Key result
Acute Care Surgery implementation linked to ~10% shorter hospital stays and faster time to surgery.
Why the study?
Acute care surgery is a new specialty in Singapore attempting to establish itself with promising early results but facing sustainability challenges.
Acute care surgery in Singapore shows early promise in improving workflow but faces sustainability challenges.
May support acute surgical workflow efficiency; leaves open sustainability and need for prospective validation.
Acute care surgery [ACS] is a natural evolution of trauma as a specialty. Globally, there have been positive results seen. In Singapore, ACS is a new specialty that is trying to establish itself. Early results appear promising—reduced length of stay, faster times to operation. Although ACS has had a positive impact on workflow, it’s sustainability as a specialty faces many challenges ahead. This paper describes how ACS is run in Singapore General Hospital and the challenges it must overcome to be sustainable service.
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Brian WCA Tian (2023) studied Acute surgical conditions and trauma. Acute Care Surgery (ACS) model vs. Traditional subspecialist on-call model was evaluated on Length of stay (median days) (p=0.012). The implementation of an Acute Care Surgery model at Singapore General Hospital reduced median length of stay from 3.1 to 2.8 days and decreased time to surgery.
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