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Reducing length of stay for patients presenting to general surgery with acute non-surgical abdominal pain.
de Burlet, Kirsten J; Desmond, Brendan; Matsis, Raphael; Harper, Simon J; Larsen, Peter D; Dennett, Elizabeth R.
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  • de Burlet KJ; Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand.
  • Desmond B; Department of Surgery and Anaesthesia, University of Otago, Wellington, New Zealand.
  • Matsis R; Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand.
  • Harper SJ; Department of Surgery and Anaesthesia, University of Otago, Wellington, New Zealand.
  • Larsen PD; Department of Surgery and Anaesthesia, University of Otago, Wellington, New Zealand.
  • Dennett ER; Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand.
ANZ J Surg ; 90(11): 2259-2263, 2020 11.
Article en En | MEDLINE | ID: mdl-32856375
BACKGROUND: Acute abdominal pain is a common surgical presentation. We previously found that over the last decade, more patients were admitted to hospital with non-surgical diagnoses (e.g. gastroenteritis, constipation and non-specific abdominal pain) and length of stay and use of imaging (mainly computed tomography scan) for these patients increased. This study aimed to reduce length of stay and use of imaging for patients admitted with non-surgical abdominal pain. METHODS: A prospective study was undertaken in a tertiary centre evaluating length of stay and use of additional imaging in patients with a non-surgical diagnosis after a quality improvement intervention was implemented. RESULTS: A total of 454 patients were included; 204 (44.9%) presented with non-surgical abdominal pain. During the study period, a significant reduction in computed tomography scan requests was observed (38.5-25.0%, P = 0.037) and an increasing proportion of these patients were discharged within 12 h (33.3-57.1%, P = 0.018). The number of re-presentations remained unchanged (P = 0.358). CONCLUSIONS: The study intervention increased the proportion of patients with non-surgical diagnoses that were successfully discharged within 12 h and reduced the use of additional imaging in this group. This may lead to improved use of health care resources for patients with more urgent diagnoses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Abdominal / Estreñimiento Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2020 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Abdominal / Estreñimiento Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2020 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Australia