Scoring the Clinical Application of a Novel Scale in a Hybrid Operating Room for Neurosurgery. - National Genomics Data Center (CNCB-NGDC)

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Scoring the Clinical Application of a Novel Scale in a Hybrid Operating Room for Neurosurgery.

Wei-Yu Sun, Yu Feng, Jin Yu, Ting-Bao Zhang, Yi-Hui Ma, Kun-Xian Zhang, Xi-Qian Gu, Min Niu, Xiang Li, Jin-Cao Chen, Wen-Yuan Zhao

Author Information

Wei-Yu Sun: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Yu Feng: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Jin Yu: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Ting-Bao Zhang: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Yi-Hui Ma: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Kun-Xian Zhang: Department of Anesthesia, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Xi-Qian Gu: Department of Anesthesia, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Min Niu: Department of Anesthesia, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Xiang Li: Brain Research Center, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Jin-Cao Chen: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China. chenjincao2012@163.com.
Wen-Yuan Zhao: Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China. zhaowenyuan2021@163.com. ORCID

PMID: 40100554 DOI: 10.1007/s11596-025-00015-5

OBJECTIVE: The lack of clarity regarding the application performance of a hybrid operating room (HOR) and the uncertainty of surgical scheduling often lead to its inefficient application. This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.
METHODS: We reviewed the operating procedures and duration of stay in 1865 HOR cases. The actual procedures of each case were summarized into 5 application types, and numerical assignment was used to distinguish the dependence of each type on our HOR: surgical procedures combined with interventional procedures (4 points, the highest dependence), surgical procedures combined with imaging procedures (3 points), interventional procedures (2 points), imaging procedures (1 point), and surgical procedures (0 points, the lowest dependence).
RESULTS: A novel scale that could score 1865 cases into those 5 grades was developed. The percentages by grade were as follows: 4 points, 4.24%; 3 points, 4.88%; 2 points, 20.75%; 1 point, 69.38%; and 0 points, 0.75%. The cumulative usage time was 4241.9 h, the duration of which was as follows: 4 points, 16.17%; 3 points, 15.50%; 2 points, 31.32%; 1 point, 35.62%; and 0 points, 1.39%.
CONCLUSIONS: The HOR serves as a multifunctional room to treat neurosurgical diseases. The scale helps to quickly prioritize cases that rely more on HOR, providing guidelines for surgical scheduling. Although our HOR is unsuitable for emergency cases, it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.

Hybrid operating room Imaging procedures Interventional procedures Neurosurgical diseases Open surgical procedures Score scale

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2022BCA003/Hubei Technological Innovation Special Fund

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