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Development and efficiency of an acute knee trauma list
A P Chandratreya1, T J W Spalding, R Correa
1Department of Trauma & Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Stoney Stanton Road, Coventry CV1 4FH, West Midlands, UK. hadnuvaidya@hotmail.com
Injury
|December 22, 2005
Summary
A dedicated knee trauma list (KTL) for same-day surgery significantly reduces hospital stays and costs for acute knee injuries. This approach improves patient management and satisfaction by avoiding prolonged hospital admissions and out-of-hours procedures.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Ambulatory Surgery
Background:
- Traditional in-patient surgery for acute knee trauma causes bed blockages, prolonged patient fasting, and out-of-hours procedures.
- Urgent knee arthroscopy indications include locked knees, loose bodies, ligament ruptures, and acute osteochondral fractures.
Purpose of the Study:
- To evaluate the effectiveness of a dedicated Day Surgery knee trauma list (KTL) in reducing admissions, waiting times, and costs.
- To compare patient outcomes and resource utilization between the KTL and traditional in-patient trauma lists.
Main Methods:
- Retrospective review comparing patients on the KTL (study group) with those on the general in-patient trauma list (control group).
- Data collected on hospital stay duration, operation timing, repeat procedures, and surgeon experience.
Main Results:
- The KTL group (53 patients) had no overnight stays, unlike the control group (49 patients) with an average 2.5-day stay.
- KTL reduced out-of-hours surgeries and repeat procedures, with specialist surgeons staffing the list.
- Significant cost savings were realized due to reduced hospitalizations.
Conclusions:
- Introduction of a Day Surgical Knee trauma list is effective in minimizing unnecessary admissions, prolonged fasting, and costs.
- The KTL improves patient satisfaction and management for acute knee trauma requiring urgent arthroscopy.
- Specialist-led day surgery lists enhance efficiency and outcomes in managing knee trauma patients.
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