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The Bone & Joint Journal
Vol. 100-B, Issue 1 | Pages 109 - 118
1 Jan 2018
Talbot C Davis N Majid I Young M Bouamra O Lecky FE Jones S

Aims

The aim of this study was to describe the epidemiology of closed isolated fractures of the femoral shaft in children, and to compare the treatment and length of stay (LOS) between major trauma centres (MTCs) and trauma units (TUs) in England.

Patients and Methods

National data were obtained from the Trauma and Audit Research Network for all isolated, closed fractures of the femoral shaft in children from birth to 15 years of age, between 2012 and 2015. Age, gender, the season in which the fracture occurred, non-accidental injury, the mechanism of injury, hospital trauma status, LOS and type of treatment were recorded.


The Bone & Joint Journal
Vol. 98-B, Issue 9 | Pages 1253 - 1261
1 Sep 2016
Metcalfe D Perry DC Bouamra O Salim A Woodford M Edwards A Lecky FE Costa ML

Aims

We aimed to determine whether there is evidence of improved patient outcomes in Major Trauma Centres following the regionalisation of trauma care in England.

Patients and Methods

An observational study was undertaken using the Trauma Audit and Research Network (TARN), Hospital Episode Statistics (HES) and national death registrations. The outcome measures were indicators of the quality of trauma care, such as treatment by a senior doctor and clinical outcomes, such as mortality in hospital.