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 journalArticle

17 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 languageEnglish
Pages (from-to)794-799
Number of pages6
JournalAmerican Journal of Surgery
Volume208
Issue number5
DOIs
Publication statusPublished - Nov 1 2014

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Keywords

  • Acute appendicitis
  • Acute care surgery
  • Surgical efficiency
  • Surgical quality

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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