"July effect" and appendicitis.

32Citations
Citations of this article
37Readers
Mendeley users who have this article in their library.
Get full text

Abstract

BACKGROUND: Patients at teaching hospitals often worry about the involvement of inexperienced surgical residents in their care. The most apparent time that physician inexperience would affect surgical outcomes would be in July, which is the start of residency training. The purpose of our study was to determine whether the morbidity related to the management of appendicitis was higher in the beginning of the academic year. METHODS: A retrospective review of all appendicitis cases between 1998 and 2007 at 2 public teaching hospitals was conducted. An analysis was performed comparing all appendicitis cases in July/August versus all other months of the academic year. The outcome variables were wound infection rate, postoperative abscess drainage rate, and length of hospitalization (LOH). RESULTS: A total of 4325 patients were included in the study. Patient demographics and appendiceal perforation rate were similar between July/August and the rest of the year. Wound infection rate, postoperative abscess drainage rate, and LOH were also similar between these 2 time periods. CONCLUSIONS: Appendicitis outcomes were similar in the beginning of the academic year in comparison with the remaining months. These findings suggest that patients with acute appendicitis can safely undergo emergency surgery early in the training year. Copyright (c) 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Cite

CITATION STYLE

APA

Yaghoubian, A., de Virgilio, C., Chiu, V., & Lee, S. L. (2010). “July effect” and appendicitis. Journal of Surgical Education, 67(3), 157–160. https://doi.org/10.1016/j.jsurg.2010.04.003

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free