Patient outcomes in Tropical North Queensland after implementation of a dedicated orthopaedic trauma list
| Autor: | Arvind Puri, Nicholas B. Jorgensen, Conor Gouk, Christopher Morrey, Matthew Knight |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Consultants Referral Length of hospitalization 03 medical and health sciences Patient referral 0302 clinical medicine Statistical significance medicine Retrospective analysis Humans Femur Child Orthopaedic trauma Retrospective Studies Hand injury business.industry General surgery General Medicine Length of Stay medicine.disease Orthopedics 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Queensland business |
| Zdroj: | ANZ Journal of Surgery. 91:986-991 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/ans.16785 |
| Popis: | BACKGROUND To assess patient outcomes after the introduction of a regular orthopaedic-specific trauma list (OTL). METHODS A retrospective analysis of 422 trauma cases was performed comparing patient outcomes after the introduction of the OTL. Four common traumatic injuries requiring operative intervention were considered; closed tibial fractures, intra-capsular neck of femur fractures, displaced paediatric supracondylar humeral fractures and hand tendon injuries. The outcomes assessed included time from patient referral to theatre, time from admission to theatre, operative times, time of day operation commenced, consultant involvement, hospital length of stay (LOS), returns to theatre and mortality. RESULTS Tibial fractures had an increased time from admission to theatre (0.46 days pre-OTL versus 1.21 days post-OTL, P = 0.01), hand tendons injuries had an increase in time from referral to theatre (1.06 days pre-OTL versus 2.82 days post-OTL, P = 0.001). Consultant involvement increased for supracondylar procedures (27% pre-OTL versus 61% post-OTL, P |
| Databáze: | OpenAIRE |
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