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Volume 14 Issue 2
Mar.  2023
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YUE Qiang, MA Xiaomu, CHEN Weijie, YE Xin, ZHANG Guannan, LU Junyang, HAN Xianlin, WANG Weibin, ZHANG Taiping, WENG Xisheng. Role of Establishing General Surgery Emergency Surgical Team in Improving the Work Efficiency of Emergency Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 315-321. DOI: 10.12290/xhyxzz.2022-0126
Citation: YUE Qiang, MA Xiaomu, CHEN Weijie, YE Xin, ZHANG Guannan, LU Junyang, HAN Xianlin, WANG Weibin, ZHANG Taiping, WENG Xisheng. Role of Establishing General Surgery Emergency Surgical Team in Improving the Work Efficiency of Emergency Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 315-321. DOI: 10.12290/xhyxzz.2022-0126
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Role of Establishing General Surgery Emergency Surgical Team in Improving the Work Efficiency of Emergency Surgery

  • 1.

    Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Funds: 

Medical and Health Technology Innovation Project, Chinese Academy of Medical Sciences 2021-I2M-C&T-B-019

More Information
  • Corresponding author:

    ZHANG Taiping, E-mail: tpingzhang@yahoo.com

    WENG Xisheng, E-mail: xshweng@medmail.com.cn

  • Received Date: March 17, 2022
  • Accepted Date: May 12, 2022
  • Available Online: July 14, 2022
  • Issue Publish Date: March 29, 2023
    Graphical Abstract
    • Abstract
  •   Objective  To explore the role of establishing general surgical emergency team in improving the efficiency of emergency surgical treatment.
      Methods  All patients attending emergency surgery from August1, 2019 to July 31, 2021 were retrospectively analysed. The number of flow, observation and their ratio before and after the establishment of general surgical emergency team were compared. The clinical data, including age, gender, complication, diagnoses, the number of surgery, the grading of disease, preoperative preparation time, the ratio of transfer to ICU, the ratio of patients staying more than 30 days, and complication rate before and after the establishment were analysed. Length of stay and hospitalization costs were compared by surgical grading and disease severity grading. The factors affecting hospitalization costs in emergency surgery patients were analysed using univariate and multiple linear regression.
      Results  A total of 37 945 flow patients were included. Before and after the establishment of the surgical team, the number of flow was 15 745 and 22 200, respectively (1312 and 1850 monthly), the number of observation was 1814 and 1622, respectively (151 and 135 monthly), and the ratio of observation to flow decreased from 11.6% to 7.3% (P=0.000), preoperative preparation time decreased from (1.5±0.7) days to (0.7±0.9) days (P=0.000), the ratio of transfer to ICU decreased from 37.9% to 23.7% (P=0.000), the ratio of patients staying more than 30 days decreased from 5.7% to 0.5% (P=0.000), the average length of stay (5 d vs. 3 d, P=0.028) and cost (34 000 vs. 13 000, P=0.000) were significantly reduced, and the total operation number were 317 and 919, respectively(26 vs. 77 monthly, P=0.000).There was no significant change in complication rate (P=0.548). Multiple linear regression showed that establishing emergency surgery team reduced the hospitalization cost, while high surgical grading, long hospitalization time and transfer to ICU increased the hospitalization cost.
      Conclusion  The establishment of emergency surgery team can solve the current problem of emergency to some degree, such as evacuating emergency congestion, increasing emergency surgery turnover rate, reducing the medical burden, and improving the efficiency of emergency treatment.
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