ArticleBMC surgery2025
Magnitude and factors of delayed first case incision time among elective surgical patients at tikur anbessa specialized hospital, addis ababa ethiopia, 2022/23: a hospital-based cross-sectional study.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe delay in the starting of first elective surgical cases frequently occurs in the operation theatre. Its magnitude ranges from 24.8 to 99.3% and is contributed by many factors and it has the potential to induce major effects on the efficiency of the healthcare system.
objectiveTo assess the magnitude and factors of delayed incision time of first cases among elective surgery at Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2022/23.
methodA hospital-based cross-sectional study was conducted on 421 elective surgical first-cases in Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, from January to April 28, 2023. The primary outcome of this study was the magnitude of delayed first cases' incision time of surgical patients. The data were collected using a structured questionnaire and systematic sampling method. Data was analyzed using statistical software for social sciences version 26. A chi-square test and logistic regression analysis were used for data analysis. Binary and multivariable logistic regression analysis was computed to determine the association between the independent and dependent variables. Independent variables with P < 0.20 were selected for multivariable analysis. Variables with P < 0.05 in a 95% confidence interval after multivariate analysis were selected as statistically significant.
resultsa total of 924 cases were scheduled as the first cases in the study period and 422 cases were recruited. The magnitude of delayed first-case incision time was 56.5% with a mean delayance of 33 min. A multivariate analysis identified a lack of anesthesia and/or adjuvant drugs [AOR = 2.65(1.14-6.16), P < 0.05], late anesthesia induction [AOR = 19.65(10.07-38.34), P < 0.01], surgeons' or residents' late arrival to the operation theatre [AOR = 2.37(1.1-5.14), P < 0.05], surgical positions other than supine [AOR = 2.47(1.23-4.97), P < 0.05] and type of surgery as a significant predictors of delayed first case start of elective surgeries. CONCLUSION AND RECOMMENDATION: The magnitude of delayed first cases' incision time among elective surgery was high (56.5%) with a mean time of delayance of 33 min. Lack of anesthetics or adjuvants, late anesthesia induction, late arrival of the surgical team, surgical position other than supine, and surgery types were significantly associated factors. It is recommended to develop an improvement plan to minimize first-case incision time delayance and improve surgical efficiency among elective surgeries.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.