
97
Vic toria
49
53.3%
23
25.0%
16
17.4%
4
4.3%
92
Ay r
42
48.8%
23
26.7%
17
19.8%
4
4.7%
86
SGH
26
41.9%
19
30.6%
16
25.8%
1
1.6%
62
1657
56.4%
762
25.9%
428
14.6%
91
3.1%
2938
Total
Delay rates in relation to presence/absence of abnormalities by hospital
Ex tent of abnormality
None
No medical
reason for delay
Minor
Medical reas on
to delay
No medical
reason for delay
Major
Medical reas on
to delay
No medical
reason for delay
Multiple major
Medical reas on
to delay
No medical
reason for delay
Medical reas on to
delay
Total
patients
N
%
N
%
N
%
N
%
N
%
N
%
N
%
N
%
RIE
251
92.3%
21
7.7%
88
82.2%
19
17.8%
30
47.6%
33
52.4%
3
23.1%
10
76.9%
455
BGH
45
88.2%
6
11.8%
25
92.6%
2
7.4%
5
35.7%
9
64.3%
1
100.0%
93
DGRI
41
87.2%
6
12.8%
19
90.5%
2
9.5%
6
60.0%
4
40.0%
2
100.0%
80
QMH
105
94.6%
6
5.4%
32
84.2%
6
15.8%
16
61.5%
10
38.5%
1
14.3%
6
85.7%
182
Forth V alley
75
86.2%
12
13.8%
33
67.3%
16
32.7%
11
47.8%
12
52.2%
1
20.0%
4
80.0%
164
Ninew ells
122
86.5%
19
13.5%
32
64.0%
18
36.0%
15
50.0%
15
50.0%
4
100.0%
225
ARI
128
90.8%
13
9.2%
60
88.2%
8
11.8%
18
64.3%
10
35.7%
4
36.4%
7
63.6%
248
Hairmyr es
47
88.7%
6
11.3%
15
65.2%
8
34.8%
7
46.7%
8
53.3%
1
25.0%
3
75.0%
95
GRI
60
75.9%
19
24.1%
18
47.4%
20
52.6%
4
16.7%
20
83.3%
2
100.0%
143
Wishaw
65
87.8%
9
12.2%
28
65.1%
15
34.9%
7
41.2%
10
58.8%
3
100.0%
137
Elgin
43
82.7%
9
17.3%
12
80.0%
3
20.0%
2
50.0%
2
50.0%
1
20.0%
4
80.0%
76
WIG
56
90.3%
6
9.7%
23
69.7%
10
30.3%
9
40.9%
13
59.1%
1
25.0%
3
75.0%
121
Crosshouse
45
90.0%
5
10.0%
18
60.0%
12
40.0%
3
18.8%
13
81.3%
1
100.0%
Raigmor e
98
86.7%
15
13.3%
34
81.0%
8
19.0%
7
38.9%
11
61.1%
1
20.0%
4
80.0%
178
RA H
94
84.7%
17
15.3%
47
85.5%
8
14.5%
14
43.8%
18
56.3%
3
60.0%
2
40.0%
203
Inv ercly de
46
88.5%
6
11.5%
12
48.0%
13
52.0%
9
37.5%
15
62.5%
1
33.3%
2
66.7%
104
Monklands
35
79.5%
9
20.5%
26
78.8%
7
21.2%
8
61.5%
5
38.5%
2
28.6%
5
71.4%
97
Vic toria
47
95.9%
2
4.1%
21
91.3%
2
8.7%
8
50.0%
8
50.0%
1
25.0%
3
75.0%
92
Ay r
31
73.8%
11
26.2%
15
65.2%
8
34.8%
13
76.5%
4
23.5%
1
25.0%
3
75.0%
86
SGH
21
80.8%
5
19.2%
12
63.2%
7
36.8%
10
62.5%
6
37.5%
1
100.0%
1455
87.8%
202
12.2%
570
74.8%
192
25.2%
202
47.2%
226
52.8%
23
25.3%
Total
97
62
68
74.7%
2938
Time from assessment to operation if originally postponed with INR > 1.6
Total
Other major abnormalities
Yes
No
Inc luded
N
%
22%
26
29%
4
17%
16
18%
38%
11
48%
37
41%
13%
3
13%
12
13%
68
100%
23
100%
91
100%
Inc luded
68
84%
23
82%
91
83%
Ex cluded - not postponed
4
5%
1
4%
5
5%
Ex cluded - tr eated conserv atively
3
4%
2
7%
5
5%
Ex cluded - missing data
6
7%
2
7%
8
7%
81
100%
28
100%
109
100%
N
%
N
%
Next day
21
31%
5
+2 days
12
18%
+3/5 days
26
6th day or af ter
9
Total
Ex cluded patients
Total
Blood pressure abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Major, SBP <=90
Minor, SBP >= 181
Blood pressure
Minor, SBP (<=180, but DBP >=111
No blood pressur e problem
Total
Med delay operated
Total
Med delay cons/pall
Count
Count
%
Count
%
Count
%
8
27%
18
60%
4
13%
30
116
73%
40
25%
3
2%
159
5
83%
1
17%
2121
77%
549
20%
73
3%
2743
2250
77%
608
21%
80
3%
2938
6
Rate and Rhythm abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Rate and rhy thm
Med delay cons/pall
Count
Count
Count
%
Count
%
Major, pulse <=45
2
40%
3
60%
Major, c omplete heart block
1
50%
1
50%
2
Major, pulse >=121 & A F/flutter
1
7%
12
86%
1
7%
14
Major, pulse >=121 & A rr/Br /Tach/Bloc ks
1
20%
1
20%
3
60%
5
Minor, pulse 46-50
8
73%
2
18%
1
9%
11
Minor, pulse 121, no other problem
9
75%
3
25%
Minor, pulse 101-120 & AF/f lutter
19
48%
19
48%
2
5%
40
Minor, pulse 101-120 & Arr/Br/Tach/Blocks
14
52%
11
41%
2
7%
27
1
50%
1
50%
2
Minor, pulse 101-120 & Ectopics
%
5
12
None, but pulse 101-120
117
74%
33
21%
8
5%
158
None, pulse normal but AF/f lutter
175
56%
122
39%
13
4%
310
None, pulse normal but Arr/Br/Tac h/Blocks
178
77%
43
19%
9
4%
230
None, pulse normal but pacemaker
16
62%
9
35%
1
4%
26
None, pulse normal but Ectopics
29
76%
8
21%
1
3%
38
1680
82%
341
17%
37
2%
2058
2250
77%
608
21%
80
3%
2938
No rhythm & rate problem
Total
Med delay operated
Total
Infection/pneumonia abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Major, T < 35
Infection/pneumonia
Count
%
Count
3
43%
Med delay cons/pall
%
Count
%
1
14%
Count
3
43%
Major, T >= 38.5 & 'Infection' on CXR
1
100%
1
Major, T >= 38.5 & 'Other' inf ection on CXR
1
100%
1
7
Minor, T >= 38.5 no infection documented
9
56%
5
31%
2
13%
16
Minor, 'infection' but T normal/NR
41
45%
43
47%
8
9%
92
Minor, 'Other ' infec tion but T normal/NR
No infec tion/pneumonia problem
Total
Med delay operated
Total
14
58%
8
33%
2
8%
24
2183
78%
547
20%
67
2%
2797
2250
77%
608
21%
80
3%
2938
Chest pain abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Count
%
Count
%
Count
%
9
41%
8
36%
5
23%
22
1
100%
Minor, A ngina + is chaemia
92
67%
37
27%
8
6%
137
Minor, A ngina + abnormal ECG
32
74%
11
26%
Minor, A ngina + A rr/Br/Tach/Bloc ks
41
58%
26
37%
4
6%
71
Minor, A ngina + Pacemaker
4
57%
2
29%
1
14%
7
Minor, A ngina + Ec topic s
4
57%
2
29%
1
14%
7
174
77%
47
21%
6
3%
227
1
25%
2
50%
1
25%
4
None, Is chaemia but no angina
139
70%
49
25%
10
5%
198
None, A bnor mal ECG but no angina
82
67%
37
30%
3
2%
122
1672
80%
386
18%
41
2%
2099
2250
77%
608
21%
80
3%
2938
Major, A ngina + ST Dep/Elev
Minor, A ngina only
None, ST Dep/Elev but no angina
No ches t pain abnormality
Total
Med delay cons/pall
Count
Major, New MI
Chest pain
Med delay operated
Total
1
43
Congestive heart failure abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Med delay operated
Med delay cons/pall
%
Count
%
Count
%
26
51%
20
39%
5
10%
3
75%
1
25%
Major, 'Other ' CHF problem
7
64%
4
36%
Major, Pleural effusion (no infection)
9
60%
3
20%
3
20%
15
None, but Cardiomegaly
45
70%
16
25%
3
5%
64
2163
77%
562
20%
68
2%
2793
2250
77%
608
21%
80
3%
2938
Major, Pulmonary oedema
No Congestiv e Heart Failure
abnormality
Total
As sess ment theatre delay
No medical
reason for delay
Total
Med delay cons/pall
Count
Count
%
Count
%
Count
Major, O2 Sat < 90%
64
65%
30
30%
5
5%
99
Major, pO2 < 8.0
14
42%
15
45%
4
12%
33
Major, pCO2 >= 7.4
2
18%
3
27%
6
55%
11
Minor, pCO2 6.2-7.3
12
57%
6
29%
3
14%
21
None, but pCO2 <4.5
10
38%
15
58%
1
4%
26
2148
78%
539
20%
61
2%
2748
2250
77%
608
21%
80
3%
2938
No Respiratory abnormality
Total
Med delay operated
51
4
11
Respiratory failure abnormalities and rates of postponement
Respiratory f ailure
Count
Count
Major, CXR=Failur e
Conges tive Heart Failur e
Total
%
INR abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Major, INR > 1.6
INR
Minor, INR 1.4-1.6
No recorded INR abnor mality
Total
Med delay operated
Total
Med delay cons/pall
Count
Count
%
Count
%
Count
%
5
5%
99
91%
5
5%
109
15
71%
5
24%
1
5%
21
2230
79%
504
18%
74
3%
2808
2250
77%
608
21%
80
3%
2938
Electrolyte abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Count
%
Count
%
Count
%
Major: Na < 126
19
58%
13
39%
1
3%
33
Major: Na > 155
1
33%
1
33%
1
33%
3
1
100%
1
Major: K > 6.0
1
11%
7
78%
1
Major: HCO3 < 18
13
65%
6
30%
Major: HCO3 > 36
8
57%
4
29%
Minor: Na 126-128
48
65%
24
32%
Minor: Na 151-155
1
50%
1
50%
2
Minor: K 2.5- 2.9
10
43%
13
57%
23
Minor: K 5.6- 6.0
16
76%
5
24%
21
Minor: HCO3 18-19
18
53%
14
41%
Minor: HCO3 35-36
2
67%
1
33%
2113
78%
518
19%
70
3%
2701
2250
77%
608
21%
80
3%
2938
No Elec trolyte abnormality
Total
Med delay cons/pall
Count
Major: K < 2.5
Electroly tes
Med delay operated
Total
11%
9
1
5%
20
2
14%
14
2
3%
74
2
6%
34
3
Glucose abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Count
%
Major: Glucose > 33 mmol/l
Glucose
Minor: Glucose 25-33 mmol/l
No Elec trolyte abnormality
Total
Med delay operated
Total
Med delay cons/pall
Count
%
Count
1
100%
Count
%
1
2
100%
2248
77%
607
21%
80
3%
2935
2
2250
77%
608
21%
80
3%
2938
Creatinine abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
BUN/creatinine
Med delay cons/pall
Count
Count
%
Count
%
Count
%
Major: Urea >= 18 & Creatinine > 225
15
41%
18
49%
4
11%
37
Major: Urea >= 18
15
44%
11
32%
8
24%
34
Major: Creatinine > 225
24
71%
9
26%
1
3%
34
Minor: Urea 14.5-17.9 & Creatinine 186-225
8
44%
9
50%
1
6%
18
Minor: Urea 14.5-17.9
42
71%
14
24%
3
5%
59
Minor: Creatinine 186-225
16
55%
11
38%
2
7%
29
2130
78%
536
20%
61
2%
2727
2250
77%
608
21%
80
3%
2938
No Urea/creatinine abnormality
Total
Med delay operated
Total
Anaemia abnormalities and rates of postponement
As sess ment theatre delay
No medical
reason for delay
Major: Hb <= 7.5
Anaemia
Minor: Hb 7.6-8.0
No anaemia abnormality
Total
Med delay operated
Total
Med delay cons/pall
Count
%
Count
%
Count
%
4
17%
17
74%
2
9%
Count
23
2
17%
8
67%
2
17%
12
2244
77%
583
20%
76
3%
2903
2250
77%
608
21%
80
3%
2938