{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T10:16:09Z","timestamp":1773483369363,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T00:00:00Z","timestamp":1734393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In emergency general surgery (EGS), rapid judgement and prompt emergency surgery play a significant role in determining the patient's prognosis. This study aimed to evaluate whether implementing the acute care surgery (ACS) system in Korea has improved the clinical outcomes of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study was conducted at three tertiary hospitals in Korea. The study included patients aged 18\u201399\u2009years who required EGS due to acute abdomen or abdominal trauma. A window period of 4\u2009months was set after the implementation of the ACS system, and the clinical outcomes before and after the implementation were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2146 patients were enrolled in the study, with 1008 in the pre\u2010ACS group and 1138 in the post\u2010ACS group. After propensity score matching, 901 patients were selected in the pre\u2010ACS group and 906 patients were selected in the post\u2010ACS group. The time from emergency room admission to operating room transfer was reduced in the post\u2010ACS group, with a mean of 452.2\u2009\u00b1\u2009347.0\u2009min compared to 522.1\u2009\u00b1\u2009416.5\u2009min in the pre ACS group (<jats:italic>P<\/jats:italic>\u2009=\u20090.001). Moreover, the complication rates were reduced in the post\u2010ACS group (38.3% vs. 31.3%, <jats:italic>P<\/jats:italic>\u2009=\u20090.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The implementation of the ACS system can lead to faster surgical decision\u2010making and the prompt execution of emergency surgery for patients, thereby reducing postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19366","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T06:59:39Z","timestamp":1734418779000},"page":"416-422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical outcomes of the implementation of acute care surgery system in South Korea: a multi\u2010centre, retrospective cohort study"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4065-2487","authenticated-orcid":false,"given":"Gun\u2010Hee","family":"Yi","sequence":"first","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suk\u2010Kyung","family":"Hong","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang\u2010Hee","family":"Jun","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sungyeon","family":"Yoo","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung\u2010Min","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Surgery Yeungnam University College of Medicine  Daegu Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keesang","family":"Yoo","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun Tae","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gangneung Asan Hospital University of Ulsan College of Medicine  Gangneung Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EunYoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Trauma and Surgical Critical Care, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine The Catholic University  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narae","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Healthcare Technology Assessment Research National Evidence\u2010based Healthcare Collaborating Agency  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Jung","family":"Ko","sequence":"additional","affiliation":[{"name":"Division of Healthcare Technology Assessment Research National Evidence\u2010based Healthcare Collaborating Agency  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hogyun","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Healthcare Technology Assessment Research National Evidence\u2010based Healthcare Collaborating Agency  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7016-5076","authenticated-orcid":false,"given":"Hak\u2010Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000481"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medin.2016.05.008"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-021-01816-8"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481107701009"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.04.016"},{"key":"e_1_2_11_7_1","first-page":"498","article-title":"An acute care surgery model improves outcomes in patients with appendicitis","volume":"244","author":"Earley AS","year":"2006","journal-title":"Ann. 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