The impact of major trauma centre designation on routine orthopaedic trauma care
| Autor: | James Archer, Abdulrahman Odeh, Ellen Moore, Paul Fenton, Ross Fawdington, Annisa Butt, Danielle Piper |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Major trauma 030208 emergency & critical care medicine Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Emergency medicine Emergency Medicine medicine Surgery 030212 general & internal medicine Ankle business Orthopaedic trauma |
| Zdroj: | Trauma. 24:233-236 |
| ISSN: | 1477-0350 1460-4086 |
| Popis: | Introduction Major Trauma networks were introduced in 2012 to improve care for patients with major traumatic injuries. Current evidence suggests that this has been successfully achieved, however, there are implications for ‘routine trauma care’ of patients who attend a major trauma centre. Methods We assessed time from injury to surgery in August to October in 2011 and 2019. We also assessed the National Hip Fracture Database outcomes for time to surgery for hip fracture patients. Results Average wait times for ankle surgery increased from 4.9 days (18 patients) in 2011 to 7.0 in days (26 patients) in 2019, whilst for distal radius fracture surgery increased from 3.9 days (36 patients) to 6.5 days (23 patients); the percentage of patients who received their hip fracture surgery within the recommended 36 hours was 53.7% in 2011 (322 patients) compared to 66.7% in 2019 (375 patients). Conclusion The wait times for ‘routine trauma care’ have increased since the introduction of the major trauma network. This is probably due to the large demand on major trauma centres presented by complex trauma patients. However, the number of patients undergoing hip fracture surgery within 36 hours has improved, probably driven by the NHS tariff for hip fracture care. Changes to the current major trauma system or an increase in resources are required to help reverse this trend. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|