422 Improving Theatre Capacity for Orthopaedic Trauma Cases

Autor: M Karbowiak, J Kohls
Rok vydání: 2021
Předmět:
Zdroj: British Journal of Surgery. 108
ISSN: 1365-2168
0007-1323
DOI: 10.1093/bjs/znab134.423
Popis: Introduction Delay to surgery in orthopaedic trauma is associated with higher morbidity and mortality, as well as prolonged hospital stay. In this study we have looked at how replacing half-day sessions with all-day trauma lists at the Royal Surrey NHS Foundation Trust has affected theatre efficiency and waiting times for surgery. Method Details for all trauma cases (with patient demographics, injury, and surgery details) operated on in April 2019 and April 2020 were collected using hospital records. Results 88 cases were identified in April 2019 - the average time from presentation to hospital to the operation was 3.82 days. In April 2020, there were 79 cases with average time to surgery of 1.26 days. There was a reduction in the number of ambulatory trauma, however, more femoral trauma was recorded in April 2020. The reduction in waiting time for surgery following the introduction of all-day lists was statistically significant with p value Conclusions The introduction of all-day trauma lists led to a statistically significant reduction in the time from patients presenting to hospital to surgery. In view of these findings, the department has now permanently introduced all-day lists on selected weekdays running alongside the elective sessions.
Databáze: OpenAIRE