Journal article

Impact of introduction of an acute surgical unit on management and outcomes of small bowel obstruction

Anton M Musiienko, Rose Shakerian, Alexandra Gorelik, Benjamin NJ Thomson, Anita R Skandarajah

ANZ JOURNAL OF SURGERY | WILEY-BLACKWELL | Published : 2016

Abstract

BACKGROUND: The acute surgical unit (ASU) is a recently established model of care in Australasia and worldwide. Limited data are available regarding its effect on the management of small bowel obstruction. We compared the management of small bowel obstruction before and after introduction of ASU at a major tertiary referral centre. We hypothesized that introduction of ASU would correlate with improved patient outcomes. METHODS: A retrospective review of prospectively maintained databases was performed over two separate 2-year periods, before and after the introduction of ASU. Data collected included demographics, co-morbidity status, use of water-soluble contrast agent and computed tomograph..

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