10 Years of Acute Care Surgery: Experiences in a Single Tertiary University Hospital in Korea

Tae Hyun Kim; Jung Yun Park; Yun Tae Jung; Seung-Hwan Lee; Myung Jae Jung; 이재길

추천

검색

자료유형: 학술저널

저자정보: Tae Hyun Kim (Yonsei University) Jung Yun Park (Andong Medical Group hospital) Yun Tae Jung (Yonsei University) Seung-Hwan Lee (Yonsei University) Myung Jae Jung (Myongji Hospital) 이재길 (연세대학교)

저널정보: 대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.10 No.3

발행연도: 2020.1

수록면: 96 - 100 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Acute care surgery (ACS) has been shown to improve patient outcome and treatmentefficiency in the U.S. ACS was introduced to the Department of Surgery, Yonsei University College ofMedicine, Seoul to solve the problems associated with delays in surgical evaluation of non-traumapatients who needed emergency surgery, and to offer exposure to a wide variety of surgical casesto general surgical fellows and residents. The objective of this study was to describe the 10-yearexperience of the ACS department in a single center. Methods: A retrospective chart review was conducted at the Department of Surgery, YonseiUniversity College of Medicine, Seoul, for all patients admitted from March 2008 to February 2018. Patients were grouped into either the trauma or non-trauma group, and were further classifiedaccording to their diagnosis, and the type of operations they had undergone. Results: There was a total of 2,805 patients, including 1,001 trauma patients and 1,804 non-traumapatients. The average hospital length of stay was 14 days and the total in-hospital mortality rate was3.6%. Trauma mechanisms included blunt (92.6%), penetrating (7.0%) and burn (0.4%) trauma. Themajority of non-trauma patients were admitted for appendicitis (37.1%), followed by cholecystitis(21.7%). There was a total of 1,561 operations conducted. The most frequent operations wereappendectomy (38.3%) and cholecystectomy (19.5%), followed by adhesiolysis (7.8%). Conclusion: A working ACS department has been implemented in a Korean medical center.

#critical care #hospital stay #surgery #trauma.

참고문헌 (14)

참고문헌 신청

Committee to Develop the Reorganized Specialty of Trauma, Surgical Critical Care, and Emergency Surgery Emergency, Acute care surgery / 2005 / Trauma, critical care, and emergency surgery / J Trauma 58(3):614~616

Cohn SM / 2009 / Trauma and surgical critical care workforce in the United States : A severe surgeon shortage appears imminent / J Am Coll Surg 209(4):446~452.e4

Hadzikadic L / 2010 / Surgical resident perceptions of trauma surgery as a specialty / Arch Surg 145(5):445~450

Britt RC / 2009 / Initial implementation of an acute care surgery model : Implications for timeliness of care / J Am Coll Surg 209(4):421~424

Cubas RF / 2012 / Outcomes in the management of appendicitis and cholecystitis in the setting of a new acute care surgery service model : Impact on timing and cost / J Am Coll Surg 215(5):715~721

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!