Evaluation of door to operation theatre time following activation of trauma team

Nik Azlan Nik Muhamad, Ong Sheue Fen

Research output: Contribution to journalArticle

Abstract

Introduction: This study evaluates factors that influence door to operation theatre (OT) time in a tertiary referral centre following activation of trauma team. Specific factors observed in this study were association of the injury severity score (ISS), activation of trauma team and the number of referred specialty to door to operation theatre time. Methods: Retrospective chart review that evaluates all trauma patients which required immediate operative intervention from January 2011 to December 2015. Trauma patients were selected from the resuscitation log book and data were collected by chart review of selected patients. Results: Only 5 out of 279 patients (1.8%) achieved optimal door to OT time. (<60 minutes) Mean door to OT time was 299.27 minutes (95% CI: 280.52, 318.52). Trauma team activation has shown significant improvement in door to OT time (p=0.047). Time of multiple team referrals (p=0.023) and time of operative decision (p<0.001) both had significant impact on door to OT time. Other factors included were demographics, ISS score, Glasgow Coma Scale (GCS), mechanism of injury and systolic blood pressure on arrival all which showed no significance. Conclusion: Trauma team activation in a tertiary centre improved trauma care by reducing door to OT time to less than 60 minutes. Implementation of an effective trauma team activation system in all hospitals throughout Malaysia is recommended.

Original languageEnglish
Pages (from-to)116-120
Number of pages5
JournalMedical Journal of Malaysia
Volume74
Issue number2
Publication statusPublished - 1 Apr 2019

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Wounds and Injuries
Injury Severity Score
Blood Pressure
Glasgow Coma Scale
Trauma Centers
Malaysia
Operative Time
Tertiary Care Centers
Resuscitation
Referral and Consultation
Demography

Keywords

  • Glasgow coma scale
  • Injury severity score
  • Malaysia
  • Trauma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Evaluation of door to operation theatre time following activation of trauma team. / Nik Muhamad, Nik Azlan; Fen, Ong Sheue.

In: Medical Journal of Malaysia, Vol. 74, No. 2, 01.04.2019, p. 116-120.

Research output: Contribution to journalArticle

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