ReviewWorld journal of emergency surgery : WJES2026
Ten years of acute care surgery in Singapore: evolution, outcomes and future challenges.
Review in World journal of emergency surgery : WJES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
backgroundAcute Care Surgery (ACS) has emerged as a structured solution to challenges in emergency general surgery (EGS), including subspecialisation, fragmented coverage, and delays in operative care.
methodsThis narrative review outlines the global ACS evolution and examines Singapore's experience over the past decade, focusing on implementation models, outcomes, and ongoing challenges.
resultsSince 2014, Singapore's public hospitals have adopted variations of the ACS framework, ranging from consultant of the week rosters to dedicated full time ACS teams. These models have improved timeliness of care, efficiency, and surgical training. Innovations such as Emergency Laparotomy Pathways and abscess protocols reduced delays and improved perioperative coordination. Local outcomes demonstrate reduced time to intervention by 30-40%, shorter hospital stays by 1-2d and sustained improvements in morbidity and mortality. However, challenges persist in trauma workforce sustainability, registrar training variability, theatre access, and the absence of national credentialing.
conclusionACS has improved the delivery of emergency and trauma surgery in Singapore. To sustain these gains, national credentialing, workforce planning, and structured training frameworks are required to secure ACS as a core part of the surgical system.
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