scholarly journals Impact of COVID-19 on presentation, management, and outcomes of acute care surgery for gallbladder disease and acute appendicitis

2021 ◽  
Vol 13 (8) ◽  
pp. 859-870
Author(s):  
Orly Nadell Farber ◽  
Giselle I Gomez ◽  
Ashley L Titan ◽  
Andrea T Fisher ◽  
Christopher J Puntasecca ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Acute Care ◽  
Gallbladder Disease ◽  
Acute Care Surgery ◽  
Care Surgery

scholarly journals Impact of an acute Care Surgery Model on the Management of acute Appendicitis in South Korea: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Gun-Hee Yi ◽  
Hak-Jae Lee ◽  
Seul Lee ◽  
Jong-Hee Yoon ◽  
Suk-Kyung Hong
Keyword(s):  
Acute Appendicitis ◽  
South Korea ◽  
Hospital Stay ◽  
Acute Care ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Acute Care Surgery ◽  
Medical Procedure ◽  
Complication Rates ◽  
Care Surgery

Abstract Background The acute care surgery (ACS) system is a new model for the prompt management of diseases that require rapid treatment in patients with acute abdomen. This study compared the outcomes and characteristics of the ACS system and traditional on-call system (TROS) for acute appendicitis in South Korea. Methods This single-center, retrospective study included all patients (aged ≥18 years) who underwent surgery for acute appendicitis in 2016 and 2018. The TROS and ACS system were used for the 2016 and 2018 groups, respectively. We retrospectively obtained data on each patient from the electrical medical records. The independent samples t-test and Mann-Whitney U-test were used for continuous and non-normally distributed data, respectively.Results In total, 126 patients were included. The time taken to get from the emergency room admission to the operating room, operation times, and postoperative complication rates were similar between both groups. However, the length of the hospital stay was shorter in the ACS group than in the TROS group (4.3±3.2 days vs. 7.2±9.6 days, p=0.039).Conclusions Since the introduction of the ACS system, the length of hospital stay for surgical patients has decreased. This may be due to the application of an integrated medical procedure, such as a new clinical pathway, rather than differences in the surgical techniques.Trial registration: Retrospectively registered.

Old Dogs and New Tricks: Length of Stay for Appendicitis Improves with an Acute Care Surgery Program and Transition from Private Surgical Practice to Multispecialty Group Practice

2014 ◽  
Vol 80 (12) ◽  
pp. 1250-1255 ◽  
Author(s):  
G. Paul Wright ◽  
Amie M. Ecker ◽  
David J. Hobbs ◽  
Alexander W. Wilkes ◽  
Richard S. Hagelberg ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Acute Appendicitis ◽  
Acute Care ◽  
Private Practice ◽  
Laparoscopic Approach ◽  
Acute Care Surgery ◽  
Group Practice ◽  
Symptom Duration ◽  
Multispecialty Group ◽  
Care Surgery

Acute care surgery (ACS) programs have emerged mainly at academic medical centers to provide timely care for emergency general surgery and trauma patients. We hypothesized that the development of an ACS program in a multispecialty group practice would improve outcomes for patients with acute appendicitis. A retrospective analysis of patients with acute appendicitis was performed in two time periods: 18 months of private practice and the following 12 months with ACS coverage. Length of stay was the primary outcome measure. A total of 871 patients were studied (526 private practice, 345 ACS). The ACS group had a greater proportion of laparoscopic appendectomies ( P < 0.001) and more transitions in care between surgeons ( P < 0.001). Length of stay was shorter in the ACS group (1.6 ± 1.5 [mean ± standard deviation] vs 1.9 ± 2.4 days, P = 0.01) and a greater proportion of surgeries were performed during the daytime (44.9 vs 36.6%, P = 0.02). Multivariate analysis demonstrated length of stay was related to appendicitis grade ( P < 0.001), American Society of Anesthesiologists class ( P < 0.001), symptom duration ( P = 0.001), and laparoscopic approach ( P < 0.001). The initial transition from private practice to ACS resulted in decreased length of stay with no increase in morbidity related to transitions of surgical care in patients with appendicitis.

Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis

2014 ◽  
Vol 208 (5) ◽  
pp. 794-799 ◽  
Author(s):  
Chih-Yuan Fu ◽  
Hung-Chang Huang ◽  
Ray-Jade Chen ◽  
Hsun-Chung Tsuo ◽  
Hsiu-Jung Tung
Keyword(s):  
Surgical Treatment ◽  
Acute Appendicitis ◽  
Acute Care ◽  
Acute Care Surgery ◽  
Care Surgery

Management of Acute Appendicitis by an Acute Care Surgery Service: Is Operative Intervention Timely?

2008 ◽  
Vol 207 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Akpofure Peter Ekeh ◽  
Benjamin Monson ◽  
Curtis J. Wozniak ◽  
Matthew Armstrong ◽  
Mary C. McCarthy
Keyword(s):  
Acute Appendicitis ◽  
Acute Care ◽  
Operative Intervention ◽  
Acute Care Surgery ◽  
Care Surgery

scholarly journals Impact of an Acute Care Surgery Model on the Management of Acute Appendicitis in South Korea: A Retrospective Cohort Study

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Gun-Hee Yi ◽  
Hak-Jae Lee ◽  
Seul Lee ◽  
Jong-Hee Yoon ◽  
Suk-Kyung Hong
Keyword(s):  
Acute Appendicitis ◽  
South Korea ◽  
Hospital Stay ◽  
Acute Care ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Acute Care Surgery ◽  
Medical Procedure ◽  
Complication Rates ◽  
Care Surgery

Background. The acute care surgery (ACS) system is a new model for the prompt management of diseases that require rapid treatment in patients with acute abdomen. This study compared the outcomes and characteristics of the ACS system and traditional on-call system (TROS) for acute appendicitis in South Korea. Methods. This single-center, retrospective study included all patients (aged ≥18 years) who underwent surgery for acute appendicitis in 2016 and 2018. The TROS and ACS system were used for the 2016 and 2018 groups, respectively. We retrospectively obtained data on each patient from the electrical medical records. The independent samples t-test and Mann–Whitney U-test were used for continuous and nonnormally distributed data, respectively. Results. In total, 126 patients were included. The time taken to get from the emergency room admission to the operating room, operation times, and postoperative complication rates were similar between both groups. However, the length of the hospital stay was shorter in the ACS group than in the TROS group (4.3 ± 3.2 days vs. 7.2 ± 9.6 days, p = 0.039 ). Conclusions. Since the introduction of the ACS system, the length of hospital stay for surgical patients has decreased. This may be due to the application of an integrated medical procedure, such as a new clinical pathway, rather than differences in the surgical techniques.

scholarly journals Impact of an acute Care Surgery Model on the Management of acute Appendicitis in South Korea: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Gun-Hee Yi ◽  
Hak-Jae Lee ◽  
Seul Lee ◽  
Jong-Hee Yoon ◽  
Suk-Kyung Hong
Keyword(s):  
Acute Appendicitis ◽  
South Korea ◽  
Hospital Stay ◽  
Acute Care ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Acute Care Surgery ◽  
Medical Procedure ◽  
Complication Rates ◽  
Care Surgery

Abstract BackgroundThe acute care surgery (ACS) system is a new model for the prompt management of diseases that require rapid treatment in patients with acute abdomen. This study compared the outcomes and characteristics of the ACS system and traditional on-call system (TROS) for acute appendicitis in South Korea.MethodsThis single-center, retrospective study included all patients (aged ≥18 years) who underwent surgery for acute appendicitis in 2016 and 2018. The TROS and ACS system were used for the 2016 and 2018 groups, respectively. We retrospectively obtained data on each patient from the electrical medical records. The independent samples t-test and Mann-Whitney U-test were used for continuous and non-normally distributed data, respectively.ResultsIn total, 126 patients were included. The time taken to get from the emergency room admission to the operating room, operation times, and postoperative complication rates were similar between both groups. However, the length of the hospital stay was shorter in the ACS group than in the TROS group (4.3±3.2 days vs. 7.2±9.6 days, p=0.039).ConclusionsSince the introduction of the ACS system, the length of hospital stay for surgical patients has decreased. This may be due to the application of an integrated medical procedure, such as a new clinical pathway, rather than differences in the surgical techniques.Trial registration: Retrospectively registered.

scholarly journals Impact of an acute Care Surgery Model on the Management of acute Appendicitis in South Korea: A Retrospective Cohort Study

2020 ◽  
Author(s):  
Gun-Hee Yi ◽  
Hak-Jae Lee ◽  
Seul Lee ◽  
Jong-Hee Yoon ◽  
Suk-Kyung Hong
Keyword(s):  
Acute Appendicitis ◽  
South Korea ◽  
Hospital Stay ◽  
Acute Care ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Acute Care Surgery ◽  
Medical Procedure ◽  
Complication Rates ◽  
Care Surgery

Abstract BackgroundThe acute care surgery (ACS) system is a new model for the prompt management of diseases that require rapid treatment in patients with acute abdomen. This study compared the outcomes and characteristics of the ACS system and traditional on-call system (TROS) for acute appendicitis in South Korea. MethodsThis single-center, retrospective study included all patients (aged ≥18 years) who underwent surgery for acute appendicitis in 2016 and 2018. The TROS and ACS system were used for the 2016 and 2018 groups, respectively. We retrospectively obtained data on each patient from the electrical medical records. The independent samples t-test and Mann-Whitney U-test were used for continuous and non-normally distributed data, respectively.ResultsIn total, 126 patients were included. The time taken to get from the emergency room admission to the operating room, operation times, and postoperative complication rates were similar between both groups. However, the length of the hospital stay was shorter in the ACS group than in the TROS group (4.3±3.2 days vs. 7.2±9.6 days, p=0.039).ConclusionsSince the introduction of the ACS system, the length of hospital stay for surgical patients has decreased. This may be due to the application of an integrated medical procedure, such as a new clinical pathway, rather than differences in the surgical techniques.Trial registration: Retrospectively registered.

scholarly journals Acute Care Surgery Billing, Coding and Documentation Series Part 3: Coding of Additional Select Procedures; Modifiers; Telemedicine Coding; Robotic Surgery

2020 ◽  
Vol 5 (1) ◽  
pp. e000587
Author(s):  
Thomas Esposito ◽  
Robert Reed ◽  
Raeanna C Adams ◽  
Samir Fakhry ◽  
Dolores Carey ◽  
...  
Keyword(s):  
Complex System ◽  
Robotic Surgery ◽  
Acute Care ◽  
Acute Care Surgery ◽  
Formal Training ◽  
Experienced Surgeon ◽  
Care Surgery

This series of reviews has been produced to assist both the experienced surgeon and coder, as well as those just starting practice that may have little formal training in this area. Understanding this complex system will allow the provider to work “smarter, not harder” and garner the maximum compensation for their work. We hope we have been successful in achieving and that goal that this series will provide useful information and be worth the time invested in reading it by bringing tangible benefits to the efficiency of practice and its reimbursement. This third section deals with coding of additional select procedures, modifiers, telemedicine coding, and robotic surgery.

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