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Evaluating Services at a Major Trauma Center Before Helipad Construction.

Danny Jon Nian Wong¹, James Robert Bedford², Simon Luck³

¹UCL/UCLH Surgical Outcomes Research Centre (SOuRCe), University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK.

Air Medical Journal

|January 17, 2017

Summary

King's College Hospital established baseline trauma care metrics before helipad implementation. This study provides crucial data for evaluating the future impact of enhanced helicopter emergency medical services on patient outcomes.

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Area of Science:

Trauma Surgery
Emergency Medicine
Health Services Research

Background:

London has 4 major trauma centers; 2 have helipads, and King's College Hospital (KCH) is adding a third.
This study establishes baseline trauma service workload and mortality at KCH prior to helipad operationalization.

Purpose of the Study:

To establish baseline workload and mortality measures for trauma services at King's College Hospital.
To provide data for future evaluation of the impact of a new helipad on trauma care.

Main Methods:

Retrospective analysis of 427 major trauma patients with helicopter emergency medical services involvement admitted to KCH between January 1, 2014, and December 31, 2015.
Data sourced from the Trauma Audit and Research Network database.

Main Results:

Median Injury Severity Score was 22; median length of stay was 11 days, with 57% admitted to the intensive care unit (ICU) for a median of 5 days.
No significant differences in Injury Severity Score, length of stay, or ICU length of stay were observed between 2014 and 2015.
45.2% of patients underwent surgery, totaling 1,276.5 operating room hours; survival outcomes did not differ significantly between the two years.

Conclusions:

Baseline workload and mortality data were successfully established.
These findings serve as a foundation for future assessments of the helipad's impact on trauma service efficiency and patient outcomes.