The association between self-declared acute care surgery services and critical care resources: Results from a national survey.

ABSTRACT:

Purpose

We examined differences in critical care structures and processes between hospitals with Acute Care Surgery (ACS) versus general surgeon on call (GSOC) models for emergency general surgery (EGS) care.

Methods

2811 EGS-capable hospitals were surveyed to examine structures and processes including critical care domains and ACS implementation. Differences between ACS and GSOC hospitals were compared using appropriate tests of association and logistic regression models.

Results

272/1497 hospitals eligible for analysis (18.2%) reported they use an ACS model. EGS patients at ACS hospitals were more likely to be admitted to a combined trauma/surgical ICU or a dedicated surgical ICU. GSOC hospitals had lower adjusted odds of having 24-h ICU coverage, in-house intensivi

SUBMITTER: Tameron AM 

PROVIDER: S-EPMC8278360 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature