Acute Care Surgery Model for Emergency Cholecystectomy

Authors :: Myoung Je Song
Kyoung Mi Lee
In Byung Kim
Heon-Kyun Ha
Wan Sung Kim
Hyoun Jong Moon
Jin Ho Jeong
Kang Kook Choi
Source :: Journal of Acute Care Surgery, Vol 6, Iss 2, Pp 57-61 (2016)
Publication Year :: 2016
Publisher :: Korean Society of Acute Care Surgery, 2016.
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