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28

Figure 12: Timing of operative procedures in emergency admissions.

Note: total n=5,359 episodes in 4,238 emergency patients.

Audit period 1 July 2007 to 30 June 2015.

Data not available: n=294 (5.4%).

Hrs: hours.

Comments:

The time criticality of a patient’s condition predicts the timing of emergency surgery. Of the emergency admissions

who underwent surgery, 21.8% (1,107/5,065) had surgery within 2 hours of admission, 42.1% (2,131/5,065) had

surgery within 24 hours, and 36.1% (1,827/5,065) had surgery more than 24 hours after admission.

During the audit period 63.9% (3,328/5,065) of emergency admissions to a surgical unit required surgery within 24

hours of admission. Strategies to address the associated scheduling problems are being implemented by

government, surgeons and hospitals.

(15-17)

2007-2012

2012-2013

2013-2014

2014-2015

Immediate < 2hrs

21.8%

22.4%

22.0%

21.3%

Emergency < 24 hrs

42.3%

39.5%

42.1%

44.2%

Scheduled emergency > 24 hrs

35.9%

38.1%

35.9%

34.5%

0%

10%

20%

30%

40%

50%

Operative cases (%)

66.6%

Emergency 0-24 hours

2007-2014

65.5%

Emergency 0-24 hours

2014-2015

Audit period