Key result
Among 262 complex non-vascular emergency surgical operations, 30% (78 cases) were managed by consultant surgeons working outside their elective subspecialty, mostly out of hours.
Why the study?
How often are complex emergency surgical cases treated by general surgeons working outside their own elective subspecialty?
Population
1554 patients having emergency general surgical operations in a district general hospital in the south of…
Design
Cohort
Follow-up
1 year
Authors
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May highlight emergency coverage gaps; leaves open effects on outcomes and optimal rostering.
Observational (n=1,554)
No
How often are complex emergency surgical cases treated by general surgeons working outside their own elective subspecialty?
Mismatch between subspecialist elective interests of consultant general surgeons and out-of-hours specialist major surgery occurs infrequently, mainly involving major lower gastrointestinal cases managed by upper gastrointestinal and breast surgeons.
Garner et al. (2006) conducted an observational in Emergency general surgical operations (n=1,554). Complex emergency surgical cases treated outside the consultant's elective subspecialty was evaluated on Mismatch between the subspecialty of the consultant surgeon responsible for the case and the specialist nature of the operation among complex non-vascular cases. Among 262 complex non-vascular emergency surgical operations, 30% (78 cases) were managed by consultant surgeons working outside their elective subspecialty, mostly out of hours.
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