Acute surgical unit safely reduces unnecessary after-hours cholecystectomy

Thomas Surya Suhardja; Lily Bae; Edward Zhenyu Seah; Paul Cashin; Daniel Gerald Croagh

doi:10.1308/rcsann.2015.0035

Acute surgical unit safely reduces unnecessary after-hours cholecystectomy

Thomas Surya Suhardja, Lily Bae, Edward Zhenyu Seah, Paul Cashin, Daniel Gerald Croagh

Surgery Monash Health

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

8 Citations (Scopus)

Abstract

Introduction: The acute surgical model has been trialled in several institutions with mixed results. The aim of this study was to determine whether the acute surgical model provides better outcomes for patients with acute biliary presentation, compared with the traditional emergency surgery model of care. Methods: A retrospective review was carried out of patients who were admitted for management of acute biliary presentation, before and after the establishment of an acute surgical unit (ASU). Outcomes measured were time to operation, operating time, after-hours operation (6pm - 8am), length of stay and surgical complications. Results: A total of 342 patients presented with acute biliary symptoms and were managed operatively. The median time to operation was significantly reduced in the ASU group (32.4 vs 25.4 hours, p=0.047), as were the proportion of operations performed after hours (19.5 vs 2.5 , p

Original language	English
Pages (from-to)	568 - 573
Number of pages	6
Journal	Annals of the Royal College of Surgeons of England
Volume	97
Issue number	8
DOIs	https://doi.org/10.1308/rcsann.2015.0035
Publication status	Published - 2015

Access to Document

10.1308/rcsann.2015.0035

RM sElocation

Cite this

@article{cd879c18e8894cc6be95320fda1ddab6,

title = "Acute surgical unit safely reduces unnecessary after-hours cholecystectomy",

abstract = "Introduction: The acute surgical model has been trialled in several institutions with mixed results. The aim of this study was to determine whether the acute surgical model provides better outcomes for patients with acute biliary presentation, compared with the traditional emergency surgery model of care. Methods: A retrospective review was carried out of patients who were admitted for management of acute biliary presentation, before and after the establishment of an acute surgical unit (ASU). Outcomes measured were time to operation, operating time, after-hours operation (6pm - 8am), length of stay and surgical complications. Results: A total of 342 patients presented with acute biliary symptoms and were managed operatively. The median time to operation was significantly reduced in the ASU group (32.4 vs 25.4 hours, p=0.047), as were the proportion of operations performed after hours (19.5 vs 2.5 , p",

author = "Suhardja, {Thomas Surya} and Lily Bae and Seah, {Edward Zhenyu} and Paul Cashin and Croagh, {Daniel Gerald}",

year = "2015",

doi = "10.1308/rcsann.2015.0035",

language = "English",

volume = "97",

pages = "568 -- 573",

journal = "Annals of the Royal College of Surgeons of England",

issn = "0035-8843",

publisher = "The Royal College of Surgeons of England",

number = "8",

}

TY - JOUR

T1 - Acute surgical unit safely reduces unnecessary after-hours cholecystectomy

AU - Suhardja, Thomas Surya

AU - Bae, Lily

AU - Seah, Edward Zhenyu

AU - Cashin, Paul

AU - Croagh, Daniel Gerald

PY - 2015

Y1 - 2015

N2 - Introduction: The acute surgical model has been trialled in several institutions with mixed results. The aim of this study was to determine whether the acute surgical model provides better outcomes for patients with acute biliary presentation, compared with the traditional emergency surgery model of care. Methods: A retrospective review was carried out of patients who were admitted for management of acute biliary presentation, before and after the establishment of an acute surgical unit (ASU). Outcomes measured were time to operation, operating time, after-hours operation (6pm - 8am), length of stay and surgical complications. Results: A total of 342 patients presented with acute biliary symptoms and were managed operatively. The median time to operation was significantly reduced in the ASU group (32.4 vs 25.4 hours, p=0.047), as were the proportion of operations performed after hours (19.5 vs 2.5 , p

AB - Introduction: The acute surgical model has been trialled in several institutions with mixed results. The aim of this study was to determine whether the acute surgical model provides better outcomes for patients with acute biliary presentation, compared with the traditional emergency surgery model of care. Methods: A retrospective review was carried out of patients who were admitted for management of acute biliary presentation, before and after the establishment of an acute surgical unit (ASU). Outcomes measured were time to operation, operating time, after-hours operation (6pm - 8am), length of stay and surgical complications. Results: A total of 342 patients presented with acute biliary symptoms and were managed operatively. The median time to operation was significantly reduced in the ASU group (32.4 vs 25.4 hours, p=0.047), as were the proportion of operations performed after hours (19.5 vs 2.5 , p

UR - http://www.ncbi.nlm.nih.gov/pubmed/26492901

U2 - 10.1308/rcsann.2015.0035

DO - 10.1308/rcsann.2015.0035

M3 - Article

VL - 97

SP - 568

EP - 573

JO - Annals of the Royal College of Surgeons of England

JF - Annals of the Royal College of Surgeons of England

SN - 0035-8843

IS - 8

ER -