Fast‐track ambulatory abscess pathway: an Australian streamlined emergency surgery pathway

• DOI: 10.1111/ans.15494
• Publication Date: 2019-10-24T04:04:07Z
• Authors: Rafael Gaszynski; Andrew Gray; Daniel Leonard Chan; Neil Merrett
• Keywords: Demographics; Fast track; Care pathway

Abstract Background Superficial skin abscesses account for a significant burden of emergency surgical admissions. The aim this study was to evaluate the effectiveness an ambulatory care pathway emergently treating body requiring operative drainage. Method A retrospective prospective patient database performed, using randomized selection. Patient demographics, length and cost stay were compared between patients undergoing management abscess before after implementation fast‐track (FAAP). Results In total, 100 analysed with 50 in pre‐ambulatory group FAAP group. had mean age 37.7 ± 15.8 years versus 35.3 14.5 years. Total 85 17 days comparison 1.7 0.34 ( P < 0.001). This translated into total saving $74 group, groups $2884 $1402 Both reductions statistically pathway. Conclusion is first Australian report findings from intervention. We have shown that presenting through can be managed as day‐case procedure, thereby decreasing these patients' overall stay.