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At least 649 records · Page 36Linked to original sources
PubMed1995

The use and impact of a daily general surgical emergency operating list in a district general hospital: a prospective study.

Daytime emergency operating lists (EOL) have been shown to reduce out-of-hours operating but problems with their introduction have been reported. A six-month prospective study of EOL and unscheduled operations (USO) was undertaken. Two firms use their EOL differently--one including mostly emergencies, the other including a number of urgent elective cases. After the introduction of EOL only 9 per cent of emergency operations were performed after midnight. Including urgent elective cases on the EOL allowed full use of available theatre time but meant that proportionately more emergency operations were unscheduled. A senior surgeon was involved with 75 per cent of EOL and 36 per cent of USO operations, and a senior anaesthetist with 52 per cent of EOL and 14 per cent of USO. Senior anaesthetic involvement would have been greater if there were more senior staff. There had been a marked increase in the number of USO over the four years previous to this study. EOL do reduce out-of-hours operating and allow excellent supervision and therefore training opportunities. Care must be taken with the case mix to balance full use of theatre time with reduction in out-of-hours operating.

Elective Surgical Procedures↗
PubMed1997

[Psychiatric disorders related to alcohol and associated to general medical clinical diagnoses and/or surgical interventions in patients admitted to a general hospital].

Through an epidemiological examination, the authors searched for co-morbidities and for psychiatric diagnoses related to alcohol. So, patients attended in a Psychiatric ward at an Emergency Service from 1988 to 1991 were investigated. The aim was to identify clinical diseases and another incidents that assault this population. The diagnoses examined were the ones related to alcohol, according to CID-9 (291; 303; 305.0) and the ones associated that do not belong to psychiatry 1835 cases were observed with diagnoses related to alcohol and among them 487 (26.5%) were concerning to the groups 291-303-305.0, which were associated to another psychiatric diagnoses. The larger frequency occurred in the groups 340-349 (Another central nervous system disorders) and 800-859 (Lesions and traumatic complications) with 80 (16.4%) patients, respectively. Through data observation by year, authors found that among the diagnoses related to alcohol (with clinical diagnoses associated), the 303 (Alcohol dependence syndrome) was the one that had the larger number of patients with 326 (67%) cases, followed by the 291 (Alcohol psychoses) with 117 (24%) cases and the 305.0 (Alcohol) with 44 cases (9%). In the period, the psychiatric diagnoses 303 and 291 appeared more frequently associated to the group of clinical diagnoses 340-349, with 55 (11.2%) and 12 (2.4%) cases respectively and the 305.0 had the group 800-859 with 10 (2%) cases as the more frequent.

Adolescent↗