Key result
The acute surgical unit pathway significantly improved length of stay (2.6 vs 2.8 days, P=0.0001) and the proportion of daytime operations (65.8% vs 59.4%, P=0.004) compared to the traditional model.
Why the study?
Does an acute surgical unit model improve key performance indicators for appendicectomy compared to a traditional model?
Cohort (n=1,857)
No
Does an acute surgical unit model improve key performance indicators for appendicectomy compared to a traditional model?
Absolute Event Rate: 2.6% vs 2.8%
p-value: p=0.0001
The implementation of an acute surgical unit model significantly improves operational efficiency for appendicectomies, including reduced length of stay and increased daytime operations.
Acute surgical units were associated with modest efficiency gains; leaves open need for randomized confirmation before practice change.
INTRODUCTION: The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload. METHODS: The aim of this retrospective study was to compare the performance of the ASU (from June 2008 to December 2010) at Auckland City Hospital with the traditional model (from January 2006 to May 2008) and benchmark the results against other similar published studies. The analysis was on the basis of KPIs for 1857 appendicectomies, which form a large volume of acute surgical presentations. RESULTS: Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking. CONCLUSION: The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload.
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Pillai et al. (2013) conducted a cohort in Appendicectomy (n=1,857). Acute surgical unit (ASU) pathway vs. Traditional model was evaluated on Length of stay (p=0.0001). The acute surgical unit pathway significantly improved length of stay (2.6 vs 2.8 days, P=0.0001) and the proportion of daytime operations (65.8% vs 59.4%, P=0.004) compared to the traditional model.
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