FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3097088891> ?p ?o ?g. }

• W3097088891 endingPage "S53" @default.
• W3097088891 startingPage "S52" @default.
• W3097088891 abstract "Study Objective We evaluated the impact of opening a Level I Trauma Center on quality measures in GynES. The primary outcome was the time elapsed between case request and patient arrival to the operating room (R:R time). Design This retrospective cohort study compared cases in 2017 (pre-intervention) to 2019 (post-intervention) in a convenience sample. Setting Urban academic tertiary-care hospital, single institution. Patients or Participants Women were included (n=228) if they presented to the Emergency Department and underwent GynES for one of the three indications: ectopic pregnancy, miscarriage, or adnexal torsion. Interventions The intervention period in 2018 included modernizing the Emergency Department, instituting a surgical priority classification system (R:R time targets: A <30 minutes, B <2 hours, C <4 hours, D <12 hours), and optimizing perioperative services for a new Level I Trauma Center. Measurements and Main Results Two reviewers assigned priority class retrospectively for pre-intervention cases (Kappa=0.60). A third reviewer adjudicated discrepancies. R:R time was assessed by difference of means [95% CI] and percent compliant with targets using Welch's T-Test and Fisher's Exact Test (alpha=0.05), respectively. Interrupted time series logistic regression evaluated for secular trends. When compared to 2017 (n=111), R:R time in 2019 (n=117) was significantly reduced for class A cases (-42min [-67 to -17min], p=0.02) and class B cases (-59min [-99 to -20min], p=0.004). Overall compliance significantly improved from 50% to 71%, p=0.002. Logistic regression did not find confounding from pre-intervention trends. Patient and case characteristics were similar except for insurance mix, p=0.04. Conclusion Implementation of a Level I Trauma Center and surgical priority classification system significantly reduced delays for the most urgent gynecologic emergency surgeries. We evaluated the impact of opening a Level I Trauma Center on quality measures in GynES. The primary outcome was the time elapsed between case request and patient arrival to the operating room (R:R time). This retrospective cohort study compared cases in 2017 (pre-intervention) to 2019 (post-intervention) in a convenience sample. Urban academic tertiary-care hospital, single institution. Women were included (n=228) if they presented to the Emergency Department and underwent GynES for one of the three indications: ectopic pregnancy, miscarriage, or adnexal torsion. The intervention period in 2018 included modernizing the Emergency Department, instituting a surgical priority classification system (R:R time targets: A <30 minutes, B <2 hours, C <4 hours, D <12 hours), and optimizing perioperative services for a new Level I Trauma Center. Two reviewers assigned priority class retrospectively for pre-intervention cases (Kappa=0.60). A third reviewer adjudicated discrepancies. R:R time was assessed by difference of means [95% CI] and percent compliant with targets using Welch's T-Test and Fisher's Exact Test (alpha=0.05), respectively. Interrupted time series logistic regression evaluated for secular trends. When compared to 2017 (n=111), R:R time in 2019 (n=117) was significantly reduced for class A cases (-42min [-67 to -17min], p=0.02) and class B cases (-59min [-99 to -20min], p=0.004). Overall compliance significantly improved from 50% to 71%, p=0.002. Logistic regression did not find confounding from pre-intervention trends. Patient and case characteristics were similar except for insurance mix, p=0.04. Implementation of a Level I Trauma Center and surgical priority classification system significantly reduced delays for the most urgent gynecologic emergency surgeries." @default.
• W3097088891 created "2020-11-09" @default.
• W3097088891 creator A5021304316 @default.
• W3097088891 creator A5030203879 @default.
• W3097088891 creator A5037442747 @default.
• W3097088891 creator A5041137922 @default.
• W3097088891 date "2020-11-01" @default.
• W3097088891 modified "2023-09-27" @default.
• W3097088891 title "Impact of a Trauma Center and Surgical Priority Classification System on Gynecologic Emergency Surgery (GynES) Quality Measures" @default.
• W3097088891 doi "https://doi.org/10.1016/j.jmig.2020.08.395" @default.
• W3097088891 hasPublicationYear "2020" @default.
• W3097088891 type Work @default.
• W3097088891 sameAs 3097088891 @default.
• W3097088891 citedByCount "0" @default.
• W3097088891 crossrefType "journal-article" @default.
• W3097088891 hasAuthorship W3097088891A5021304316 @default.
• W3097088891 hasAuthorship W3097088891A5030203879 @default.
• W3097088891 hasAuthorship W3097088891A5037442747 @default.
• W3097088891 hasAuthorship W3097088891A5041137922 @default.
• W3097088891 hasBestOaLocation W30970888911 @default.
• W3097088891 hasConcept C118552586 @default.
• W3097088891 hasConcept C126322002 @default.
• W3097088891 hasConcept C141071460 @default.
• W3097088891 hasConcept C151956035 @default.
• W3097088891 hasConcept C167135981 @default.
• W3097088891 hasConcept C194828623 @default.
• W3097088891 hasConcept C2777120189 @default.
• W3097088891 hasConcept C2780110798 @default.
• W3097088891 hasConcept C2780724011 @default.
• W3097088891 hasConcept C31174226 @default.
• W3097088891 hasConcept C71924100 @default.
• W3097088891 hasConceptScore W3097088891C118552586 @default.
• W3097088891 hasConceptScore W3097088891C126322002 @default.
• W3097088891 hasConceptScore W3097088891C141071460 @default.
• W3097088891 hasConceptScore W3097088891C151956035 @default.
• W3097088891 hasConceptScore W3097088891C167135981 @default.
• W3097088891 hasConceptScore W3097088891C194828623 @default.
• W3097088891 hasConceptScore W3097088891C2777120189 @default.
• W3097088891 hasConceptScore W3097088891C2780110798 @default.
• W3097088891 hasConceptScore W3097088891C2780724011 @default.
• W3097088891 hasConceptScore W3097088891C31174226 @default.
• W3097088891 hasConceptScore W3097088891C71924100 @default.
• W3097088891 hasIssue "7" @default.
• W3097088891 hasLocation W30970888911 @default.
• W3097088891 hasOpenAccess W3097088891 @default.
• W3097088891 hasPrimaryLocation W30970888911 @default.
• W3097088891 hasRelatedWork W2521798826 @default.
• W3097088891 hasRelatedWork W2559485670 @default.
• W3097088891 hasRelatedWork W2755305523 @default.
• W3097088891 hasRelatedWork W2907970638 @default.
• W3097088891 hasRelatedWork W2938490016 @default.
• W3097088891 hasRelatedWork W2974208464 @default.
• W3097088891 hasRelatedWork W2986237400 @default.
• W3097088891 hasRelatedWork W3159658927 @default.
• W3097088891 hasRelatedWork W3160103039 @default.
• W3097088891 hasRelatedWork W4367308181 @default.
• W3097088891 hasVolume "27" @default.
• W3097088891 isParatext "false" @default.
• W3097088891 isRetracted "false" @default.
• W3097088891 magId "3097088891" @default.
• W3097088891 workType "article" @default.