摘要
Aims:To determine whether day and time of admission influences the practice patterns of the admitting general surgeon and subsequent outcomes for patients diagnosed with small bowel obstruction.Methods:A retrospective database review was carried out,covering patients admitted with the presumed diagnosis of partial small bowel obstruction from 2004–2011.Results:A total of 404 patients met the inclusion criteria.One hundred and thirty-nine were admitted during the day,93 at night and 172 on the weekend.Overall 30.2%of the patients were managed operatively with no significant difference between the groups(P=0.89);however,of patients taken to the operating room,patients admitted during the day received operative intervention over 24 hours earlier than those admitted at a weekend,0.79 days vs 1.90 days,respectively(P=0.05).Overall mortality was low at 1.7%,with no difference noted between the groups(P=0.35).Likewise there was no difference in morbidity rates between the three groups(P=0.90).Conclusions:Despite a faster time to operative intervention in those patients admitted during the day,our study revealed that time of admission does not appear to correlate to patient outcome or mortality.
