Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen
Objective To explore the impact of abdominal pain green channel(Abdominal Fast-Track,AFT)on the efficiency of treatment and prognosis of patients with acute abdomen(AA).Methods From June 2021 to April 2024,the relevant clinical data were retrospectively reviewed for 513 hospitalized AA patients.They were assigned into two groups of consultation(n=197)and AFT(n=316).Baseline profiles,time from admission to emergency clinic for requesting consultation,time from admission to hospitalization,time from admission to surgery,length of hospitalization stay,complications and 30-day postoperative morbidity/mortality were compared between two groups.Results As compared with before establishing AFT,median time from emergency to surgery was significantly shorter after establishing AFT(19.25 vs 11.58 h,P＜0.001),median time from admission to requesting surgery was shorter(0.83 vs 0.74 h,P=0.047)and overall length of hospital stay declined significantly(7.95 vs 4.56 day,P＜0.001),a significantly lower incidence of pulmonary(P=0.031)and abdominal(P=0.011)infections and a lower rate of severe complications(16.8％vs 5.1％,P＜0.001).The proportion of nighttime(18:00-8:00)surgeries was significantly higher in AFT group(44.7％vs 67.1％,P＜0.001).There was a higher rate of surgeries performed by attending physicians under the supervision of senior physicians and physicians below attending level(74.0％vs 89.9％,P＜0.001).Conclusion AFT may shorten preoperative waiting time and improve overall outcomes in AA patients.
Acute abdomen centerAcute abdomenAbdominal fast-trackAcute care surgery
万方数据
维普
