Length of trauma patients' stay in imam Reza hospital as a tertiary center of Trauma and effective factor such as Routine Trauma X-rays

Abstract

Emergency department is the first place that medical team gets contact with the patient. In order to have higher standards in traumatic patient care, continuous quality control is an essence and time is an important factor for this perspective in emergency department. Current study evaluates management of traumatic patients visiting emergency department (ED) in Imam Reza hospital by assessing length of stay and its effective factors such as Routine Trauma X-rays. Between April and December 2011, 300 traumatic patients visiting emergency department, Imam Reza hospital were randomly studied. Time needed to perform the routine trauma x-rays (lateral cervical vertebra, AP chest and AP pelvis radiographies), and the length of stay (LOS) in the ED were recorded. Mean physician and nurse first visit was 7.93 +/- 0.47 and 11.91 +/- 9.38 minutes, respectively. X-rays in was performed within 70.30 +/- 53.08 minutes. Mean surgery and neurosurgery visits were obtained within 37.40 +/- 3.16 minutes and 33.48 +/- 2.10minutes, respectively. The average LOS in the ED was 404 +/- 238.51 minutes. There was no significant difference in LOS in the ED according to age, gender and trauma severity. Total ED stay of trauma patients in our ED was found to be significantly longer than other advanced centers. Structural improvement of emergency department and diagnostic modalities availability could reduce LOS in ED. [Alireza Ala, Sajjad Ahmadi, Samad Shams Vahdati, Ali Jannati, Hesam Rahmani, Ali Taghizadie, Payman Mohramzadeh, Mahbob Poraghayi, Hamidreza Morteza Beigi, Omid Mashrabi. Length of trauma patients' stay in imam Reza hospital as a tertiary center of Trauma and effective factor such as Routine Trauma X-rays. Life Sci J 2012;9(4):578-582] (ISSN:1097-8135). http://www.lifesciencesite.com. 87