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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+R+Coll+Surg+Engl
2016 ; 98
(7
): 468-74
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A report on an acute, in-hours, outpatient review clinic with ultrasonography
facilities for the early evaluation of general surgical patients
#MMPMID27269242
Pidgeon TE
; Shariff U
; Devine F
; Menon V
Ann R Coll Surg Engl
2016[Sep]; 98
(7
): 468-74
PMID27269242
show ga
Introduction In 2013 our hospital introduced an in-hours, consultant-led,
outpatient acute surgical clinic (ASC) for emergency general surgical patients.
In 2014 this clinic was equipped with a dedicated ultrasonography service. This
prospective cohort study evaluated this service before and after the introduction
of ultrasonography facilities. Methods Data were recorded prospectively for all
patients attending the clinic during 2013 and 2014. The primary outcome was
patient destination (whether there was follow-up/admission) after clinic
attendance. Results The ASC reviewed patients with a wide age range and array of
general surgical complaints. In 2013, 186 patients attended the ASC. After the
introduction of the ultrasonography service in 2014, 304 patients attended. In
2014, there was a reduction in the proportion of patients admitted to hospital
from the clinic (18.3% vs 8.9%, p=0.002). However, the proportion of patients
discharged after ASC review remained comparable with 2013 (30.1% in 2013 vs 38.8%
in 2014, p=0.051). The proportion of patients undergoing computed tomography (CT)
scans also fell (14.0% vs 4.9%, p<0.001). Conclusions The ASC assessed a wide
array of general surgical complaints. Only a small proportion required hospital
admission. The introduction of an ultrasonography service was associated with a
further reduction in admission rates and computed tomography.
|*Outpatient Clinics, Hospital/organization & administration/statistics &
numerical data
[MESH]
|*Ultrasonography/methods/statistics & numerical data
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aftercare
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Child
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Patient Readmission/statistics & numerical data
[MESH]