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Does a "hub and spoke" maxillofacial trauma service affect management decisions?
1United Lincolnshire Hospitals, County Hospital, Lincoln, UK. stephen.layton@ulh.nhs.uk
Aim:
Using mandibular fractures (excluding those of the condyle) as a model, to find out how management is influenced by whether patients present at the "hub" or "spoke" of a maxillofacial trauma service.
Materials:
Data on non-condylar mandibular fractures from a maxillofacial trauma database over a 5-year period.
Results:
Significantly more non-condylar mandibular fractures were treated conservatively in patients who presented at the peripheral spoke hospitals than in those who presented at the hub hospital, despite the populations being similar.
Conclusion:
Geographical presentation of a patient with a non-condylar mandibular fracture in a hub and spoke maxillofacial trauma service influences management decisions.
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