Navigation Links
Implementation of acute care surgery service provides more timely patient care
Date:10/9/2009

CHICAGO (October 9, 2009) A new study published in the October issue of the Journal of the American College of Surgeons shows that the establishment of an acute care surgery service can help surgeons at academic medical centers provide more timely care to the growing number of patients who are transferred from the emergency room or smaller hospitals and who require an immediate operation.

Lack of access to high-quality acute surgical care is a growing problem in the United States due to numerous factors, including a shortage of surgeons and declining reimbursement associated with increasing numbers of uninsured patients. Further, general surgeons are increasingly subspecializing, resulting in difficulty providing expert care for emergency cases outside the realm of the surgeon's specialty. With an increased demand for surgical services, usually in the face of fewer resources, a new model is necessary to serve the needs of patients requiring nonscheduled, immediate surgical intervention.

"The results of this study suggest that an acute surgery service operating largely during daytime hours can provide more efficient emergency care without disrupting the treatment of patients undergoing scheduled operations," said Rebecca C. Britt, MD, FACS, assistant professor, department of surgery, Eastern Virginia Medical School (EVMS), Norfolk. "These findings argue for the establishment of dedicated acute surgical teams separate from trauma services."

The authors retrospectively reviewed a prospective database of 861 patients receiving consultations and procedures performed by an acute care surgery service at EVMS. The service was staffed by six board-certified critical care surgeons and two surgical residents. All emergency department, inpatient and transfer consultations for general surgery were directed to the acute surgery service. Trauma service was separate from the acute care surgery service. Data was reviewed for two time periods, prior to implementation and following implementation, from July 2006 to March 2008.

Of the 410 patients who had 500 operations, 72.8 percent were performed in the operating room (n=368) and 26.2 percent at the bedside (n=132). In the year before implementation of the acute surgery service, 55.4 percent of urgent and emergent procedures were performed between 7:30 a.m. and 5:30 p.m., compared with 70 percent after implementation (p=0.0002). Procedures performed after 5:30 p.m. decreased from 44.6 percent to 30 percent following implementation of the service.

Researchers said that the shift in operations from after hours to daytime hours was accomplished by assigning an attending surgeon to cover those procedures that could wait until daytime (for example, gallbladder removal), without compromising the emergency coverage for those patients who required immediate operations. This approach allowed operations to proceed as openings in the daily operating room schedule developed, rather than as add-on procedures performed at the end of the day or into the night.

The most common cases that required treatment by the acute surgery service were respiratory failure and malnutrition (n=130), soft-tissue infection (n=115), abdominal pain (n=97), biliary complications (n=94) and bowel obstruction (n=78). The most common operations performed included creating a surgical opening in the trachea or stomach for insertion of tubes, or both (n=125); incision and drainage (n=61); gallbladder removal (n=53); and complex abdominal wound care (n=43).


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Sun Life Family Health Center Adopts InteGreat EHR(TM) for Implementation of Browser-Based EHR
2. A consistent decline in heart attack rates following the implementation of smoking bans
3. InfoLogix Selected by Albert Einstein Healthcare Network for eLearning Modules to Support EMR Implementation
4. IPRO Wins Knowledge Transfer/Implementation Federal Contract From AHRQ
5. Max Healthcare of India Selects Perot Systems for Over Rs. 90 Crores ($18 Million) 10-year IT Services and Electronic Health Records Implementation
6. HIMSS Electronic Health Record Association Applauds Federal Support of EHR Implementation for Hospitals and Physician Practices
7. Healthcare Providers Rank CSC First in ERP Implementations
8. Quark Pharmaceuticals to Participate in IBCs Oligonucleotide Therapeutics: From Concept to Implementation Conference
9. Healthcare Informatics Associates, an InfoLogix Company, Selected by Hilo Medical Center for MEDITECH 6.0 EMR Implementation
10. Biostar Pharmaceuticals, Inc. Commences the Full Implementation of New Rural Cooperative Supply Network Plan
11. Frost & Sullivan European Gastroenterology Technology Implementation of the Year Award Bestowed on Crospon
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... STAMFORD, CONNECTICUT (PRWEB) , ... April 29, 2016 , ... ... 5K Run/Walk” at Cove Island Park on Sunday, with sunny skies, a light breeze ... event, raising nearly $33,000. , The 5k Run and Walk and 1-mile ...
(Date:4/29/2016)... Philadelphia, PA (PRWEB) , ... April 29, 2016 ... ... Pennsylvania announced that student team BioCellection won the $30,000 Perlman Grand Prize of ... Impact Prize, the Gloeckner Undergraduate Award, the Michelson People’s Choice Award, and the ...
(Date:4/29/2016)... ... ... is the deadliest type of skin cancer. Although only about 1 percent of skin cancer ... than 10,000 people are expected to die of melanoma this year. The risk increases with ... the most commonly diagnosed cancers in young women. A recent breakthrough in genetic studies may ...
(Date:4/29/2016)... ... April 29, 2016 , ... For those who skip ... meal to miss. That was among the many new lifestyle diet tips offered by ... Sharon Kleyne Hour® Power of Water® radio show. Bonny and Lawrence noted that because ...
(Date:4/29/2016)... ... April 29, 2016 , ... CURE Media Group , ... with cancer, today announced that Lynne Malestic, RN, of Eisenhower Lucy Curci Cancer ... Healer® for Oncology Nursing , which honors nurses who have dedicated their careers ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... 2016 Interview ... Sanofi, leader mondial et diversifié ... pour le premier trimestre 2016. Le ... commente les résultats du premier trimestre ... le reste de l,année. ...
(Date:4/28/2016)... , April 28, 2016  While Abbott,s ... complement the company,s valve repair and stent business, ... also places Abbott more firmly into patient monitoring.  ... the fastest growing device areas, with double-digit growth ... recent report,  Advanced Remote Patient Monitoring ...
(Date:4/28/2016)... , April 28, 2016  The blood testing ... million dollars, according to Kalorama Information and The Freedonia ... immunoassays and nucleic acid testing.  The healthcare research firm ... progress in developing blood collection stations and in improving ... in Kalorama Information,s report, Blood Testing Market ...
Breaking Medicine Technology: