Purpose
Acute care surgery (ACS) has been shown to improve patient outcome and treatment efficiency in the U.S. ACS was introduced to the Department of Surgery, Yonsei University College of Medicine, Seoul to solve the problems associated with delays in surgical evaluation of non-trauma patients who needed emergency surgery, and to offer exposure to a wide variety of surgical cases to general surgical fellows and residents. The objective of this study was to describe the 10-year experience of the ACS department in a single center.
Methods
A retrospective chart review was conducted at the Department of Surgery, Yonsei University College of Medicine, Seoul, for all patients admitted from March 2008 to February 2018. Patients were grouped into either the trauma or non-trauma group, and were further classified according to their diagnosis, and the type of operations they had undergone.
Results
There was a total of 2,805 patients, including 1,001 trauma patients and 1,804 non-trauma patients. The average hospital length of stay was 14 days and the total in-hospital mortality rate was 3.6%. Trauma mechanisms included blunt (92.6%), penetrating (7.0%) and burn (0.4%) trauma. The majority of non-trauma patients were admitted for appendicitis (37.1%), followed by cholecystitis (21.7%). There was a total of 1,561 operations conducted. The most frequent operations were appendectomy (38.3%) and cholecystectomy (19.5%), followed by adhesiolysis (7.8%).
Conclusion
A working ACS department has been implemented in a Korean medical center.

Citations

• Development of an ICT Laparoscopy System with Motion-Tracking Technology for Solo Laparoscopic Surgery: A Feasibility Study
  Miso Lee, Jinwoo Oh, Taegeon Kang, Suhyun Lim, Munhwan Jo, Min-Jae Jeon, Hoyul Lee, Inhwan Hwang, Shinwon Kang, Jin-Hee Moon, Jae-Seok Min
  Applied Sciences.2024; 14(11): 4622.     CrossRef
• Difficult Small Bowel Bleeding in Surgical View
  Jung Min Bae
  Journal of Acute Care Surgery.2024; 14(2): 41.     CrossRef
• Clinical significance of acute care surgery system as a part of hospital medical emergency team for hospitalized patients
  Kyoung Won Yoon, Kyoungjin Choi, Keesang Yoo, Eunmi Gil, Chi-Min Park
  Annals of Surgical Treatment and Research.2023; 104(1): 43.     CrossRef

Purpose:

This study identifies risks for pressure ulcer in patients admitted to surgical intensive care units because of severe traumatic injuries with injury severity scores of 15 or higher.

Methods:

Data was collected from records of patients admitted from January 1, 2011, to December 31, 2013. The analysis addressed general characteristics, trauma-related characteristics, and treatment-related characteristics of pressure ulcers. Descriptive statistics include the raw numbers, percentages, and the standard deviations. Hypothesis tests including t-tests, chi-square tests, and multi-regression analyses were performed using SPSS ver.dow 12.0.

Results:

Two hundred and fifty-nine patients were admitted to surgical intensive care units with severe trauma injuries. Of those, 44 patients (17.0%) had a pressure ulcer. The mean pressure ulcer duration was 8.4 days. The most common pressure ulcer was the second phase ulcer at 51.9%. Risk factors were found to be age (p<0.001), shock (p<0.021), and the fixture device (p<0.020).

Conclusion:

Early nursing interventions are necessary to prevent a pressure ulcer in patients with severe trauma injuries admitted to surgical intensive care units.

Citations

• Characteristics of and Risk Factors for Medical Device-Related Pressure Injuries in Trauma Patients in Intensive Care Units: A Retrospective Case–Control Study
  Jong Eun Hyun, Seul Ki Park
  Western Journal of Nursing Research.2026; 48(2): 131.     CrossRef
• Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit
  Seung-yeon Lim, Young-min Jeong, So-young Jeong
  Journal of Acute Care Surgery.2023; 13(2): 47.     CrossRef
• Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care Unit
  Jeong Eun Yoon, Ok-Hee Cho
  Clinical Nursing Research.2022; 31(4): 648.     CrossRef
• Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
  Ja Eun Choi, Sun-Kyung Hwang
  Journal of Korean Critical Care Nursing.2019; 12(2): 26.     CrossRef