| Autor: |
Marek, Denisiuk, James T, Layson, Ivan, Bandovic, Jacob, Waldron, Benjamin, Diedring, Nicholas B, Frisch, Alan, Afsari, R David, Hayward, Benjamin, Best |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Orthopaedic Trauma. 36:579-584 |
| ISSN: |
0890-5339 |
| DOI: |
10.1097/bot.0000000000002413 |
| Popis: |
To examine the effects of implementing a dedicated orthopaedic trauma room (DOTR) on hip and femur fracture care.A retrospective cohort study. Setting: Level 1 trauma center. Patients: 2928 patients with femoral neck, pertrochanteric, and femoral shaft and distal femur (FSDF) fractures.Implementation of a DOTR.Hospital length of stay (LOS), emergency department (ED) LOS, intensive care unit (ICU) LOS, and time to operating room (TTOR).Implementation of a DOTR resulted in significant improvement in TTOR for all patient groups ( P0.05). We found shorter TTOR for pertrochanteric ( P0.001), femoral neck ( P = 0.039), and FSDF groups ( P = 0.046). Total hospital LOS was shorter for patients with pertrochanteric ( P0.001) and femoral neck fractures ( P = 0.044). Patients with pertrochanteric hip fractures demonstrated shorter ICU LOS ( P0.001). No LOS improvements were observed among patients in the FSDF group. ED LOS was significantly longer in all patient groups ( P0.001).Implementation of a DOTR was associated with shorter TTOR, shorter hospital and ICU LOS, and longer ED LOS. There was a greater number of patients transferred into the investigating institution and fewer patients transferred out. These data support the utility of a DOTR as it relates to an improvement in hospital stay-related outcomes in patients with fractures of the hip and femur. Our results suggest that a DOTR in a Level I trauma hospital is associated with improvement in patient care.Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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