Evidence map›Paper›PMID 39089819›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

A lay of the land: a description of academic acute care surgery models in Canada.

Alicia Rosenzveig, Amer Jarrar, Tommy Stuleanu, Joseph Mamazza, Amy Neville, Caolan Walsh, Patrick B Murphy, Nicole Kolozsvari

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alicia RosenzveigFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Amer JarrarFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Tommy StuleanuFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Joseph MamazzaFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Amy NevilleFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Caolan WalshFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Patrick B MurphyFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy).
Nicole KolozsvariFrom the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Alberta, Edmonton, Alta. (Rosenzveig); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Jarrar, Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Ottawa Hospital, Ottawa, Ont. (Stuleanu, Mamazza, Neville, Walsh, Kolozsvari); the Division of Trauma/Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wis. (Murphy) nkolozsvari@toh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who require emergency general surgery (EGS) are at a substantially higher risk for perioperative morbidity and mortality than patients undergoing elective general surgery. The acute care surgery (ACS) model has been shown to improve EGS patient outcomes and cost-effectiveness. A recent systematic review has shown extensive heterogeneity in the structure of ACS models worldwide. The objective of this study was to describe the current landscape of ACS models in academic centres across Canada.

methodsWe sent an online questionnaire to the 18 academic centres in Canada. The lead ACS physicians from each institution completed the questionnaire, describing the structure of their ACS models.

resultsIn total, 16 institutions responded, all of which reported having ACS models, with a total of 29 ACS services described. All services had resident coverage. Of the 29, 18 (62%) had dedicated allied health care staff. The staff surgeon was free from elective duties while covering ACS in 17/29 (59%) services. More than half (15/29; 52%) of the services described protected ACS operating room time, but only 7/15 (47%) had a dedicated ACS room all 5 weekdays. Four of 29 services (14%) had no protected ACS operating room time. Only 1/16 (6%) institutions reported a mandate to conduct ACS research, while 12/16 (75%) found ACS research difficult, owing to lack of resources.

conclusionWe saw large variations in the structure of ACS models in academic centres in Canada. The components of ACS models that are most important to patient outcomes remain poorly defined. Future research will focus on defining the necessary cornerstones of ACS models.

Indexed as

Academic Medical CentersAcute Care SurgeryCanadaCritical CareGeneral SurgeryHumansModels, OrganizationalSurveys and Questionnaires

Identifiers

PMID39089819
PMCPMC11300033

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.