Evaluating Services at a Major Trauma Center Before Helipad Construction. Wong, D. J. N., Bedford, J. R., Luck, S., & Bloomer, R. Air medical journal, 36(1):34–36, February, 2017. doi abstract bibtex INTRODUCTION: Two of the 4 hospitals designated as major trauma centers in London, UK, currently operate on-site helicopter landing pads. King's College Hospital (KCH) is constructing a third. We evaluate current trauma services at King's College Hospital, before the helipad entering service, establishing baseline workload and mortality measures. METHODS: We retrospectively analyzed data from patients admitted January 1, 2014, to December 31, 2015, to KCH after major trauma with on-scene helicopter emergency medical services involvement (N = 427) using the Trauma Audit and Research Network database. RESULTS: The median Injury Severity Score of the cohort was 22 (interquartile range [IQR], 13-30). The 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 length of stay (LOS) of 5 days (IQR, 2-12) in this subgroup. There was no significant difference in Injury Severity Score, LOS, or ICU LOS between 2014 and 2015. One hundred ninety-three patients (45.2%) underwent \textgreater/= 1 operation, accounting for 1,276.5 hours of operating room 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.
@article{wong_evaluating_2017,
title = {Evaluating {Services} at a {Major} {Trauma} {Center} {Before} {Helipad} {Construction}.},
volume = {36},
copyright = {Copyright (c) 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.},
issn = {1532-6497 1067-991X},
doi = {10.1016/j.amj.2016.11.007},
abstract = {INTRODUCTION: Two of the 4 hospitals designated as major trauma centers in London, UK, currently operate on-site helicopter landing pads. King's College Hospital (KCH) is constructing a third. We evaluate current trauma services at King's College Hospital, before the helipad entering service, establishing baseline workload and mortality measures. METHODS: We retrospectively analyzed data from patients admitted January 1, 2014, to December 31, 2015, to KCH after major trauma with on-scene helicopter emergency medical services involvement (N = 427) using the Trauma Audit and Research Network database. RESULTS: The median Injury Severity Score of the cohort was 22 (interquartile range [IQR], 13-30). The 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 length of stay (LOS) of 5 days (IQR, 2-12) in this subgroup. There was no significant difference in Injury Severity Score, LOS, or ICU LOS between 2014 and 2015. One hundred ninety-three patients (45.2\%) underwent {\textgreater}/= 1 operation, accounting for 1,276.5 hours of operating room 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.},
language = {eng},
number = {1},
journal = {Air medical journal},
author = {Wong, Danny Jon Nian and Bedford, James Robert and Luck, Simon and Bloomer, Roger},
month = feb,
year = {2017},
pmid = {28089060},
keywords = {*Air Ambulances, Adolescent, Adult, Age Factors, Female, Hospital Mortality, Humans, Injury Severity Score, Length of Stay/statistics \& numerical data, London, Male, Middle Aged, Operative Time, Proportional Hazards Models, Retrospective Studies, Sex Factors, Survival Analysis, Trauma Centers/*statistics \& numerical data, Young Adult},
pages = {34--36},
}
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King's College Hospital (KCH) is constructing a third. We evaluate current trauma services at King's College Hospital, before the helipad entering service, establishing baseline workload and mortality measures. METHODS: We retrospectively analyzed data from patients admitted January 1, 2014, to December 31, 2015, to KCH after major trauma with on-scene helicopter emergency medical services involvement (N = 427) using the Trauma Audit and Research Network database. RESULTS: The median Injury Severity Score of the cohort was 22 (interquartile range [IQR], 13-30). The 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 length of stay (LOS) of 5 days (IQR, 2-12) in this subgroup. There was no significant difference in Injury Severity Score, LOS, or ICU LOS between 2014 and 2015. 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