{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:27:50Z","timestamp":1757453270475},"reference-count":27,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2015,12,17]],"date-time":"2015-12-17T00:00:00Z","timestamp":1450310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Acute surgical units have gained favour in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>ealand. However, there is a lack of evidence regarding their effectiveness in regional centres. We aim to investigate the effect of the introduction of the Acute General Surgical Unit (<jats:styled-content style=\"fixed-case\">AGSU<\/jats:styled-content>) on the outcomes for patients undergoing emergency appendicectomies or cholecystectomies in a regional hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">AGSU<\/jats:styled-content> was introduced in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2012. We conducted a retrospective comparison analysis of patients admitted 2 years prior to and 2 years after the introduction of <jats:styled-content style=\"fixed-case\">AGSU<\/jats:styled-content>. Primary outcomes included length of stay, time to theatre, after hours and overnight operating. Secondary outcomes included negative appendicectomy rate, conversion to open cholecystectomy and bile duct injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No difference was seen between pre and post\u2010<jats:styled-content style=\"fixed-case\">AGSU<\/jats:styled-content> introduction in median time to theatre in the appendicectomy group (8.00\u2009h versus 9.24\u2009h) or cholecystectomy group (17.63\u2009h versus 17.75\u2009h). Additionally, there was no difference between median length of stay in the appendicectomy group (47.52\u2009h versus 48.00\u2009h) or the cholecystectomy group (71.50\u2009h versus 70.67\u2009h). Night operating was significantly reduced in the positive appendicectomy group (4.4% versus 9.1%, <jats:italic>P<\/jats:italic> = 0.027) and the overall cholecystectomy group (0.43% versus 3.4%, <jats:italic>P<\/jats:italic> = 0.035), however overall after hours operating remained equivalent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of the <jats:styled-content style=\"fixed-case\">AGSU<\/jats:styled-content> unit led to a significant reduction in overnight operating, which may improve patient outcomes and surgeon satisfaction. Length of stay and time to theatre did not change. Future directions include further research into the impact of theatre access on emergency surgery outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13403","type":"journal-article","created":{"date-parts":[[2015,12,18]],"date-time":"2015-12-18T02:44:43Z","timestamp":1450406683000},"page":"595-599","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of the acute general surgical unit: a regional perspective"],"prefix":"10.1111","volume":"87","author":[{"given":"Natasha","family":"Pritchard","sequence":"first","affiliation":[{"name":"Surgical Unit Bendigo Health  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Newbold","sequence":"additional","affiliation":[{"name":"Surgical Unit St Vincent's Hospital  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerian","family":"Robinson","sequence":"additional","affiliation":[{"name":"Surgical Unit Bendigo Health  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei Ming","family":"Ooi","sequence":"additional","affiliation":[{"name":"General Surgery Unit Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1177\/000313480006600605","article-title":"Appendicitis: why so complicated? Analysis of 5755 consecutive appendectomies","volume":"66","author":"Pittman\u2010Waller V","year":"2000","journal-title":"Am. J. Surg."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0056-y"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000256391.05233.aa"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7189.963"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2225-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12076"},{"key":"e_1_2_6_8_1","first-page":"175","article-title":"The European experience with laparascopic cholecystectomy","volume":"161","author":"Cushieri A","year":"1991","journal-title":"Am. J. Surg."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1991.1.175"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199321850-00007"},{"issue":"4","key":"e_1_2_6_11_1","article-title":"Laparascopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis","author":"Keus F","year":"2006","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)00034-8"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7323.1222"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05312.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11361"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2009.04917_22.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03908.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05490.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06141.x"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.5694\/j.1326-5377.2011.tb03016.x","article-title":"Outcomes of appendicectomy in an acute care surgery model","volume":"194","author":"Geere S","year":"2010","journal-title":"Med. J. Aust."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12351"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2008.04790.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05331.x"},{"key":"e_1_2_6_24_1","unstructured":"HealthB.About Bendigo Health.2013. [Accessed 20 Aug 2015.] Available from URL:http:\/\/www.bendigohealth.org.au\/About_Us.asp?PageID=10"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12473"},{"key":"e_1_2_6_26_1","volume-title":"Bendigo Health Report of Operations","author":"Bendigo Health","year":"2011"},{"key":"e_1_2_6_27_1","volume-title":"Bendigo Health Report of Operations","author":"Bendigo Health","year":"2014"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12001"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13403","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T16:08:01Z","timestamp":1695485281000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.13403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,17]]},"references-count":27,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/ans.13403"],"URL":"https:\/\/doi.org\/10.1111\/ans.13403","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,17]]},"assertion":[{"value":"2015-11-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}