{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:39:39Z","timestamp":1747183179863,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T00:00:00Z","timestamp":1598572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008247","name":"University of Otago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Acute abdominal pain is a common surgical presentation. We previously found that over the last decade, more patients were admitted to hospital with non\u2010surgical diagnoses (e.g. gastroenteritis, constipation and non\u2010specific abdominal pain) and length of stay and use of imaging (mainly computed tomography scan) for these patients increased. This study aimed to reduce length of stay and use of imaging for patients admitted with non\u2010surgical abdominal pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective study was undertaken in a tertiary centre evaluating length of stay and use of additional imaging in patients with a non\u2010surgical diagnosis after a quality improvement intervention was implemented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 454 patients were included; 204 (44.9%) presented with non\u2010surgical abdominal pain. During the study period, a significant reduction in computed tomography scan requests was observed (38.5\u201325.0%, <jats:italic>P<\/jats:italic> = 0.037) and an increasing proportion of these patients were discharged within 12\u2009h (33.3\u201357.1%, <jats:italic>P<\/jats:italic> = 0.018). The number of re\u2010presentations remained unchanged (<jats:italic>P<\/jats:italic> = 0.358).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study intervention increased the proportion of patients with non\u2010surgical diagnoses that were successfully discharged within 12\u2009h and reduced the use of additional imaging in this group. This may lead to improved use of health care resources for patients with more urgent diagnoses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16276","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T15:16:43Z","timestamp":1598627803000},"page":"2259-2263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reducing length of stay for patients presenting to general surgery with acute non\u2010surgical abdominal pain"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5846-572X","authenticated-orcid":false,"given":"Kirsten J.","family":"de Burlet","sequence":"first","affiliation":[{"name":"Department of General Surgery Wellington Regional Hospital  Wellington New Zealand"},{"name":"Department of Surgery and Anaesthesia University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2717-5583","authenticated-orcid":false,"given":"Brendan","family":"Desmond","sequence":"additional","affiliation":[{"name":"Department of General Surgery Wellington Regional Hospital  Wellington New Zealand"},{"name":"Department of Surgery and Anaesthesia University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9567-0135","authenticated-orcid":false,"given":"Raphael","family":"Matsis","sequence":"additional","affiliation":[{"name":"Department of Surgery and Anaesthesia University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon J.","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of General Surgery Wellington Regional Hospital  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter D.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Surgery and Anaesthesia University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R.","family":"Dennett","sequence":"additional","affiliation":[{"name":"Department of General Surgery Wellington Regional Hospital  Wellington New Zealand"},{"name":"Department of Surgery and Anaesthesia University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-2848-4"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13167"},{"key":"e_1_2_8_4_1","first-page":"39","article-title":"Acute abdominal pain\u2010changes in the way we assess it over a decade","volume":"130","author":"Burlet K","year":"2017","journal-title":"N. 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