Acute Care Surgery Model for Emergency Cholecystectomy
Journal of Acute Care Surgery
;
(2): 57-61, 2016.
Article
in English
| WPRIM
| ID: wpr-646361
ABSTRACT
PURPOSE:
Acute care surgery (ACS) models have evolved worldwide over the last decade. However, South Korea has an established trauma system and does not consider the ACS model. This study compares the management and outcome of emergency cholecystectomy in the ACS model to those of traditional on-call attending surgeon model for emergency surgery.METHODS:
Retrospectively collected data for patients who underwent emergency cholecystectomy from May 2013 to January 2015 was analyzed to compare data from a traditional on-call system (OCS) and ACS.RESULTS:
One hundred and twenty-four patients were enrolled in the study (62 patients ACS vs. 62 patients OCS). Hospital stay (days) (ACS=4.29±2.49 vs. OCS=4.82±4.48, p=0.46) and stay in emergency room (minutes) (ACS=213.10±113.99 vs. OCS=241.10±150.73, p=0.20) did not differ significantly between groups. Operation time (minutes) was significantly shorter in the ACS than OCS group (389.97±215.21 vs. 566.35±290.14, p<0.001). Other clinical variables (sex, open-conversion rate, whether the operation was performed at night/holiday, intensive care unit admission rate) did not differ between groups. There was no mortality and readmission.CONCLUSION:
The implementation of the ACS led to shorter operation time and no increase of postoperative mortality and complication.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Wounds and Injuries
/
Cholecystectomy
/
Retrospective Studies
/
Mortality
/
Emergencies
/
Emergency Service, Hospital
/
Intensive Care Units
/
Korea
/
Length of Stay
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Acute Care Surgery
Year:
2016
Type:
Article
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