{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:31:19Z","timestamp":1753893079704,"version":"3.41.2"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the effect of graded emergency nursing intervention on the incidence of in-hospital complications in patients with acute abdomen and to evaluate patient satisfaction with nursing care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between June 2021 and June 2023, 100 patients with acute abdomen (85 with acute appendicitis) were randomly assigned to a control group (routine nursing care, <jats:italic>n<\/jats:italic>\u202f=\u202f50) or an emergency care (EC) group (graded emergency intervention, <jats:italic>n<\/jats:italic>\u202f=\u202f50). Graded emergency nursing intervention was implemented based on the Emergency Severity Index (ESI) version 4, which stratifies patients from Level I (life-threatening) to Level V (non-urgent). The EC group received structured emergency triage by trained nursing teams, including systematic protocols for patient observation, inquiry, physical examination, and condition analysis. Outcomes included emergency care efficiency indicators (consultation time, examination time, emergency department stay, trauma control time, hospital stay), complication rates (e.g., abdominal infection, hemorrhage, puncture site infection, subcutaneous emphysema), clinical symptom recovery (abdominal pain duration, gastrointestinal recovery time), and nursing satisfaction scores. Data were analyzed using t-tests and chi-square tests via SPSS 21.0, with significance set at <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The EC group showed significantly lower rates of in-hospital complications (2% vs. 14%, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05), faster clinical response times (shorter consultation and examination times, reduced emergency department and hospital stay durations), and quicker symptom recovery compared to the control group (<jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05). Nursing satisfaction scores were also significantly higher in the EC group (<jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Graded emergency nursing intervention\u2014based on triage acuity, structured symptom assessment, and trained response teams\u2014effectively reduces the incidence of complications, enhances emergency response efficiency, shortens recovery and hospital stay durations, and improves patient satisfaction. This approach is clinically valuable and recommended for broader implementation.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1612625","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:31:35Z","timestamp":1750311095000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the impact of emergency care on the incidence of in-hospital complications in patients with acute abdomen and the incidence of complications"],"prefix":"10.3389","volume":"13","author":[{"given":"Ruimian","family":"Jin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuquan","family":"Deng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s13017-021-00380-1","article-title":"Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines","volume":"16","author":"Coccolini","year":"2021","journal-title":"World J Emerg Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1055\/s-0029-1245303","article-title":"Das akute (chirurgische) Abdomen - Epidemiologie, Diagnostik und allgemeine Prinzipien des Managements [The acute (surgical) abdomen - epidemiology, diagnosis and general principles of management]","volume":"48","author":"Grundmann","year":"2010","journal-title":"Z Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"899","DOI":"10.3390\/jcm9040899","article-title":"Acute abdominal pain: missed diagnoses, extra-abdominal conditions, and outcomes","volume":"9","author":"Osterwalder","year":"2020","journal-title":"J Clin Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"789","DOI":"10.2147\/IJGM.S25936","article-title":"Evaluation and management of acute abdominal pain in the emergency department","volume":"5","author":"Macaluso","year":"2012","journal-title":"Int J Gen Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1186\/s13017-020-00306-3","article-title":"Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines","volume":"15","author":"Di Saverio","year":"2020","journal-title":"World J Emerg Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e1196","DOI":"10.1016\/S2214-109X(18)30386-3","article-title":"High-quality health systems in the sustainable development goals era: time for a revolution","volume":"6","author":"Kruk","year":"2018","journal-title":"Lancet Glob Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1037\/amp0000298","article-title":"Teamwork in healthcare: key discoveries enabling safer, high-quality care","volume":"73","author":"Rosen","year":"2018","journal-title":"Am Psychol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s12960-019-0411-3","article-title":"Interventions to improve team effectiveness within health care: a systematic review of the past decade","volume":"18","author":"Buljac-Samardzic","year":"2020","journal-title":"Hum Resour Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1016\/j.pec.2021.10.016","article-title":"The aspects of healthcare quality that are important to health professionals and patients: a qualitative study","volume":"105","author":"Hannawa","year":"2022","journal-title":"Patient Educ Couns"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"5269815","DOI":"10.1155\/2016\/5269815","article-title":"The role descriptions of triage nurse in emergency department: a Delphi study","volume":"2016","author":"Ebrahimi","year":"2016","journal-title":"Scientifica"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.aaen.2006.06.002","article-title":"Emergency department patient classification systems: a systematic review","volume":"14","author":"Williams","year":"2006","journal-title":"Accid Emerg Nurs"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.ienj.2016.02.003","article-title":"Emergency department crowding affects triage processes","volume":"29","author":"van der Linden","year":"2016","journal-title":"Int Emerg Nurs"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1097\/TME.0000000000000390","article-title":"ESI triage distribution in U.S. emergency departments","volume":"44","author":"Chmielewski","year":"2022","journal-title":"Adv Emerg Nurs J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"119","DOI":"10.2147\/IJWH.S151501","article-title":"Management of acute abdomen in pregnancy: current perspectives","volume":"11","author":"Zachariah","year":"2019","journal-title":"Int J Women's Health"},{"key":"ref15","doi-asserted-by":"crossref","DOI":"10.23970\/AHRQEPCCER258","volume-title":"Diagnostic errors in the emergency department: a systematic review","author":"Newman-Toker","year":"2022"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.17226\/21794","volume-title":"Overview of diagnostic error in health care, in improving diagnosis in health care","author":"Balogh","year":"2015"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"3036876","DOI":"10.1155\/2022\/3036876","article-title":"Assessment of pattern of abdominal injury over a two-year period at St Paul's hospital Millenium medical college and AaBET hospital, Addis Ababa, Ethiopia: a retrospective study","volume":"2022","author":"Demeke Altaye","year":"2022","journal-title":"Emerg Med Int"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1821","DOI":"10.2214\/AJR.07.3347","article-title":"MDCT evaluation of blunt abdominal trauma: clinical significance of free intraperitoneal fluid in males with absence of identifiable injury","volume":"191","author":"Drasin","year":"2008","journal-title":"Am J Roentgenol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2596","DOI":"10.1111\/jan.13739","article-title":"Person-centred pain management for the patient with acute abdominal pain: an ethnography informed by the fundamentals of care framework","volume":"74","author":"Avallin","year":"2018","journal-title":"J Adv Nurs"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1705","DOI":"10.18203\/2349-2902.isj20211906","article-title":"Pattern of illnesses presenting as acute abdomen: surgical study in 118 patients","volume":"8","author":"Kumar","year":"2021","journal-title":"Int J Surg"},{"key":"ref21","first-page":"4860","article-title":"The effects of comprehensive nursing interventions on the negative emotions, quality of life, and nursing satisfaction in intracerebral hemorrhage patients","volume":"13","author":"Hong","year":"2021","journal-title":"Am J Transl Res"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"23743735211049677","DOI":"10.1177\/23743735211049677","article-title":"Acute pain assessment inadequacy in the emergency department: patients\u2019 perspective","volume":"9","author":"H\u00e4m\u00e4l\u00e4inen","year":"2022","journal-title":"J Patient Exp"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.lers.2022.06.001","article-title":"Perioperative psychological issues and nursing care among patients undergoing minimally invasive surgeries","volume":"5","author":"Yang","year":"2022","journal-title":"Laparosc Endosc Robot Surg"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"12162","DOI":"10.3390\/ijerph191912162","article-title":"Personality, preoperative anxiety, and postoperative outcomes: a review","volume":"19","author":"Ji","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.ienj.2013.01.004","article-title":"Experiences of patients with acute abdominal pain in the ED or acute surgical ward \u2013 a qualitative comparative study","volume":"21","author":"Schultz","year":"2013","journal-title":"Int Emerg Nurs"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1016\/j.annemergmed.2022.10.014","article-title":"A qualitative study of emergency physicians\u2019 and nurses\u2019 experiences caring for patients with psychiatric conditions and\/or substance use disorders","volume":"81","author":"Isbell","year":"2023","journal-title":"Ann Emerg Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e35102","DOI":"10.1097\/MD.0000000000035102","article-title":"Effects of comprehensive functional nursing on functional recovery and quality of life in patients with spinal cord injury","volume":"102","author":"Ding","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"6422","DOI":"10.3390\/ijerph20146422","article-title":"The effectiveness of nursing rehabilitation interventions on self-Care for Older Adults with respiratory disorders: a systematic review with Meta-analysis","volume":"20","author":"Ribeiro","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1590\/fst.10320","article-title":"Comprehensive nursing care after coronary intervention operation","volume":"41","author":"Wang","year":"2021","journal-title":"Food Sci. Technol"},{"key":"ref30","first-page":"2678","article-title":"Effect of comprehensive high-quality nursing care on postoperative complications, degree of pain, and nursing satisfaction in gallstone patients during perioperative period","volume":"13","author":"Wei","year":"2021","journal-title":"Am J Transl Res"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"e001092","DOI":"10.1136\/bmjopen-2012-001092","article-title":"A randomised trial comparing the clinical effectiveness of different emergency department healthcare professionals in soft tissue injury management","volume":"2","author":"McClellan","year":"2012","journal-title":"BMJ Open"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1016\/j.healthpol.2016.10.002","article-title":"Interventions to reduce emergency department utilisation: a review of reviews","volume":"120","author":"Van den Heede","year":"2016","journal-title":"Health Policy"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1612625\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:31:37Z","timestamp":1750311097000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1612625\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,19]]},"references-count":32,"alternative-id":["10.3389\/fpubh.2025.1612625"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1612625","relation":{},"ISSN":["2296-2565"],"issn-type":[{"type":"electronic","value":"2296-2565"}],"subject":[],"published":{"date-parts":[[2025,6,19]]},"article-number":"1612625"}}