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Emergency general surgery models in Australia: a cross-sectional study.
Ned Kinnear1, Jennie Han2, Minh Tran2
1Department of Surgery, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA 5005, Australia. Email: tarik.sammour@sa.gov.au; james.moore@sa.gov.au; and Corresponding author.
The study found that Acute Surgical Unit (ASU) or hybrid models for emergency general surgery (EGS) are more common in Australian hospitals than previously thought. Implementation depends on hospital size, surgeon availability, and patient volume.
Area of Science:
- Health Sciences
- Surgical Care
- Hospital Management
Background:
- Emergency general surgery (EGS) patient outcomes improve with an Acute Surgical Unit (ASU) model.
- The current landscape of EGS models in Australian hospitals is largely undocumented.
Purpose of the Study:
- To determine the national spectrum of EGS models utilized in Australian public hospitals.
- To analyze factors influencing the adoption of different EGS models.
Main Methods:
- A cross-sectional study surveyed 119 Australian public hospitals (medium to large peer group).
- Data collected included the incidence of EGS models and associated hospital characteristics.
- Qualitative reasons for model selection were also assessed.
Main Results:
- 54% of surveyed hospitals employed an ASU or hybrid EGS model.
- ASU models were more prevalent in larger hospitals with greater surgical and trauma service sophistication.
- Key drivers for ASU adoption included improved patient care and reduced after-hours operating.
Conclusions:
- ASU or hybrid EGS models are more widespread in Australia than previously reported.
- Hospital size, trauma specialization, and patient throughput significantly influence the adoption of these models.
- Practitioners should consider surgeon pool and EGS patient load when evaluating ASU implementation.
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