Navigation Links
Urgent assessment in emergency departments can reduce surgical decision time and overcrowding
Date:8/8/2011

CHICAGO (August 8, 2011) The use of Acute Care Emergency Surgical Service (ACCESS) in emergency departments (EDs) can lead to significant reductions in key patient measures, such as length of stay, surgical decision-making time and "time-to-stretcher" (one measure of overall ED overcrowding), according to a study published in the August issue of the Journal of the American College of Surgeons. Emergency departments are a crucial point of access to the health care system for patients with a broad spectrum of injuries and illnesses, and overcrowding has been identified as a widespread and serious problem with adverse consequences, both in the United States and Canada.

"This study is the first to show that the establishment of an acute care surgery service can improve overall ED overcrowding by decreasing surgical decision time for all general surgery patients," said Homer Tien, MD, MSc, FACS, FRCSC and associate scientist at the Sunnybrook Health Sciences Centre, University of Toronto, and a senior author of the study. "In the past five years, there has been a groundswell of support in both Canada and in the U.S. for establishment of these services for various reasons, such as the growing difficulty of treating acute surgical conditions and a decrease in operative trauma surgical cases."

The researchers found that implementation of ACCESS was associated with a 15 percent reduction in surgical decision time (12.6 hours vs. 10.8 hours, p < 0.01) and a 20 percent decrease in the average "time-to-stretcher" for all ED patients. The researchers also focused on an isolated group of appendicitis cases and found ACCESS service reduced surgical decision time by 30 percent for these patients. The study was performed between January 1, 2007, and June 30, 2009, at Sunnybrook Health Sciences Centre, a large academic hospital located in Toronto that receives approximately 42,000 ED visits annually. ACCESS was implemented in the ED on July 1, 2008 and 2,510 patients took part in the study. There were 1,448 patients studied pre-ACCESS and 1,062 studied post-ACCESS implementation. The primary study outcome was surgical decision time; the secondary outcome was a measure of overall ED overcrowding.

In order to better understand the key factors contributing to overcrowding, study authors developed a conceptual model that partitioned ED overcrowding into three interdependent components: input, throughput and output. The input component refers to factors that contribute to the volume of care delivered in the ED. The throughput component refers to factors that contribute to the amount of time a patient spends in the ED. The two main options for output are admission to a hospital bed or discharge. The inability to move patients from the ED to an inpatient bed is considered one of the major contributing factors to ED overcrowding.

Acute care surgery is defined as the urgent assessment and treatment of non-trauma general surgical emergencies (i.e., appendicitis, diverticulitis, bowel obstruction, bilary disease, postoperative complications).


'/>"/>

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

Related medicine news :

1. Urgent need to prepare developing countries for surge in e-wastes: UN
2. U.S. Senate Urgently Needs to Extend Medicaid Match in Economic Recovery Legislation
3. Urgent Care Wait Times Will Be Posted On the Web and Available From an iPhone
4. WebForDoctors' Medical Content Pages Direct Patients to Urgent Care Centers as Alternatives to Emergency Rooms
5. Vitamin D deficiency in pregnant Arab women requires urgent attention
6. Urgent Nuclear Stress Test Lab Costs Reductions for Physician Practices in Need
7. Experts call for urgent action to tackle strong links between impotence and heart disease
8. Urgent need for prostate cancer screening amongst Dutch men
9. Urgent steps needed to tackle inadequate support for women with secondary breast cancer
10. MEPs and health professionals call for urgent action to tackle chronic diseases
11. Scientists seek urgent treatment for fatal sleeping sickness
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... ... December 08, 2016 , ... The Dianne Michael Insurance ... in Hamilton County, is embarking on a charity drive with the aim of ... homes for orphaned or neglected senior dogs in the Cincinnati region, and LuvFurMutts ...
(Date:12/8/2016)... (PRWEB) , ... December 08, 2016 , ... Coppin Insurance ... owners and families in and around the Cape Coral area, is embarking on a ... Food Bank of Southwest Florida. , The Harry Chapin Food Bank of Southwest Florida ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... families and business owners in and around central Kansas, is joining the Youth ... youth in the region. , Headquartered in Wichita, Youth Horizons works to empower ...
(Date:12/7/2016)... ... December 07, 2016 , ... "Today, MHA ... most comprehensive mental health systems reform legislation in more than fifty years. We ... the commitment of our elected officials to improving mental health services and supports ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... and deep lines by smoothing and tightening the skin of the face to ... to address facial aging with very little downtime, Silhouette Instalift is a novel, ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... QUEBEC CITY , Dec. 8, 2016 /PRNewswire/ ... key US patents for improving the accuracy, reproducibility ... CD images in long and small bone orthopaedic ... proprietary approach to creating personalized orthopaedic restorations based ... create personalized orthopaedic restorations, the company harnesses the ...
(Date:12/8/2016)... , Dec. 8, 2016  A new study ... that the use of opioid therapy to treat chronic ... the likelihood of more harmful consequences, including death. ... M.D., and Zankhana Mehta , M.D., authored the ... on chronic opioid therapy. The study was published in ...
(Date:12/8/2016)... 2016 Information products and services provider ... Scopus , the world,s largest abstract and citation database of ... for journals from over 5,000 publishers. The new set of metrics ... to and when to adjust a journal,s editorial strategy. ... , , ...
Breaking Medicine Technology: