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

Abstract

Objective

The lack of clarity regarding the application performance of a hybrid operating room (HOR) and the uncertainty of surgical scheduling often led 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.

Keywords

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

© The Author(s), under exclusive licence to Huazhong University of Science and Technology 2025

Acknowledgements The authors thank all participants in this study.

Author Contributions Wei-yu Sun, Yu Feng and Jin Yu contributed to conceptualization, methodology, investigation, writing-original draft preparation of the study. Jin-cao Chen, Wen-yuan Zhao, and Xiang Li contributed to methodology of the study. Jin-cao Chen and Wen-yuan Zhao contributed to supervision and project administration of the study. Ting-bao Zhang and Yi-hui Ma contributed to writing-review and editing of the data. Kun-xian Zhang, Xi-qian Gu, Min Niu contributed to data curation. All authors read and approved the final manuscript.

Funding This study was supported by the Technology Innovation Special Major Project of Hubei Province (grant number 2022BCA003).

Data availability statement All data generated or analysed during this study are included in the final manuscript.

Declarations

Conflict of interest The authors declare that the study was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Ethical Statement Ethical approval was obtained from the Zhongnan Hospital Ethics Committee (approval number: 2023127 K). Owing to the retrospective nature of this study, formal consent was not required from each patient.

Consent for Publication All authors agreed to submit the final manuscript for publication.

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