Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study
<p>Abstract</p> <p>Background</p> <p>Despite dedicated emergency theatre, emergency surgery can be often delayed due to competing urgencies, suggesting a need for innovative theatre time management.</p> <p>Aim</p> <p>To investigate if a change in...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-06-01
|
| Series: | World Journal of Emergency Surgery |
| Online Access: | http://www.wjes.org/content/4/1/22 |
| _version_ | 1831538564735696896 |
|---|---|
| author | Partelli Stefano Beg Sabina Brown Juliette Vyas Soumil Kocher Hemant M |
| author_facet | Partelli Stefano Beg Sabina Brown Juliette Vyas Soumil Kocher Hemant M |
| author_sort | Partelli Stefano |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Despite dedicated emergency theatre, emergency surgery can be often delayed due to competing urgencies, suggesting a need for innovative theatre time management.</p> <p>Aim</p> <p>To investigate if a change in the emergency theatre prioritisation affects outcomes for a common urgent operation such as appendicectomy.</p> <p>Methods</p> <p>We prospectively recorded data from 67 patients undergoing appendicectomy, for two cohorts of patients: before and after change in theatre prioritisation: Group 1 (Jan-Mar) and 2 (Aug-Oct) respectively. Demographic and peri-operative data, time from admission to surgery, postoperative length of stay and total length of stay and complications were compared.</p> <p>Results</p> <p>The two groups were comparable with regards to gender, age, time of admission and histological confirmation of appendicitis. No differences between the two groups were found regarding time from admission to surgery (24.4 (95% CI 11.2;27.6) hours versus 16.1 (95% CI 10.4;21.7) hours, Mann-Whitney U test, p = 0.35), postoperative length of stay (90.8 (95% CI 61.4;120.1) hours versus 70 (95% CI 48.3;91.6) hours, Mann-Whitney U test, p = 0.25) and total length of stay (115.2 (95% CI 84.6;145.7) hours versus 86 (95% CI 61.6;110.4) hours, Mann-Whitney U test, p = 0.07) as well as complication or re-admission rates.</p> <p>Conclusion</p> <p>A change in the emergency theatre prioritisation does not affect outcome for appendicectomy. Provision of a second emergency theatre could be a solution to reduce the delays in acute surgical operations.</p> |
| first_indexed | 2024-12-16T23:26:21Z |
| format | Article |
| id | doaj.art-cc363ccd6a8d484d8fb358162abd619a |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-16T23:26:21Z |
| publishDate | 2009-06-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-cc363ccd6a8d484d8fb358162abd619a2022-12-21T22:12:00ZengBMCWorld Journal of Emergency Surgery1749-79222009-06-01412210.1186/1749-7922-4-22Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort studyPartelli StefanoBeg SabinaBrown JulietteVyas SoumilKocher Hemant M<p>Abstract</p> <p>Background</p> <p>Despite dedicated emergency theatre, emergency surgery can be often delayed due to competing urgencies, suggesting a need for innovative theatre time management.</p> <p>Aim</p> <p>To investigate if a change in the emergency theatre prioritisation affects outcomes for a common urgent operation such as appendicectomy.</p> <p>Methods</p> <p>We prospectively recorded data from 67 patients undergoing appendicectomy, for two cohorts of patients: before and after change in theatre prioritisation: Group 1 (Jan-Mar) and 2 (Aug-Oct) respectively. Demographic and peri-operative data, time from admission to surgery, postoperative length of stay and total length of stay and complications were compared.</p> <p>Results</p> <p>The two groups were comparable with regards to gender, age, time of admission and histological confirmation of appendicitis. No differences between the two groups were found regarding time from admission to surgery (24.4 (95% CI 11.2;27.6) hours versus 16.1 (95% CI 10.4;21.7) hours, Mann-Whitney U test, p = 0.35), postoperative length of stay (90.8 (95% CI 61.4;120.1) hours versus 70 (95% CI 48.3;91.6) hours, Mann-Whitney U test, p = 0.25) and total length of stay (115.2 (95% CI 84.6;145.7) hours versus 86 (95% CI 61.6;110.4) hours, Mann-Whitney U test, p = 0.07) as well as complication or re-admission rates.</p> <p>Conclusion</p> <p>A change in the emergency theatre prioritisation does not affect outcome for appendicectomy. Provision of a second emergency theatre could be a solution to reduce the delays in acute surgical operations.</p>http://www.wjes.org/content/4/1/22 |
| spellingShingle | Partelli Stefano Beg Sabina Brown Juliette Vyas Soumil Kocher Hemant M Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study World Journal of Emergency Surgery |
| title | Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study |
| title_full | Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study |
| title_fullStr | Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study |
| title_full_unstemmed | Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study |
| title_short | Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study |
| title_sort | alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis comparative cohort study |
| url | http://www.wjes.org/content/4/1/22 |
| work_keys_str_mv | AT partellistefano alterationinemergencytheatreprioritisationdoesnotalteroutcomeforacuteappendicitiscomparativecohortstudy AT begsabina alterationinemergencytheatreprioritisationdoesnotalteroutcomeforacuteappendicitiscomparativecohortstudy AT brownjuliette alterationinemergencytheatreprioritisationdoesnotalteroutcomeforacuteappendicitiscomparativecohortstudy AT vyassoumil alterationinemergencytheatreprioritisationdoesnotalteroutcomeforacuteappendicitiscomparativecohortstudy AT kocherhemantm alterationinemergencytheatreprioritisationdoesnotalteroutcomeforacuteappendicitiscomparativecohortstudy |