Increased ICU resource needs for an academic emergency general surgery service

Critical Care Medicine

Volumn 42, Issue 4, 2014, Pages 910-917

  Lissauer, Matthew E ^a   Galvagno, Samuel M ^a   Rock, Peter ^a   Narayan, Mayur ^a   Shah, Paulesh ^a   Spencer, Heather ^b   Hong, Caron ^a   Diaz, Jose J ^a  

^a UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF MARYLAND MEDICAL CENTER   (United States)

Author keywords

critical care; general surgery; health resources; hospital administration; intensive care; intensive care units

Indexed keywords

ADULT; APACHE; ARTICLE; ARTIFICIAL VENTILATION; CONTINUOUS RENAL REPLACEMENT THERAPY; CONTROLLED STUDY; EMERGENCY CARE; EMERGENCY GENERAL SURGERY; EMERGENCY SURGERY; FACE SURGERY; FEMALE; GENERAL SURGERY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MORTALITY; NEUROSURGERY; OTORHINOLARYNGOLOGY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; TERTIARY HEALTH CARE;

ACADEMIC MEDICAL CENTERS; ADULT; AGED; APACHE; COMORBIDITY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; RENAL REPLACEMENT THERAPY; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; SURGICAL PROCEDURES, OPERATIVE;

EID: 84897069133     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0000000000000099     Document Type: Article

References (26)

1. Ciesla DJ, Moore EE, Moore JB, et al: The academic trauma center is a model for the future trauma and acute care surgeon. J Trauma 2005; 58:657-661
2. Davis KA, Rozycki GS: Acute care surgery in evolution. Crit Care Med 2010; 38:S405-S410
3. Gamelli RL: Organization of faculty practice and resident training in acute care surgery in an academic medical center. Surgery 2007; 141:302-303
4. Kaplan LJ, Frankel H, Davis KA, et al: Pitfalls of implementing acute care surgery. J Trauma 2007; 62:1264-1270
5. Ball CG, MacLean AR, Dixon E, et al: Acute care surgery: The impact of an acute care surgery service on assessment, fow, and disposition in the emergency department. Am J Surg 2012; 203:578-583
6. Barnes SL, Cooper CJ, Coughenour JP, et al: Impact of acute care surgery to departmental productivity. J Trauma 2011; 71:1027-1032; discussion 1033
7. Ciesla DJ, Cha JY, Smith JS 3rd, et al: Implementation of an acute care surgery service at an academic trauma center. Am J Surg 2011; 202:779-785
8. Galante JM, Phan HH, Wisner DH: Trauma surgery to acute care surgery: Defning the paradigm shift. J Trauma 2010; 68:1024-1031
9. 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
10. 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
11. Lau B, Difronzo LA: An acute care surgery model improves timeliness of care and reduces hospital stay for patients with acute cholecystitis. Am Surg 2011; 77:1318-1321
12. Miller PR, Wildman EA, Chang MC, et al: Acute care surgery: Impact on practice and economics of elective surgeons. J Am Coll Surg 2012; 214:531-535; discussion 536
13. Bosse MJ, Tornetta P, Sanders R, et al: Acute care surgery. J Trauma 2005; 59:1035-1036
14. Santry HP, Janjua S, Chang Y, et al: Interhospital transfers of acute care surgery patients: Should care for nontraumatic surgical emergencies be regionalized? World J Surg 2011; 35:2660-2667
15. Diaz JJ Jr, Norris PR, Gunter OL, et al: Does regionalization of acute care surgery decrease mortality? J Trauma 2011; 71:442-446
16. Zimmerman JE, Kramer AA, McNair DS, et al: Acute Physiology and Chronic Health Evaluation (APACHE) IV: Hospital mortality assessment for today's critically ill patients. Crit Care Med 2006; 34:1297-1310
17. Zimmerman JE, Wagner DP, Draper EA, et al: Evaluation of acute physiology and chronic health evaluation III predictions of hospital mortality in an independent database. Crit Care Med 1998; 26:1317-1326
18. Knaus WA, Wagner DP, Zimmerman JE, et al: Variations in mortality and length of stay in intensive care units. Ann Intern Med 1993; 118:753-761
19. Vandenbroucke J: A shortcut method for calculating the 95 percent confdence interval of the standardized mortality ratio. Am J Epidemiol 1982; 115:303
20. Frankel HL, Butler KL, Cuschieri J, et al: The role and value of surgical critical care, an essential component of Acute Care Surgery, in the Affordable Care Act: A report from the Critical Care Committee and Board of Managers of the American Association for the Surgery of Trauma. J Trauma Acute Care Surg 2012; 73:20-26
21. Matsushima K, Cook A, Tollack L, et al: An acute care surgery model provides safe and timely care for both trauma and emergency general surgery patients. J Surg Res 2011; 166:e143-e147
22. Kholdebarin R, Helewa RM, Hochman DJ: Evaluation of a regional acute care surgery service by residents in general surgery. J Surg Educ 2011; 68:290-293
23. Jastremski MS: Regionalization and categorization of critical care services. Crit Care Clin 1993; 9:603-612
24. Thompson DR, Clemmer TP, Applefeld JJ, et al: Regionalization of critical care medicine: Task force report of the American College of Critical Care Medicine. Crit Care Med 1994; 22:1306-1313
25. Shaf S, Aboutanos MB, Agarwal S Jr, et al; AAST Committee on Severity Assessment and Patient Outcomes: Emergency general surgery: Defnition and estimated burden of disease. J Trauma Acute Care Surg 2013; 74:1092-1097
26. Morris JA Jr, Fildes J, May AK, et al; American Association for the Surgery of Trauma's EGS Research Agenda Committee: A research agenda for emergency general surgery: Clinical trials. J Trauma Acute Care Surg 2013; 74:329-333