Key result
Acute care surgery model fails to reduce negative appendicectomies but cuts overnight operations ~44%.
Why the study?
The impact of implementing an acute care surgery model on appendicectomy outcomes was unclear.
Does an acute care surgery model improve outcomes in patients undergoing appendicectomy?
Cohort (n=539)
No
Does an acute care surgery model improve outcomes in patients undergoing appendicectomy?
Absolute Event Rate: 24.2% vs 24.8%
p-value: p=0.871
Implementation of an acute care surgery model for appendicectomy reduces after-hours operations without compromising clinical outcomes.
No takes yet. Share an insight, caveat, or question.
Acute care surgery model was associated with fewer overnight appendicectomies without higher negative rates; leaves open confirmation in randomized trials.
Poh et al. (2013) conducted a cohort in Suspected appendicitis (n=539). Acute surgical unit (ASU) model vs. Admissions prior to ASU implementation was evaluated on Negative appendicectomy rate (p=0.871). Implementation of an acute care surgery model did not significantly change the negative appendicectomy rate (24.2% vs 24.8%, P=0.871) but decreased overnight operations (17.1% vs 30.7%, P<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: