AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP)

Joseph Boktor; Abdul Badurudeen; Ahmed Alsayyad; Wahid Abdul; Sashin Ahuja

doi:10.1302/1358-992X.2022.1.025

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General Orthopaedics

AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP)

The British Indian Orthopaedic Society (BIOS) Annual Scientific Meeting, Cardiff, Wales, 2–3 July 2021.

Joseph Boktor
Abdul Badurudeen
Ahmed Alsayyad
Wahid Abdul
Sashin Ahuja

AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP)

Boktor J, Badurudeen A, Alsayyad A, Abdul W, Ahuja S. AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP). Orthop Procs. 2022;104-B(SUPP_1):25-25. doi:10.1302/1358-992X.2022.1.025

Boktor, Joseph, et al. “AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP).” Orthopaedic Proceedings, vol. 104-B, no. SUPP_1, 2022, pp. 25-25., https://doi.org/10.1302/1358-992X.2022.1.025

Boktor, J., Badurudeen, A., Alsayyad, A., Abdul, W., & Ahuja, S. (2022). AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP). Orthopaedic Proceedings, 104-B(SUPP_1), 25-25. https://doi.org/10.1302/1358-992X.2022.1.025

Boktor, J., Badurudeen, A., Alsayyad, A., Abdul, W. and Ahuja, S. (2022) “AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP).” Orthopaedic Proceedings, 104-B(SUPP_1), pp. 25-25. Available at: https://doi.org/10.1302/1358-992X.2022.1.025

Boktor, Joseph, Abdul Badurudeen, Ahmed Alsayyad, Wahid Abdul, and Sashin Ahuja. “AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP).” Orthopaedic Proceedings 104-B, no. SUPP_1 (2022): 25-25. https://doi.org/10.1302/1358-992X.2022.1.025

Boktor J, Badurudeen A, Alsayyad A, Abdul W, Ahuja S. AUDIT OF MAJOR TRAUMA PATIENTS WITH SPINAL INJURIES ON POLYTRAUMA UNIT AND SPINAL WARD IN A NEW MAJOR TRAUMA CENTRE (CLOSING LOOP). Orthop Procs. 2022 Jan 1;104-B(SUPP_1):25-25. https://doi.org/10.1302/1358-992X.2022.1.025

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Abstract

Background

University Hospital of Wales (UHW) went live as a Major Trauma Centre (MTC) on the 14th September 2020. New guidelines have been set up by the Wales Trauma Network.

Aim

Prospective audit to see how many admissions, correct pathways were followed?

Materials & Methods

Prospective data collection prospective over a period of 3 months: starting from 8.11.2020 to 31.01.2021.

Results

Spinal admissions represent around 22% of MTC admissions. The closing loop showed higher amount of admission (45 in comparison with the first audit 28). 42 patients had fractures where three had cord syndromes. 13 patients out of the 45 (29%) were managed operatively. After changing to MTC, more indirect referral from other hospitals representing 64% of total admission with one wrong referral (2.2%) that came to the MTC and could have been managed locally. On the other hand, repatriation rate has improved from 61% to 84%, however, repatriation time was longer than expected with >1 week represents 78%.

Conclusions

Changing to MTC had a great impact with increased work load in the trust. Repatriation would be aimed for within 72 hours from treatment either conservative or postoperative. More attention should be paid towards the appropriate referral pathways to avoid wrong referral.