{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T15:03:23Z","timestamp":1760367803987},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T00:00:00Z","timestamp":1558396800000},"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":[[2019,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Acute abdomen is a time\u2010critical condition, which requires prompt diagnosis, initiation of first\u2010line preoperative therapy and expedient surgical intervention. The earliest opportunity to intervene occurs at presentation to the emergency department triage. The aim of this audit was to evaluate the relationship between emergency triage and time performance measures in the preoperative management of abdominal emergencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective audit of time performance measures of key clinical events from emergency triage. Patient characteristics, elapsed time from triage to commencement of fluid resuscitation, intravenous antibiotics and emergency surgery and post\u2010operative outcomes were obtained from review of operative medical records data over a 1\u2010year duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was variability in triage allocation of patients with acute abdomen requiring urgent surgery. Category 3 was the most commonly assigned triage category (65.6%). The majority of patients (94.8%) had initial clinical assessment within the National Emergency Access Target \u20184\u2010hour\u2019 rule, and 41.7% seen within 1\u2010h from triage. Despite this, in cases of intra\u2010abdominal sepsis, there was nearly a fourfold elapsed time for first dose intravenous antibiotics, beyond the 1\u2010h recommendation in the Sepsis Kills pathway. There was non\u2010significant trend in faster overall time performances with successive higher triage category allocation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights an opportunity to consider alternative triage methods or fast\u2010track of patients with acute abdomen to promote early surgical assessment, resuscitation, antibiotic therapy and definitive intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15255","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T04:05:51Z","timestamp":1558497951000},"page":"1102-1107","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Time is of the essence: evaluation of emergency department triage and time performance in the preoperative management of acute abdomen"],"prefix":"10.1111","volume":"89","author":[{"given":"Adrian","family":"Teo","sequence":"first","affiliation":[{"name":"Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"},{"name":"The University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Wang","sequence":"additional","affiliation":[{"name":"Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"},{"name":"The University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,21]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Royal Australasian College of Surgeons. 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