Associated outcomes of various iterations of the dedicated orthopaedic trauma room: a literature review

Kathryn Biddle; Kelly Pagidas; Kathryn Biddle; Kelly Pagidas

doi:10.3934/medsci.2022024

AIMS Medical Science

2022, Volume 9, Issue 3: 450-466. doi: 10.3934/medsci.2022024

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Review

Associated outcomes of various iterations of the dedicated orthopaedic trauma room: a literature review

Kathryn Biddle ^,,
Kelly Pagidas

Texas Christian University School of Medicine, Fort Worth, Texas, United States of America

Received: 12 July 2022 Revised: 03 September 2022 Accepted: 12 September 2022 Published: 20 September 2022

Scheduling urgent, orthopaedic trauma cases has long been a challenge for health care institutions. Traditionally, these cases are scheduled for an operating room (OR) slot in the middle of the night, by “bumping” elective cases to later in the day, by adding a case on after-hours, or by delaying the case for several days until an OR becomes available. As a solution to the challenges facing traditional scheduling modules, trauma centers around the country have instituted the use of a dedicated orthopaedic trauma room (DOTR). While there are multiple studies analyzing the effects of DOTRs on various outcomes, there is not a centralized review of these studies. This paper will serve as a review of the various models of the DOTR as well as the effect of the DOTR on after-hours procedures, time to surgery (TTS), duration of surgery (DOS), length of stay (LOS), cost, and surgical complications. An extensive review of the literature was performed through PubMed and Embase. 17 studies were found to meet eligibility criteria. This review suggests that DOTRs have favorable effects on after-hours procedures, cost, and surgical complications. There is variability in the data regarding the effect on TTS, DOS, and LOS.
- dedicated orthopaedic trauma room,
- dedicated orthopaedic trauma list,
- urgent surgery,
- patient safety,
- after-hours procedures,
- duration of surgery,
- time to surgery,
- length of stay,
- complications,
- cost
Citation: Kathryn Biddle, Kelly Pagidas. Associated outcomes of various iterations of the dedicated orthopaedic trauma room: a literature review[J]. AIMS Medical Science, 2022, 9(3): 450-466. doi: 10.3934/medsci.2022024

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Abstract

Scheduling urgent, orthopaedic trauma cases has long been a challenge for health care institutions. Traditionally, these cases are scheduled for an operating room (OR) slot in the middle of the night, by “bumping” elective cases to later in the day, by adding a case on after-hours, or by delaying the case for several days until an OR becomes available. As a solution to the challenges facing traditional scheduling modules, trauma centers around the country have instituted the use of a dedicated orthopaedic trauma room (DOTR). While there are multiple studies analyzing the effects of DOTRs on various outcomes, there is not a centralized review of these studies. This paper will serve as a review of the various models of the DOTR as well as the effect of the DOTR on after-hours procedures, time to surgery (TTS), duration of surgery (DOS), length of stay (LOS), cost, and surgical complications. An extensive review of the literature was performed through PubMed and Embase. 17 studies were found to meet eligibility criteria. This review suggests that DOTRs have favorable effects on after-hours procedures, cost, and surgical complications. There is variability in the data regarding the effect on TTS, DOS, and LOS.

Abbreviations

ASA

American Society of Anesthesiologists

ACS NSQIP

American College of Surgeons National Surgery Quality Improvement Program

Operating room

NPO

Nil per os

DOTR

Dedicated orthopaedic trauma room

DOTL

Dedicated orthopaedic trauma list

TTS

Time to surgery

DOS

Duration of surgery

LOS

Length of stay

FRR

Fracture reduction room

FSDF

Femoral shaft and distal femur fractures

ORIF

Open reduction and internal fixation

Acknowledgments

No grant funding was utilized for the completion of this review.

Conflict of interest

All authors declare no conflicts of interest in this paper.

References

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