ArticleFrontline gastroenterology2017
Emergency general surgery 'Hot Clinics' reduce admission rates and duration of inpatient stay.
Article in Frontline gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Adapting an emergency general surgery service in response to the COVID-19 pandemic.Annals of the Royal College of Surgeons of England · 2021Article
- Hybrid Surgical Hot Clinic (HSHC): Evaluation of Surgical Hot Clinic Services during COVID-19 Lockdown.World journal of surgery · 2021Article
- A 'hot clinic' for cold limbs: the benefit of urgent clinics for patients with critical limb ischaemia.Annals of the Royal College of Surgeons of England · 2020Article
- Improving the working environment for the delivery of safe surgical care in the UK: a qualitative cross-sectional analysis.BMJ open · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the impact of a 'Hot Clinic' (HC) on emergency general surgery patient flow-through.
designProspective service evaluation study.
settingHC is a four-bedded area coordinated by a specialist nurse. The HC consultant sees emergency patients referred from the emergency department, general practitioners or those in preceding 24 h considered suitable for interim discharge while awaiting investigations and HC reassessment. PATIENTS: All patients with acute abdominal pain were evaluated in three 4 week groups: before (group 1), 1 month (group 2) and 6 months after the HC was introduced (group 3). Interhospital transfers, intrahospital ward referrals and trauma patients were excluded.
interventionIntroduction of consultant-led surgical HC every weekday afternoon.
main outcome measuresProportion of patients admitted under general surgeons, length of inpatient stay and the proportion of patients referred again within 3 months were investigated.
results1409 patients were referred, of which 1061 met the inclusion criteria: 307 in group 1, 326 in group 2 and 428 in group 3. There was no difference in gender distribution (p=0.759). Inpatient admissions were significantly reduced (85.0% vs 78.2% vs 54.4%; p<0.001) and the inpatient duration of stay was significantly shorter after HC introduction (median (IQR) (95% CI) 63.8 (29.0-111.6) (51.8 to 72.8) hours vs 48.8 (21.7-101.2) (42.0 to 55.6) hours vs 47.7 (20.9-92.7) (42.8 to 56.9) hours; p=0.011).
conclusionsEmergency general surgery HCs are associated with significant reductions in admission rates and inpatient bed occupancy. This service redesign has the potential to dramatically relieve pressure on acute surgical services.
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