Disposition time of major trauma patient at Emergency Department HUSM Kelantan.
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Date
2011
Authors
Roshidah, Rosman
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
Introduction
This is a cross-sectional observational study over a period of 7 months from
December 2009 to June 2010 looking at the mean disposition time of major trauma
patient in Emergency Department (ED) HUSM Kelantan.
Objectives
The objectives of this study were to determine the mean disposition time of major
trauma patient and to determine the factors affecting disposition time of major
trauma patient in Emergency Department HUSM
Methodology
The study was conducted at Red Zone Emergency Department HUSM. Inclusion
criteria was patient with Injury Severity Score >15. This study was approved by the
Ethical Committee on 3rd June 2009. Patients’ clinical parameters, injury
characteristics, ED interventions and radiological investigations were documented
in data entry form.The time interface for every patient from the time of arrival to
the disposition time.
Results
Seventy patients were recruited in this study. Mean ED resident response time was
2.7 minutes (sd= 2.2). While mean specialty unit response time is 45.7 minutes (sd=
35.7). Mean disposition time of major trauma patient is 272.7 minutes (sd= 200.1)
Multiple comparisons of disposition unit using one-way ANOVA showed a
statistical difference between the groups. ICU disposition time (mean 369.18
minutes, sd=287.58) was significantly different from the OT disposition time (mean
209.25 minutes, sd=86.89) and the mortuary disposition time (mean 154.6 minutes,
sd=94.21). Patient’s systolic blood pressure (SBP) and oxymetry were noted to
correlate with the disposition time with r=0.237 and r=0.244 respectively, p<0.05.
Conclusion
This study showed that major trauma patient were managed for 209 minutes in ED
prior to operative care and 369 minutes before sending to ICU.
Description
Keywords
Emergency Medicine