Surgical Comanagement by Hospitalists in Colorectal Surgery

Journal of the American College of Surgeons
Nidhi RohatgiNeera Ahuja

Abstract

Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon and may contribute to higher mortality. We implemented a surgical comanagement (SCM) model in July 2014 at our institution, where the same 2 SCM hospitalists were dedicated to colorectal surgery year round. Each patient was screened daily by an SCM hospitalist for prevention and management of medical complications. Before SCM, hospitalists were typically consulted after medical complications had occurred. We conducted a pre/post study at an academic medical center with 938 patients in the pre-SCM group (July 2012 to June 2014), and 1,062 patients in the post-SCM group (July 2014 to May 2016). We evaluated whether SCM by hospitalists improved outcomes of patients in colorectal surgery. There was no significant difference in medical complications, patient satisfaction, or 30-day readmission rate to our institution for medical cause with the SCM intervention. This intervention was associated with a significant decrease in the proportion of patients transferred to the ICU after rapid response team calls (relative risk [RR] 0.25 [95% CI 0.05 to 0.84], p = 0.039), proportion of patients with length of stay (LO...Continue Reading

Citations

Mar 3, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nidhi RohatgiNeera Ahuja
Mar 30, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Matthew J DavisEdward P Buchanan
May 1, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Bryan C LuuEdward P Buchanan
Mar 16, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Nidhi RohatgiNeera Ahuja
May 21, 2021·Annals of Surgical Treatment and Research·Yoon Bin JungKang Young Lee

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