Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis

Chih Yuan Fu; Hung Chang Huang; Ray Jade Chen; Hsun Chung Tsuo; Hsiu Jung Tung

doi:10.1016/j.amjsurg.2013.04.016

Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis

Chih Yuan Fu, Hung Chang Huang, Ray Jade Chen, Hsun Chung Tsuo, Hsiu Jung Tung

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

Abstract

Background Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality.

Methods Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma general surgeon (pre-ACS model). An in-house trauma surgeon treated all patients with trauma or nontrauma abdominal surgical emergencies after the ACS model. Patients with acute appendicitis who underwent appendectomies were included. We conducted a pre- and poststudy to compare the time patients were in the emergency department and surgical qualities.

Results There were 146 and 159 patients enrolled in the pre-ACS model and ACS model, respectively. The overall ED length of stay in the ACS model was significantly shorter than that in the pre-ACS model (300.3 ± 61.7 vs 719.1 ± 339.0 minutes, P

Conclusion The ACS model may improve abdominal surgical efficiency and quality. Our study results echoed the benefits of the implementation of the ACS model shown in North America.

Original language	English
Pages (from-to)	794-799
Number of pages	6
Journal	American Journal of Surgery
Volume	208
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2013.04.016
Publication status	Published - Nov 1 2014

Keywords

Acute appendicitis
Acute care surgery
Surgical efficiency
Surgical quality

ASJC Scopus subject areas

Surgery
Medicine(all)

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10.1016/j.amjsurg.2013.04.016

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title = "Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis",

abstract = "Background Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality.Methods Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma general surgeon (pre-ACS model). An in-house trauma surgeon treated all patients with trauma or nontrauma abdominal surgical emergencies after the ACS model. Patients with acute appendicitis who underwent appendectomies were included. We conducted a pre- and poststudy to compare the time patients were in the emergency department and surgical qualities.Results There were 146 and 159 patients enrolled in the pre-ACS model and ACS model, respectively. The overall ED length of stay in the ACS model was significantly shorter than that in the pre-ACS model (300.3 ± 61.7 vs 719.1 ± 339.0 minutes, P Conclusion The ACS model may improve abdominal surgical efficiency and quality. Our study results echoed the benefits of the implementation of the ACS model shown in North America.",

keywords = "Acute appendicitis, Acute care surgery, Surgical efficiency, Surgical quality",

author = "Fu, {Chih Yuan} and Huang, {Hung Chang} and Chen, {Ray Jade} and Tsuo, {Hsun Chung} and Tung, {Hsiu Jung}",

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AU - Huang, Hung Chang

AU - Chen, Ray Jade

AU - Tsuo, Hsun Chung

AU - Tung, Hsiu Jung

PY - 2014/11/1

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N2 - Background Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality.Methods Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma general surgeon (pre-ACS model). An in-house trauma surgeon treated all patients with trauma or nontrauma abdominal surgical emergencies after the ACS model. Patients with acute appendicitis who underwent appendectomies were included. We conducted a pre- and poststudy to compare the time patients were in the emergency department and surgical qualities.Results There were 146 and 159 patients enrolled in the pre-ACS model and ACS model, respectively. The overall ED length of stay in the ACS model was significantly shorter than that in the pre-ACS model (300.3 ± 61.7 vs 719.1 ± 339.0 minutes, P Conclusion The ACS model may improve abdominal surgical efficiency and quality. Our study results echoed the benefits of the implementation of the ACS model shown in North America.

AB - Background Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality.Methods Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma general surgeon (pre-ACS model). An in-house trauma surgeon treated all patients with trauma or nontrauma abdominal surgical emergencies after the ACS model. Patients with acute appendicitis who underwent appendectomies were included. We conducted a pre- and poststudy to compare the time patients were in the emergency department and surgical qualities.Results There were 146 and 159 patients enrolled in the pre-ACS model and ACS model, respectively. The overall ED length of stay in the ACS model was significantly shorter than that in the pre-ACS model (300.3 ± 61.7 vs 719.1 ± 339.0 minutes, P Conclusion The ACS model may improve abdominal surgical efficiency and quality. Our study results echoed the benefits of the implementation of the ACS model shown in North America.

KW - Acute appendicitis

KW - Acute care surgery

KW - Surgical efficiency

KW - Surgical quality

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Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis

Abstract

Keywords

ASJC Scopus subject areas

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