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Optimal Resources for Rural Surgery.

Kelsey A Musgrove1, Jad M Abdelsattar1, Stephanie J LeMaster1

  • 124041 Department of General Surgery, West Virginia University, Morgantown, WV, USA.

The American Surgeon
|October 13, 2020
PubMed
Summary
This summary is machine-generated.

Small rural hospitals often lack critical surgical resources, impacting patient care. Improving access to these essential services is vital for enhancing rural trauma systems and patient outcomes.

Keywords:
acute care surgeryrural surgerytrauma

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Area of Science:

  • Healthcare Management
  • Surgical Services
  • Rural Health

Background:

  • Timely access to emergency general surgery and trauma services is crucial for patient care.
  • This study assesses resource availability in small rural hospitals to improve surgical care quality.

Purpose of the Study:

  • To identify and evaluate the availability of optimal surgical resources across different types of nonteaching hospitals in West Virginia.
  • To pinpoint disparities in resource allocation that may affect emergency surgical care in rural settings.

Main Methods:

  • A survey of 58 optimal surgical resources was administered to 45 nonteaching hospitals in West Virginia.
  • Hospitals were categorized into large community hospitals (LCHs), small community hospitals (SCHs), and critical access hospitals (CAHs).
  • Response rates were high, with 100% for LCHs, 83% for SCHs, and 89% for CAHs.

Main Results:

  • All hospitals had essential 24/7 services like respiratory therapy, CT scanners, and basic lab support.
  • Availability of advanced resources such as cryoprecipitate, tranexamic acid (TXA), and prothrombin complex concentrate (PCC) decreased from LCHs to CAHs.
  • While most hospitals had board-certified surgeons, Advanced Trauma Life Support (ATLS) certification varied significantly, with only 50% of CAHs having it.

Conclusions:

  • Improving access to critical surgical resources is essential for enhancing rural surgical care and reducing patient transfers.
  • Further research and education are needed to strengthen rural trauma systems and ensure equitable patient outcomes.