Evidence map›Paper›PMID 38190080›Full record

ArticleUpdates in surgery2024

The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey.

Belinda De Simone, Vanni Agnoletti, Fikri M Abu-Zidan, Walter L Biffl, Ernest E Moore, Elie Chouillard, Federico Coccolini, Massimo Sartelli, Mauro Podda, Salomone Di Saverio and 17 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Mild acute biliary pancreatitis: still a surgical disease. A post-hoc analysis of the MANCTRA-1 international study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 11 countries.

Belinda De SimoneDepartment of Emergency and Trauma Surgery, Villeneuve St Georges Academic Hospital, Villeneuve St Georges, France. desimone.belinda@gmail.com.ORCID http://orcid.org/0000-0002-7956-3097
Vanni AgnolettiDepartment of General and Emergency surgery, Level I Trauma Center, Bufalini Hospital, Cesena, Italy.
Fikri M Abu-ZidanThe Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Walter L BifflDepartment of Emergency and Trauma Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Ernest E MooreErnest E. Moore Shock Trauma Center, University of Colorado, Denver, USA.
Elie ChouillardUnit of Metabolic and General Surgery, Clinique St Louis, Poissy, France.
Federico CoccoliniDepartment of General and Trauma Surgery, University Hospital of Pisa, Pisa, Italy.
Massimo SartelliDepartment of General Surgery, Macerata Hospital, Macerata, Italy.
Mauro PoddaDepartment of General Surgery, University Hospital of Cagliari, Cagliari, Italy.
Salomone Di SaverioDepartment of General Surgery, Santa Maria del Soccorso Hospital, San Benedetto del Tronto, Ascoli Piceno, Italy.
Haytham KaafaraniDepartment of Emergency and Trauma Surgery, Harvard Medical School & Massachusetts General Hospital, Boston, USA.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
Miklosh BalaAcute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah, Jerusalem, Israel.
Ari K LeppäniemiAbdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Andrew W KirkpatrickGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
Emmanouil PikoulisMedical School, National and Kapodistrian University of Athens, (NKUA), Athens, Greece.
Kemal RasaDepartment of Surgery, Anadolu Medical Center, Kocaali, Turkey.
Chiara RosatoDepartment of Emergency and General Surgery, Level I Trauma Center, Bufalini Hospital, Cesena, Italy.
Robert SawyerGeneral Surgery Department, Western Michigan University, Kalamazoo, MI, USA.
Luca AnsaloniDepartment of General Surgery, University Hospital of Pavia, Pavia, Italy.
Nicola de'AngelisColorectal and Digestive Surgery Unit, DIGEST Department Beaujon University Hospital (AP-HP), University Paris Cité, Paris, France.
Dimitris DamaskosDepartment of General Surgery, Royal Infirmary Edinburgh, Edinburgh, UK.
Philip F StahelDepartment of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA.
Yoram KlugerDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Raul CoimbraRiverside University Health System Medical Center and Loma Linda University School of Medicine, Loma Linda, USA.
ORSA Collaborative
Fausto CatenaDepartment of General and Emergency surgery, Level I Trauma Center, Bufalini Hospital, Cesena, Italy.
Ospedale “M. Bufalini” di Cesena · ITNational and Kapodistrian University of Athens · GRUniversità degli Studi eCampus · ITUniversité Paris Cité · FRUniversity of Pavia · ITAnadolu University · TRAzienda Ospedaliera Universitaria Pisana · ITCentre de Réadaptation Cardiaque Les Grands Prés · FREast Carolina University · USEdinburgh Royal Infirmary · GBFoothills Medical Centre · CAHarvard University · USHebrew University of Jerusalem · ILJohn Hunter Hospital · AULoma Linda University · USOspedale di MacerataRambam Health Care Campus · ILScripps Clinic Medical Group · USUnited Arab Emirates University · AEUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances and improvements in the management of surgical patients, emergency and trauma surgery is associated with high morbidity and mortality. This may be due in part to delays in definitive surgical management in the operating room (OR). There is a lack of studies focused on OR prioritization and resource allocation in emergency surgery. The Operating Room management for emergency Surgical Activity (ORSA) study was conceived to assess the management of operating theatres and resources from a global perspective among expert international acute care surgeons.

methodThe ORSA study was conceived as an international web survey. The questionnaire was composed of 23 multiple-choice and open questions. Data were collected over 3 months. Participation in the survey was voluntary and anonymous.

resultsOne hundred forty-seven emergency and acute care surgeons answered the questionnaire; the response rate was 58.8%. The majority of the participants come from Europe. One hundred nineteen surgeons (81%; 119/147) declared to have at least one emergency OR in their hospital; for the other 20/147 surgeons (13.6%), there is not a dedicated emergency operating room. Forty-six (68/147)% of the surgeons use the elective OR to perform emergency procedures during the day. The planning of an emergency surgical procedure is done by phone by 70% (104/147) of the surgeons.

conclusionsThere is no dedicated emergency OR in the majority of hospitals internationally. Elective surgical procedures are usually postponed or even cancelled to perform emergency surgery. It is a priority to validate an effective universal triaging and scheduling system to allocate emergency surgical procedures. The new Timing in Acute Care Surgery (TACS) was recently proposed and validated by a Delphi consensus as a clear and reproducible triage tool to timely perform an emergency surgical procedure according to the clinical severity of the surgical disease. The new TACS needs to be prospectively validated in clinical practice. Logistics have to be assessed using a multi-disciplinary approach to improve patients' safety, optimise the use of resources, and decrease costs.

Indexed as

Operating RoomsSurgeonsElective Surgical ProceduresHospitalsHumansSurveys and QuestionnairesEmergency surgeryHealth systemManagementOperating roomPlanningSchedulingTrauma surgeryTriage

Identifiers

PMID38190080
OpenAlexW4390669282

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.