ArticleWorld journal of emergency surgery : WJES2008
Emergency room surgical workload in an inner city UK teaching hospital.
Article in World journal of emergency surgery : WJES, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Trial
- Perioperative predictors of critical care admission following emergency surgical procedures: a comprehensive evaluation of anesthesia management.Perioperative medicine (London, England) · 2026Article
- Appropriateness of Pediatric Surgical Consultations From the Emergency Department: A 2-Center Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Robotic emergency general surgery, future or fallacy?: case-matched comparison of operative and clinical outcomes during the adoption phase in a tertiary centre.Journal of robotic surgery · 2025Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- The role of laparoscopy in emergency colorectal surgery.Saudi medical journal · 2022Article
- The effect of emergency room consultations on emergency general surgery operations.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Pattern of surgical emergencies in a Nigerian tertiary hospital.African health sciences · 2019Article
- Emergency surgeons' perceptions and attitudes towards antibiotic prescribing and resistance: a worldwide cross-sectional survey.World journal of emergency surgery : WJES · 2018Article
- Non-trauma surgical emergencies in adults: Spectrum, challenges and outcome of care.Annals of medicine and surgery (2012) · 2015Article
- Emergency Operating Room Workload Pattern: A Single Center Experience from Southern Iran.Bulletin of emergency and trauma · 2013Article
- Ergonomics and Technical Aspects of Minimal Access Surgery in Acute Surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2010Article
- Alteration in emergency theatre prioritisation does not alter outcome for acute appendicitis: comparative cohort study.World journal of emergency surgery : WJES · 2009Article
- WSES SM (World Society of Emergency Surgery Summer Meeting) highlights, education in emergency surgery.World journal of emergency surgery : WJES · 2008Article
- A Five-year Retrospective Study of the Pattern of General Surgical Procedures Performed at a Tertiary Health Institution in Nigeria.Journal of the West African College of SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency admissions may account for over 50% of surgical admissions. The impact on service provision and implications for training are difficult to quantify. We performed a cohort study to analyse these workload patterns.
methodsData on emergency room (ER) surgical admissions over six months was collected including patient demographics, referral sources, diagnosis, operation and length of stay and analysed according to sub-speciality and age-groups.
resultsThere were 1392 (median age 41 (IQR 28-60) years, M:F = 1.7:1) emergency surgical admissions over six months; 45% were under 40 years of age and 48% patients self-referred to the ER. The commonest diagnoses were abscesses (11%), non-specific abdominal pain (9.7%) and neuro-trauma (9.6%). The median length of stay was 4 (IQR 2-8) days; with older (>80 years) patient staying significantly longer than those <40 years of age (median 8 vs 2 two days, P < 0.0001, Kruskal-Wallis test). Vascular patients remained in hospital longer than trauma or general surgery patients (median 14 vs 3 days, P < 0.0001, Kruskal-Wallis test). A high proportion (43.5%) of the patients required operative intervention and service implications of various diagnoses and operative interventions are highlighted.
conclusionWith the introduction of shortened training period in Europe and World over, trainees may benefit from increased exposure to trauma and surgical emergencies. Resource planning should be based on more comprehensive, prospective data such as these.
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