Wong, DJN;
Bedford, J;
Luck, S;
Bloomer, R;
(2017)
Evaluating Services at a Major Trauma Centre Before Helipad Construction.
Air Medical Journal
, 36
(1)
pp. 34-36.
10.1016/j.amj.2016.11.007.
Preview |
Text
manuscript_accepted.pdf - Accepted Version Download (776kB) | Preview |
Abstract
INTRODUCTION: Two of the Four hospitals designated as Major Trauma Centres in London, United Kingdom, currently operate on-site helicopter landing pads. King's College Hospital (KCH) is constructing a third. We evaluate current trauma services at KCH, prior to the helipad entering service, establishing baseline workload and mortality measures. METHODS: We retrospectively analysed data from patients admitted 01/01/2014–31/12/2015 to KCH following major trauma with on-scene Helicopter Emergency Medical Services (HEMS) involvement (n = 427), using the Trauma Audit & Research Network (TARN) database. RESULTS: Median Injury Severity Score (ISS) of the cohort was 22 (Interquartile Range 13–30). Median Length of Stay was 11 days (IQR 5–24). Fifty-seven percent of the patients received Intensive Care Unit (ICU) admission, with a median ICU LOS of 5 days (IQR 2–12) in this subgroup. There was no significant difference in ISS, LOS or ICU LOS between 2014 and 2015. 193 patients (45.2%) underwent ≥1 operation, accounting for 1276.5 hours of operating theatre time in total. Cox Proportional Hazards regression showed no difference in survival outcomes between 2014 and 2015. CONCLUSION: Baseline workload and mortality measures were obtained, forming the basis of future service evaluation to assess the impact of helipad construction.
Type: | Article |
---|---|
Title: | Evaluating Services at a Major Trauma Centre Before Helipad Construction |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1016/j.amj.2016.11.007 |
Publisher version: | http://dx.doi.org/10.1016/j.amj.2016.11.007 |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci |
URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1529153 |
Archive Staff Only
![]() |
View Item |