کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6216596 | 1273727 | 2016 | 5 صفحه PDF | دانلود رایگان |
There is a paucity of literature about wait times for urgent/emergent surgeries in Canada. Delays and performance of non-emergent operations overnight increase morbidity and mortality. The study aim was to determine patterns of delays and performance of less-emergent surgery overnight.MethodsA retrospective analysis (June 2011-December 2013) of emergent/urgent surgeries was conducted using the ORSOS database (prospective patient and operative data). Surgeries were classified: class 1, 2Â A, 2B, and 3: target times of 1, 6, 24 and 72Â h. In hours (IH)Â =Â 7:45Â AM-3:30Â PM, M-F; others were out of hours (OOH) and overnight =Â 2300-0700.ResultsThere were 4668 operations: class 1 (5.8%), 2Â A (29.1%), 2B (42.1%), and 3(23%). For class 1, 2Â A, 2B, and 3 surgeries, mean in-room times were 2, 4.7, 15.4, and 54Â h respectively; 59.2% (class 1), 81.9% (class 2Â A), 81.2% (class 2B) and 74.4%(class 3) were performed in target. OOH occurred for 73.2% (class 1), 71.5%(class 2Â A), 54.7% (class 2B), and 27.7% (class 3). There were 37 class 2B and 3 surgeries overnight. There was a significant increase surgeries IH: 41.8% to 49.6%.ConclusionThe majority of urgent/emergent surgery occurred OOH and the most unstable patients are least likely to have their operation within target.Level of evidence: 4
Journal: Journal of Pediatric Surgery - Volume 51, Issue 5, May 2016, Pages 838-842