Causes and influencing factors of unplanned reoperations in a tertiary general hospital in Guangxi
10.3969/j.issn.1671-332X.2025.11.017
- VernacularTitle:广西某三甲综合医院非计划再次手术原因及影响因素分析
- Author:
Cailian WEI
1
;
Shaoxia ZENG
;
Jiangfeng WEI
;
Liujun SHE
Author Information
1. 柳州市工人医院 广西柳州 545005;南方医科大学卫生管理学院 广东 广州 510000
- Publication Type:Journal Article
- Keywords:
Unplanned reoperation;
Influencing factors;
Coping strategies
- From:
Modern Hospital
2025;25(11):1706-1710
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to investigate the causes and influencing factors of unplanned reoperations and to propose strategies for reducing their incidence.Methods A retrospective analysis was conducted by comparing medical records of patients with and without unplanned reoperations at a tertiary general hospital in Guangxi throughout 2024.Descriptive statis-tics,chi-square tests,and logistic regression were used to analyze contributing factors.Results Among 43,612 surgeries per-formed in 2024,135 unplanned reoperations were recorded,yielding an overall incidence of 3.09％o.The main causes included postoperative bleeding,complications(e.g.,fistula,infarction,thrombosis),and incision-related issues(e.g.,infection,poor healing).Significant differences(P＜0.05)were observed between the reoperation and non-reoperation groups in gender(x2=11.654),age(x2=19.393),grade of initial surgery(x2=12.405),surgeon's title(x2=14.572),nature of initial surgery(x2=20.287),and patient case classification(x2=21.578).These variables were also identified as significant influencing fac-tors(P＜0.05),with gender,age,nature of surgery,grade Ⅲ surgery,and case classification types B/D being independent risk factors.Conclusion Unplanned reoperation serves as a key indicator of surgical quality and safety.Interventions such as en-hanced hospital-and department-level management,perioperative process optimization,and surgical service mechanism improve-ments are recommended to reduce the incidence of unplanned reoperations.
