ARTÍCULO
The successful implementation of a trauma and acute care surgery model in Ecuador
Fecha
2020Registro en:
0364-2313, 1432-2323
10.1007/s00268-020-05435-z
Autor
Sarmiento Altamirano, Doris Adriana
Himmler, Amber Nicole
Chango Siguenza, Oscar Miguel
Pino Andrade, Raul Haldo
Flores Lazo, Nube Lucia
Reinoso Naranjo, Jeovanni Homero
Sacoto Aguilar, Hernan Patricio
Fernandez de cordova Rubio, German Lenin
Rodas, Edgar B.
Puyana, Juan Carlos
Salamea Molina, Juan Carlos
Institución
Resumen
For years, surgical emergencies in Ecuador were managed on a case-by-case basis without significant standardization. To address these issues, the Regional Hospital Vicente Corral Moscoso adapted and implemented a model of “trauma and acute care surgery” (TACS) to the reality of Cuenca, Ecuador.
A cohort study was carried out, comparing patients exposed to the traditional model and patients exposed to the TACS model. Variables assessed included number of surgical patients attended to in the emergency department, number of surgical interventions, number of surgeries performed per surgeon, surgical wait time, length of stay and in-hospital mortality.