Past, present, and future of Emergency General Surgery in the USA

Lyu, Heather; Najjar, Peter A.; Havens, Joaquim M.

doi:10.1002/ams2.327

Cited by 44 publications

(22 citation statements)

References 21 publications

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“…The provision of high quality and safe EGS care is a complex matter impacted by multifarious elements [27]. Not least among these is lack of access to the type of thorough and pragmatic datasets outlined above by Lyu et al [26]. This point has been previously supported by the American College of Surgeons (2013) in stating the case for a redesign of surgical care through the use of clinical registries.…”

Section: Egs Registrymentioning

confidence: 97%

“…In a recent examination of the past, present, and future of Emergency General Surgery in the USA, Lyu et al [26] outline the significance of prospectively collected clinical data in order to suitably risk-adjust for the disparate EGS patient population. It is contended that the initiation of a robust EGS registry will facilitate both researchers and surgeons to engage in large, risk-adjusted studies to generate EGS-specific benchmarks and risk stratification systems.…”

Section: Egs Registrymentioning

confidence: 99%

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Time for metrics in emergency surgical care – the role of an emergency surgery registry

Parlour¹,

Johnson²,

Loughlin³

et al. 2019

ait

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One of the major challenges for health services worldwide is managing the variations in care delivery associated with emergency general surgery (EGS) [1, 2]. Frequently, the standards of care delivered to these patient groups are considered to be suboptimal and heuristic [3, 4]. Patients with emergency surgical conditions need prompt attention, early diagnosis, and excellence in treatment to ensure good outcomes. To achieve these goals, a system with adequate planning, resourcing, and monitoring has to be in place. There is abundant local, national, and international evidence that clinical decision-making in EGS is frequently sub-optimal,

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Section: Egs Registrymentioning

confidence: 97%

Section: Egs Registrymentioning

confidence: 99%

Time for metrics in emergency surgical care – the role of an emergency surgery registry

Parlour¹,

Johnson²,

Loughlin³

et al. 2019

ait

View full text Add to dashboard Cite

show abstract

“…Although emergency general surgery (EGS) and trauma patients have always been an integral part of surgical care, the field of acute care surgery (ACS) as a surgical specialty is a relatively new concept. ACS was initially proposed in 2005 as an innovative model of care to facilitate timely and high-quality EGS care along with trauma and surgical critical care 1 . Prior studies have demonstrated the ACS model can improve work flow and provide more effective delivery of care for patients with common urgent general surgery diagnoses without an increased rate of complications 2 .…”

Section: Introductionmentioning

confidence: 99%

A special acute care surgery model for dealing with dilemmas involved in emergency department in China

Yin

Hou

et al. 2021

Sci Rep

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There was a fast growth in the number and the formation of emergency department (ED) visits in China during the twenty-first century. As a result, engaging special medical model will be essential to decompressing the ED visits. To do this, it will be important to understand which specific aspects to focus interventions on for the greatest impact. To characterize the emergency surgery patients who were seen and discharged from ED. Retrospective cohort study of hospitalized emergency surgery patients currently under the care from specialists presenting to an urban, university affiliated hospital between 01 January 2018 and 1 January 2019. This study will highlight some of the controversies and challenges and key lessons learned. During the study period there were 231,229 ED visits; 4100 of these patients were admitted for Acute care surgery (ACS) service. Multivariate analysis identified age ≧ 65 (p = 0.023; odds ratio, OR = 2.66), ACS model (p = 0.000, OR = 0.18), ICU stay (p = 0.000, OR = 118.73) as factors associated with in-hospital mortality. There was a increase in length of stay between young and elderly postoperative patients when stratifying patients by age (11.67 ± 9.48 vs 13.95 ± 9.11 p < 0.05). ED overcrowding is not just an ED problem. ED overcrowding is a systems problem requiring a systematic facility-wide multidisciplinary response. Continuous and high-quality surveillance data across China are needed to estimate the acute care surgery model which used to deal with ED overcrowding.

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“…Although emergency general surgery (EGS) and trauma patients have always been an integral part of surgical care, the eld of acute care surgery (ACS) as a surgical specialty is a relatively new concept. ACS was initially proposed in 2005 as an innovative model of care to facilitate timely and high-quality EGS care along with trauma and surgical critical care [1] . Prior studies have demonstrated the ACS model can improve work ow and provide more effective delivery of care for patients with common urgent general surgery diagnoses without an increased rate of complications [2] .…”

Section: Introductionmentioning

confidence: 99%

A special acute care surgery model in China: How to improve the efficiency of emergency clinical diagnosis and treatment.

Yin

Hou

et al. 2020

Preprint

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Background There was a fast growth in the number and the formation of ED visits in China during the twenty-first century. As a result, engaging special medical model will be essential to decompressing the ED visits. To do this, it will be important to understand which specific aspects to focus interventions on for the greatest impact. Methods To characterize the emergency surgery patients who were seen and discharged from ED. Retrospective cohort study of hospitalized emergency surgery patients currently under the care from specialists presenting to an urban, university affiliated hospital between 01 January 2018 and 1 January 2019. This study will highlight some of the controversies and challenges and key lessons learned. Results During the study period there were 231,229 ED visits; 4,100 of these patients were admitted for ACS service. Multivariate analysis identified age ≧ 65 (p = 0.023; odds ratio, OR = 2.66), ACS model (p = 0.000, OR = 0.18), ICU stay (p = 0.000, OR = 118.73) as factors associated with in-hospital mortality. There was a increase in LOS between young and elderly postoperative patients when stratifying patients by age(11.67 ± 9.48 vs 13.95 ± 9.11 p < 0.05). we first came up with this concept of Fast Track Acute Care Surgery. Conclusions ED overcrowding is not just an ED problem. ED overcrowding is a systems problem requiring a systematic facility-wide multidisciplinary response. Continuous and high-quality surveillance data across China are needed to estimate the emerging FTACS model which used to deal with ED overcrowding. Trial registration: retrospectively registered

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Past, present, and future of Emergency General Surgery in the USA

Cited by 44 publications

References 21 publications

Time for metrics in emergency surgical care – the role of an emergency surgery registry

Time for metrics in emergency surgical care – the role of an emergency surgery registry

A special acute care surgery model for dealing with dilemmas involved in emergency department in China

A special acute care surgery model in China: How to improve the efficiency of emergency clinical diagnosis and treatment.

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