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.

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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.

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