Operative details of acute care surgery patients before and after introduction of an acute care surgery service at University Teaching Hospital of Kigali
| Total ACS n=222 | Pre-ACS n=120 | Post-ACS n=102 | P value | |
| n (%) | n (%) | n (%) | ||
| Admission to operating time (days)* (n=221) | 1 (0, 2) | 1 (1, 2) | 1 (0, 1) | 0.01 |
| ASA (n=205) | ||||
| I | 62 (30) | 38 (35) | 24 (25) | <0.001 |
| II | 92 (45) | 58 (54) | 34 (35) | |
| III | 44 (21) | 11 (10) | 33 (34) | |
| IV | 7 (3) | 1 (1) | 6 (6) | |
| Operating surgeon level | ||||
| PGY 1 | 17 (8) | 16 (13) | 1 (1) | <0.001 |
| PGY 2 | 41 (19) | 40 (34) | 1 (1) | |
| PGY 3 | 27 (12) | 9 (8) | 18 (18) | |
| PGY 4 | 58 (26) | 24 (20) | 34 (34) | |
| Faculty | 76 (35) | 30 (25) | 46 (46) | |
| Faculty | ||||
| Scrubbed | 81 (37) | 32 (27) | 49 (49) | 0.001 |
| Not scrubbed | 140 (63) | 88 (73) | 52 (51) | |
| Operative duration (min)* (n=207) | 120 (75, 150) | 110 (75, 150) | 120 (70, 150) | 0.847 |
| Operation | ||||
| Midline laparotomy | 138 (62) | 75 (63) | 63 (62) | 0.91 |
| Bowel resection | 58 (26) | 29 (24) | 29 (28) | 0.471 |
| Bowel anastomosis | 48 (22) | 22 (18) | 26 (25) | 0.197 |
| Ostomy | 21 (9) | 12 (10) | 9 (9) | 0.765 |
| Omental patch | 10 (5) | 7 (6) | 3 (3) | 0.241 |
| Splenectomy | 10 (5) | 4 (3) | 6 (6) | 0.278 |
| Abscess drainage | 20 (9) | 11 (9) | 9 (9) | 0.56 |
| Extremity debridement | 10 (5) | 5 (4) | 5 (5) | 0.521 |
| Amputation | 12 (5) | 7 (6) | 5 (5) | 0.5 |
| Reoperation | 39 (18) | 26 (22) | 13 (13) | 0.082 |
*Continuous variables reported as median (IQR), analysis with Wilcoxon rank-sum test.
ACS, acute care surgery; ASA, American Society of Anesthesiologists.