Does regionalization of acute care surgery decrease mortality?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 2, 2011, Pages 442-446

  Diaz Jr , Jose J ^a   Norris, Patrick R ^a   Gunter, Oliver L ^a   Collier, Bryan R ^a   Riordan, William P ^a   Morris, John A ^a  

^a VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Acute care surgery; Emergency general surgery; Mortality; Outcomes

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL INDICATOR; DISEASE SEVERITY; EMERGENCY SURGERY; FEMALE; FISHER EXACT TEST; HOSPITAL CHARGE; HUMAN; INTENSIVE CARE; KRUSKAL WALLIS TEST; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; REGIONALIZATION; RETROSPECTIVE STUDY; TREND STUDY; WILCOXON SIGNED RANKS TEST;

ADULT; EMERGENCY SERVICE, HOSPITAL; FEMALE; GENERAL SURGERY; HOSPITAL CHARGES; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); REGISTRIES; RETROSPECTIVE STUDIES; TRAUMATOLOGY; WOUNDS AND INJURIES;

EID: 80051749389     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3182281fa2     Document Type: Article

References (29)

1. Committee to Develop the Reorganized Specialty of Trauma, Surgical Critical Care, and Emergency Surgery. Acute care surgery: trauma, critical care, and emergency surgery. J Trauma. 2005;58:614-616.
2. Esposito TJ, Leon L, Jurkovich GJ. The shape of things to come: results from a national survey of trauma surgeons on issues concerning their future (presented, AAST September 2005). J Trauma. 2006;60:8-16.
3. The Committee on Acute Care Surgery of the AAST. The acute care surgery curriculum. J Trauma. 2007;62:553-556.
4. EAST Future of Trauma Surgery Committee. The position of the Eastern Association for the surgery of trauma on the future of trauma surgery. Available at: http://www.east.org/tpg/futureposition.pdf. Accessed December 5, 2010.
5. Collective review making the case for a paradigm shift in trauma surgery. Available at: http://www.east.org/tpg/futurereview.pdf. Accessed December 5, 2010.
6. Austin MT, Diaz JJ Jr, Feurer ID, et al. Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital. J Trauma. 2005;58:906-910. (Pubitemid 40776890)
7. Schuster KM, Lopez PP, Greene T, et al. How can trauma surgeons maintain their operative skills? J Trauma. 2008;65:387-389.
8. Schuster KM, Lopez PP, Greene T, et al. Redefining the future of trauma surgery as a comprehensive trauma and emergency general surgery service. J Am Coll Surg. 2004;199:96-101.
9. The future of emergency care in the United States Health System, Brief Report, Institute of Medicine. June 2006. Available at: http://www.iom.edu/~/ media/Files/Report%20Files/2006/Hospital-Based-Emergency-Care-At-the-Breaking- Point/EmergencyCare.pdf. Accessed December 5, 2010.
10. Davis KA, Rozycki GS. Acute care surgery in evolution. Crit Care Med. 2010;38(9 Suppl):S405-S410.
11. Diaz JJ Jr, Norris PR, Miller RS, et al. Acute care surgery program: mentoring fellows and patient outcomes. J Surg Res. 2010;160:202-207.
12. Benjamin ER, Jim J, Kim TJ, et al. Acute care surgery after renal transplantation. Am Surg. 2009;75:882-886.
13. Britt RC, Weireter LJ, Britt LD. Initial implementation of an acute care surgery model: implications for timeliness of care. J Am Coll Surg. 2009;209:421-424.
14. Ekeh AP, Monson B, Wozniak CJ, Armstrong M, McCarthy MC. Management of acute appendicitis by an acute care surgery service: is operative intervention timely? J Am Coll Surg. 2008;207:43-48.
15. Earley AS, Pryor JP, Kim PK, et al. An acute care surgery model improves outcomes in patients with appendicitis. Ann Surg. 2006;244:498-504.
16. Gunter OL, Guillamondegui OD, May AK, Diaz JJ. Outcome of necrotizing skin and soft tissue infections. Surg Infect (Larchmt). 2008;9:443-450.
17. Gandy RC, Truskett PG, Wong SW, Smith S, Bennett MH, Parasyn AD. Outcomes of appendicectomy in an acute care surgery model. Med J Aust. 2010;193:281-2846.
18. Rubinfeld I, Thomas C, Berry S, et al. Octogenarian abdominal surgical emergencies: not so grim a problem with the acute care surgery model? J Trauma. 2009;67:983-989.
19. Diaz JJ Jr, Norris P, Gunter O, Collier B, Riordan W, Morris JA Jr. Triaging to a regional acute care surgery center: distance is critical. J Trauma. 2011;70:116-119.
20. Chen AY, Fedewa S, Pavluck A, Ward EM. Improved survival is associated with treatment at high-volume teaching facilities for patients with advanced stage laryngeal cancer. Cancer. 2010;116:4744-4752.
21. Riall TS, Eschbach KA, Townsend CM Jr, Nealon WH, Freeman JL, Goodwin JS. Trends and disparities in regionalization of pancreatic resection. J Gastrointest Surg. 2007;11:1242-1251.
22. Ko CY, Chang JT, Chaudhry S, Kominski G. Are high-volume surgeons and hospitals the most important predictors of in-hospital outcome for colon cancer resection? Surgery. 2002;132:268-273. (Pubitemid 35024772)
23. Cowan JA Jr, Dimick JB, Leveque JC, Thompson BG, Upchurch GR Jr, Hoff JT. The impact of provider volume on mortality after intracranial tumor resection. Neurosurgery. 2003;52:48-53.
24. Cooperberg MR, Modak S, Konety BR. Trends in regionalization of inpatient care for urological malignancies, 1988 to 2002. J Urol. 2007;178:2103-2108. (Pubitemid 47554441)
25. Bolling SF, Li S, O'Brien SM, Brennan JM, Prager RL, Gammie JS. Predictors of mitral valve repair: clinical and surgeon factors. Ann Thorac Surg. 2010;90:1904-1911.
26. Sava J, Kennedy S, Jordan M, Wang D. Does volume matter? The effect of trauma surgeons' caseload on mortality. J Trauma. 2003;54:829-833.
27. Sampalis JS, Denis R, Lavoi A, et al. Trauma care regionalization: a process-outcome evaluation. J Trauma. 1999;46:565-579; discussion 579-581.
28. Block EF, Rudloff B, Noon C, Behn B. Regionalization of surgical services in central Florida: the next step in acute care surgery. J Trauma. 2010;69:640-643.
29. McKenney MG, Livingstone AS, Schulman C, et al. Trauma surgeon mortality rates correlate with surgeon time at institution. J Am Coll Surg. 2009;208:750-753.