ORIGINAL RESEARCH article
Front. Public Health
Sec. Disaster and Emergency Medicine
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1612625
This article is part of the Research TopicAdvances in Intra-Abdominal InfectionView all 4 articles
Analysis of the impact of emergency care on the incidence of inhospital complications in patients with acute abdomen and the incidence of complications
Provisionally accepted
Ruimian Jin
Jing Yang*- Longhua District People's Hospital, Shenzhen, China
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Objective: To investigate the effect of graded emergency nursing intervention on the incidence of in-hospital complications in patients with acute abdomen and to evaluate patient satisfaction with nursing care.Methods: Between June 2021 and June 2023, 100 patients with acute abdomen (85 with acute appendicitis) were randomly assigned to a control group (routine nursing care, n=50) or an emergency care (EC) group (graded emergency intervention, n=50). Graded emergency nursing intervention was implemented based on the Emergency Severity Index (ESI) version 4, which stratifies patients from Level I (life-threatening) to Level V (non-urgent). The EC group received structured emergency triage by trained nursing teams, including systematic protocols for patient observation, inquiry, physical examination, and condition analysis. Outcomes included emergency care efficiency indicators (consultation time, examination time, emergency department stay, trauma control time, hospital stay), complication rates (e.g., abdominal infection, hemorrhage, puncture site infection, subcutaneous emphysema), clinical symptom recovery (abdominal pain duration, gastrointestinal recovery time), and nursing satisfaction scores. Data were analyzed using t-tests and chi-square tests via SPSS 21.0, with significance set at P < 0.05.Results: The EC group showed significantly lower rates of in-hospital complications (2% vs. 14%, P < 0.05), faster clinical response times (shorter consultation and examination times, reduced emergency department and hospital stay durations), and quicker symptom recovery compared to the control group (P < 0.05). Nursing satisfaction scores were also significantly higher in the EC group (P < 0.05).Conclusion: Graded emergency nursing intervention—based on triage acuity, structured symptom assessment, and trained response teams—effectively reduces the incidence of complications, enhances emergency response efficiency, shortens recovery and hospital stay durations, and improves patient satisfaction. This approach is clinically valuable and recommended for broader implementation.
Keywords: grading emergency nursing intervention, acute abdomen, incidence of complications, Patient Satisfaction, graded nursing model
Received: 16 Apr 2025; Accepted: 30 May 2025.
Copyright: © 2025 Jin and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jing Yang, Longhua District People's Hospital, Shenzhen, China
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