Analysis of Disease-Related Factors Leading to Surgical Cancellation in Patients with Intertrochanteric Femoral Fractures
Zhan Yifang
Li Qun
Yang Lin
Zhai Zanjing
Li Huiwu
Abstract：Objective To investigate the incidence and causes of disease-related unplanned surgical cancellation in patients with intertrochanteric femoral fractures,and to provide evidence for quality improvement in perioperative management.Methods A retrospective analysis was conducted on 543 patients who underwent surgery for intertrochanteric femoral fractures in the Shanghai Ninth people's hospital,Shanghai Jiao Tong university school of medicine,between January 2020 and June 2024.The cohort included 192 men and 351 women,with a mean age of(81.7±4.6)years(range,62 to 99 years).Patients were divided into a cancellation group and a non-cancellation group according to whether the scheduled surgery was performed as planned.Unplanned surgical cancellation occurred in 75 patients(13.8％),while 468 patients(86.2％)completed surgery as scheduled.Data on demographic characteristics,disease-related causes of surgical cancellation,and the timeliness of abnormal laboratory result reporting and intervention were extracted from the electronic medical record system and compared between groups.Results The overall incidence of unplanned surgical cancellation was 13.8％(75/543).Compared with the non-cancellation group,patients in the cancellation group had a significantly longer length of hospital stay,with a mean increase of 3.9 days(P＜0.05).The three-leading disease-related causes of surgical cancellation were cardiovascular disorders(40.0％),respiratory diseases(20.0％),and poor glycaemic control(16.0％).Analysis of abnormal laboratory result management revealed that in 40.0％(30/75)of cancelled cases,the initial intervention response time exceeded the recommended time window(＞4 h),and 24.0％(18/75)of cancellations demonstrated potential for further process optimization.Conclusion Unplanned surgical cancellation is common among elderly patients with intertrochanteric femoral fractures and is closely associated with multimorbidity and the timeliness of perioperative management.Implementing early risk assessment and improving the identification and timely intervention of abnormal laboratory findings may help reduce surgical cancellation rates and enhance perioperative management efficiency.
Keywords：intertrochanteric femoral fractureunplanned surgical cancellationperioperative managementquality improvement
Publication Date：2026-01-25
Online Publishing Date：2026-03-04(First online date of this platform, not the publication date of the document)
Pages：5( 36-39,62 )