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Cutting the cost of emergency surgical admissions.
Ann R Coll Surg Engl 1996; 78(4 Suppl):180-3AR

Abstract

Over a one-month period, 207 general surgical emergency admissions (excluding urology) to a district general hospital were audited. The potential to improve the delivery of emergency care and reduce inpatient stay was studied. During the year of study, 44 per cent of all surgical admissions were emergency patients who consumed 61 per cent of inpatient bed days. Most emergency admissions were for gastroenterological problems although patients with arterial disorders tended to have relatively prolonged inpatient stays. Operations were performed in 34 per cent of emergency admissions with six post-operative deaths. Delays in operative treatment were mainly due to waiting for space on scheduled operating lists. A number of post-operative patients remained in hospital over the weekend awaiting discharge on Monday. Most emergency admissions were treated conservatively. Delays in discharge of fit patients occurred whilst the results of inpatient investigations were awaited. Twelve patients were admitted for complications of previous procedures. Emergency patients accounted for over half the inpatient bed days. There is considerable scope for improving the process of delivery of emergency surgical care and reducing inpatient stay.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8943623

Citation

Currie, I C., et al. "Cutting the Cost of Emergency Surgical Admissions." Annals of the Royal College of Surgeons of England, vol. 78, no. 4 Suppl, 1996, pp. 180-3.
Currie IC, Earnshaw JJ, Heather BP. Cutting the cost of emergency surgical admissions. Ann R Coll Surg Engl. 1996;78(4 Suppl):180-3.
Currie, I. C., Earnshaw, J. J., & Heather, B. P. (1996). Cutting the cost of emergency surgical admissions. Annals of the Royal College of Surgeons of England, 78(4 Suppl), pp. 180-3.
Currie IC, Earnshaw JJ, Heather BP. Cutting the Cost of Emergency Surgical Admissions. Ann R Coll Surg Engl. 1996;78(4 Suppl):180-3. PubMed PMID: 8943623.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cutting the cost of emergency surgical admissions. AU - Currie,I C, AU - Earnshaw,J J, AU - Heather,B P, PY - 1996/7/1/pubmed PY - 1996/7/1/medline PY - 1996/7/1/entrez SP - 180 EP - 3 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 78 IS - 4 Suppl N2 - Over a one-month period, 207 general surgical emergency admissions (excluding urology) to a district general hospital were audited. The potential to improve the delivery of emergency care and reduce inpatient stay was studied. During the year of study, 44 per cent of all surgical admissions were emergency patients who consumed 61 per cent of inpatient bed days. Most emergency admissions were for gastroenterological problems although patients with arterial disorders tended to have relatively prolonged inpatient stays. Operations were performed in 34 per cent of emergency admissions with six post-operative deaths. Delays in operative treatment were mainly due to waiting for space on scheduled operating lists. A number of post-operative patients remained in hospital over the weekend awaiting discharge on Monday. Most emergency admissions were treated conservatively. Delays in discharge of fit patients occurred whilst the results of inpatient investigations were awaited. Twelve patients were admitted for complications of previous procedures. Emergency patients accounted for over half the inpatient bed days. There is considerable scope for improving the process of delivery of emergency surgical care and reducing inpatient stay. SN - 0035-8843 UR - https://www.unboundmedicine.com/medline/citation/8943623/Cutting_the_cost_of_emergency_surgical_admissions_ DB - PRIME DP - Unbound Medicine ER -