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Emergency Operating Room Workload Pattern: A Single Center Experience from Southern Iran.
Shahram Paydar1, Sedigheh Shokrollahi1, Shahram Jahanabadi1
1Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Bulletin of Emergency and Trauma
|May 11, 2016
Summary
Emergency surgery workload at Nemazee Hospital is high, with general surgery and neurosurgery being the busiest. This study highlights the need for improved hospital management strategies for emergency operations.
Area of Science:
- Surgical Sciences
- Public Health
- Hospital Management
Background:
- Emergency operating room (OR) workload is a critical component of hospital services, particularly in resource-limited settings.
- Understanding the epidemiology and patterns of emergency OR utilization is essential for effective resource allocation and patient care.
- Nemazee Hospital, affiliated with Shiraz University of Medical Sciences, serves as a key tertiary care center in the region.
Purpose of the Study:
- To investigate the epidemiological characteristics of patients undergoing emergency surgery.
- To determine the pattern and distribution of emergency operating room workload across different surgical disciplines.
- To identify common surgical procedures and indications for emergency operations at Nemazee Hospital.
Main Methods:
- A cross-sectional descriptive study was conducted over a 12-month period (September 2007 to September 2008).
- Data on all surgical emergency operations were collected, including patient demographics, presenting symptoms, indications, and services provided.
- Statistical analysis was performed to describe the workload and patient characteristics.
Main Results:
- A total of 3946 emergency operations were recorded, with males comprising 72% of patients.
- General surgery (59.14%) and neurosurgery (19.64%) accounted for the majority of emergency surgical workload.
- Common procedures included appendectomy (11.77%) and central venous catheter insertion (9.4%). Neurotrauma was the leading cause of operation among trauma patients (10%).
Conclusions:
- The study reveals a significant and unique pattern of emergency operating room workload at Nemazee Hospital.
- There is a pressing need for tailored hospital management and strategic planning for emergency surgical services.
- Despite recent efforts, a gap persists between current emergency healthcare provision and optimal standards, necessitating further improvements.