ARPHA Preprints, doi: 10.3897/arphapreprints.e115732
Predictive Modeling of Total Operating Room Time for Laparoscopic Cholecystectomy Using Preoperatively Known Indicators to Guide Accurate Surgical Scheduling in a Critical Access Hospital
expand article infoTodd Prier, Kelly Yale-Suda§, Hailey Westover|, Ryan Corey
‡ Rochester Regional Health, Rochester, NY, United States of America§ Our Lady of Lourdes Memorial Hospital, Binghamton, NY, United States of America| University at Buffalo, Buffalo, NY, United States of America¶ Bassett Healthcare Network, Cooperstown, NY, United States of America
Open Access

The financial margin of rural and critical access hospitals highly depends on their surgical volume. An efficient operating room is necessary to maximize profit and minimize financial loss. OR utilization is a crucial OR efficiency metric requiring accurate case duration estimates. The patient's age, ASA, BMI, Malampati score, previous surgery, the planned surgery, the surgeon, the assistant's level of experience, and the severity of the patient's disease are also associated with operative duration. Although complex machine learning models are accurate in operative prediction, they are not always available in resource-limited hospitals. Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures performed and is one of the few procedures performed at critical access and rural hospitals. The accurate estimation of the operative duration of LC is essential for efficient OR utilization. We hypothesize that a multivariate linear regression prediction model can be constructed from a set of preoperatively known, easily collected variables to maximize OR utilization and improve operative scheduling accuracy for LC. We further hypothesize that this model can be implemented in resource-limited environments, such as critical access hospitals.

Operating room efficiency, operating room scheduling, procedure scheduling, laparoscopic cholecystectomy, multivariate regression prediction modeling, linear regression, critical access hospitals, rural hospitals, quality improvement