News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Improved patient outcomes at a Level 1 Trauma Centre

ROYAL AUSTRALASIAN COLLEGE OF SURGEONS MEDIA RELEASE


Improved patient outcomes at a Level 1 Trauma Centre

Wednesday 8 May, 2013

Further evidence has emerged that the introduction of dedicated, consultant-led acute care surgical centres results in markedly improved patient outcomes.

Speaking at the 82nd Annual Scientific Congress (ASC) of the Royal Australasian College of Surgeons, Dr Rose Shakerian, a General Surgeon at the Royal Melbourne Hospital, reported that an Emergency General Surgery Service (EGS) was established at the hospital in 2011, in response to an increased volume of acute general surgical and trauma cases.

“The aim of this study was to assess the impact of the new EGS service on length of stay, and admission to the ward from the Emergency Department, and to compare these outcomes with those of the traditional model,” Dr Shakerian said.

“Using our prospective surgical audit database, we performed a retrospective review of patients admitted to the EGS from February 2011 to January 2012 (a 48 week period) and these outcomes were compared with those of the previous 48 weeks.

“A 73% increase was noted in the total number of admissions, from 1193 pre-EGS to 2065 patients since the introduction of the EGS service. With the inclusion of inpatient referrals (411 patients) and Trauma admissions (2047 patients), the EGS service managed 4523 patients during the study period.

“Hospital length of stay was reduced from 5 to 4.1 days (18% reduction) and a 20% improvement was noted in the proportion of patients admitted from the Emergency Department within eight hours (49% vs 69%). The percentage of surgical cases conducted in hours was found to be 50%.”

Dr Shakerian concluded that early and increased consultant input reduced length of stay and time spent in the Emergency Department, despite the 73% increase in acute admissions during the introduction of the new service.

In 2011, the Royal Australasian College of Surgeons wrote to all health ministers and senior health department officials in Australia and New Zealand, enclosing a comprehensive report which demonstrated that the establishment of dedicated acute care surgical units leads to greater efficiency and better patient outcomes.

Approximately 1200 surgeons from New Zealand, Australia and around the world are attending the ASC, which runs from 6 to 10 May and is being held at Auckland’s Skycity/Crowne Plaza Convention Centre.

ENDS


© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 
Culture: Rare Hundertwasser Conservation Posters Found After 40 Years

When Jan and Arnold Heine put a roll of conservation posters into storage in 1974 they had no idea that 42 years later they would be collectors items. More>>

Scoop Review Of Books: The Stolen Island: Searching for ‘Ata by Scott Hamilton

Reviewed by Michael Horowitz
Located even further south than temperate Noumea, Tonga’s tiny island of ‘Ata might have become the jewel of the kingdom’s burgeoning tourist industry. Imagine a Tongan resort that would not only be mild in winter, but pleasant in summer. More>>

Reviewed by Michael Horowitz
Located even further south than temperate Noumea, Tonga’s tiny island of ‘Ata might have become the jewel of the kingdom’s burgeoning tourist industry. Imagine a Tongan resort that would not only be mild in winter, but pleasant in summer. More>>

Scoop Review Of Books: No Pretence. No Bullshit. Fine Poem.

John Dickson doesn’t publish much; never has. Indeed, this new collection is his first such in 18 years. As he wryly and dryly states,

I’ve published two slim volumes, and spent all
My time working on the next.
(from Wasp p.67) More>>

Scoop Review of Books: Extraordinary Anywhere: Essays On Place From Aotearoa NZ

The New Zealand landscape undoubtedly is very beautiful, but so is the British one, and my attachment to this country is much more about some particular places, and the memories and emotions that in them combine, than it is about the landscape as a whole. More>>

Canonisation Fodder: Suzanne Aubert Declared ‘Venerable’

Suzanne Aubert, the founder of the Sisters of Compassion New Zealand’s home grown order of Sisters, has been declared ‘venerable’, a major milestone on the path to sainthood in the Catholic Church. More>>

“I Have Not Performed Well Enough”: Ernie Merrick Leaving Wellington Phoenix

Ernie Merrick has stepped down from his position as Wellington Phoenix FC Head Coach. The club would like to thank Ernie for his contribution to Wellington Phoenix and wish him all the best in his future endeavours. More>>

Ray Columbus: NZ Music Icon Passes Away

60s New Zealand music Icon Ray Columbus has passed away peacefully at his home north of Auckland... Ray Columbus enjoyed more than three decades at the top of NZ entertainment as a singer, songwriter, bandleader, music manager and TV star. More>>

Review: Bernard Herrmann's Scores For 'Vertigo' & 'Psycho'

Howard Davis: The NZSO's adventurousness was richly-rewarded, as the deeply appreciative Wellington audience was given the opportunity not only to see a couple of Alfred Hitchcock's greatest films, but also to hear fine renditions of two of Bernard Herrmann's most accomplished film scores. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news