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Characterizing Trauma Patients with Delays in Orthopaedic Process Measures.


ABSTRACT:

Introduction

Early operative intervention in orthopaedic injuries is associated with decreased morbidity and mortality. Relevant process measures (e.g. femoral shaft fixation <24 hours) are used in trauma quality improvement programs to evaluate performance. Currently, there is no mechanism to account for patients who are unable to undergo surgical intervention (i.e. physiologically unstable). We characterized the factors associated with patients who did not meet these orthopaedic process measures.

Methods

A retrospective cohort study of patients from 35 ACS-COT verified Level 1 and Level 2 trauma centers was performed utilizing quality collaborative data (2017-2022). Inclusion criteria were adult patients (≥18 years), ISS ≥5, and a closed femoral shaft or open tibial shaft

SUBMITTER: Gohel N 

PROVIDER: S-EPMC11522021 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature