Impact of the Acute Care Surgery Model on Disease- and Patient-Specific Outcomes in Appendicitis and Biliary Disease: A Meta-Analysis

Murphy, Patrick; DeGirolamo, Kristin; Zyl, Theunis Jean Van; Allen, Laura; Haut, Elliott R.; Leeper, W. Robert; Leslie, Ken; Parry, Neil; Hameed, Morad; Vogt, Kelly

doi:10.1016/j.jamcollsurg.2017.08.026

Cited by 42 publications

(39 citation statements)

References 58 publications

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“…showed that surgeon involvement in the running of emergency theatres resulted in 11.3% better utilization of emergency operating . This would also mean that urgent cases are more likely to be done in‐hours, hence reducing the piling up of emergency cases running through the night . A study in Canada found that the introduction of a dedicated half‐day ASU theatre resulted in shorter time to surgery …”

Section: Review Of Gsa 12‐point Planmentioning

confidence: 99%

“…1 This would also mean that urgent cases are more likely to be done in-hours, hence reducing the piling up of emergency cases running through the night. 3,42,43 A study in Canada found that the introduction of a dedicated half-day ASU theatre resulted in shorter time to surgery. 44 Emergency operations should be performed during the working day unless there is a threat to life, limb or organ…”

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

“…Several systematic reviews have summarized the findings from the various studies. 3,42,43,57 With increasing demand for public hospital acute beds and increasing hospital costs, LOS is regarded as a key indicator for success of the ASU. 8 Studies have shown a reduction in LOS of 1-2 days with the implementation of ASU.…”

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

“…59 Decreased complication rates after appendicectomies and cholecystectomies have been reported with the implementation of ASU. 3,42,43,57 Table 2 summarizes the key findings in the post-ASU era.…”

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

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General Surgeons Australia's 12‐point plan for emergency general surgery

Ang

Wong

Truskett

2019

ANZ Journal of Surgery

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In the last decade, emergency general surgery (EGS) in Australia and New Zealand has seen a transition from the traditional on‐call system to the acute surgical unit (ASU) model. The importance and growing demand for EGS has resulted in the implementation of the General Surgeons Australia's 12‐point plan for emergency surgery. Since its release, the 12‐point plan has been used as a benchmark of a well‐functioning ASU, both locally and abroad. This study aims to provide a descriptive review on the relevance of the 12‐point plan to the ASU model and review the current evidence to support this framework. The review concludes that the establishment of the ASU model has met the aims set out by the Royal Australasian College of Surgeons for EGS. The 12‐point plan is relevant and has good evidence to support its framework.

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Section: Review Of Gsa 12‐point Planmentioning

confidence: 99%

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

Section: Egs Should Be Consultant Ledmentioning

confidence: 99%

See 2 more Smart Citations

General Surgeons Australia's 12‐point plan for emergency general surgery

Ang

Wong

Truskett

2019

ANZ Journal of Surgery

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“…There is good evidence that dedicated EGS surgeons can improve a variety of outcomes for patients with appendicitis [11,12] and gallstone disease [12][13][14][15]. However, a number of papers in the literature express concern about the outcomes of more specialized procedures, particularly colorectal resection [16][17][18][19][20][21] and gastrectomy [22].…”

Section: Introductionmentioning

confidence: 99%

Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey

et al. 2018

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Aim This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies. Method An electronic survey, designed to capture both quantitative and qualitative data, was piloted and then circulated to members of the Association of Coloproctology of Great Britain and Ireland. Results Two hundred and forty‐two responses were received from 848 recipients (a 29% response rate) covering 104 of 135 (77%) acute NHS Trusts in England. EGS surgeons were in post in 43/141 (30%) hospitals overall and 12/24 (50%) of hospitals in London. Most respondents working in units with EGS surgeons found them to be advantageous (46/63, 73%). Consultants working with EGS surgeons were significantly more likely to support their use (49/63, 78%) than those without them (83/178, 47%) (χ2 = 16.9, P < 0.001). EGS surgeons were considered to improve the delivery of EGS (78%), create time for subspecialists (70%) and provide service (73%). However, there were concerns about the quality of surgery (43%), an insufficient standard of specialist care (54%) and compromise in the training of juniors (25%). Respondents commented on a lack of job structure with a high attrition rate (21%), the insufficient quality of applicants (18%) and that subspecialization and split on‐call was preferable (17%). Conclusion Respondents were supportive of the ability of EGS surgeons to relieve pressure on subspecialists; however, there were significant concerns about the sustainability and quality of the EGS surgeon role. Emergency colorectal resections should have the input of a surgeon who performs elective colorectal resections.

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Acute Care Surgical Services: Return to Traditional Surgery as Backbone of the Modern Hospital

Feeney

Latifi

2019

The Modern Hospital

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Impact of the Acute Care Surgery Model on Disease- and Patient-Specific Outcomes in Appendicitis and Biliary Disease: A Meta-Analysis

Cited by 42 publications

References 58 publications

General Surgeons Australia's 12‐point plan for emergency general surgery

General Surgeons Australia's 12‐point plan for emergency general surgery

Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey

Acute Care Surgical Services: Return to Traditional Surgery as Backbone of the Modern Hospital

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