The Organisation and Management of Hand Trauma Presenting to Plastic Surgical Services in the British Isles

Rm, Davies; Anderson, Kaitlin; Iqbal, Aasif

doi:10.1308/147363513x13690603821062

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, with this model, patients are triaged, given outpatient appointments, and may be waiting longer for surgery than the traditional model of care. Only 52% of plastic surgery hand trauma units in the United Kingdom have a dedicated weekend theater list, leading to patients with significant injuries potentially waiting days for surgical repair [5]. It, therefore, becomes paramount to adequately triage patients in accordance with best clinical evidence and predictors of poor clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Negative Predictors of Outcomes of Flexor Tendon Repairs

Hurley¹,

Reilly²,

Callaghan³

et al. 2019

Cureus

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The current trend in hand surgery has streamlined the treatment of acute hand trauma to the modern-day surgery unit. As the volume of hand trauma caseloads continues to increase, it is becoming increasingly difficult to schedule patients for theater on the day of injury. It, therefore, becomes paramount to adequately triage patients in accordance with best clinical evidence and predictors of poor clinical outcomes. Animal models suggest that the earlier flexor tendons are repaired, the better the patient functional outcome. The largest study to date examining the timing of injury to functional post-operative outcome also recognizes that the faster these injuries are repaired, the better the patient outcome. Age-related changes to tendon biomechanics and structure are well-documented. However, no conclusive evidence exists specific to the degenerative changes and mechanical properties of flexor tendons in humans. The animal model strongly suggests that increasing age is associated with local architectural and biological changes that directly affect the tendon repair functional outcome. Although retrospective analyses to date suggest that smoking is a negative outcome predictor for functional tendon outcome, no prospective large-scale studies exist. A large, single-center prospective study specifically examining the positive and negative outcome predictors of flexor tendon repairs and functional post-operative outcome is warranted. The negative predictive model of patient care may enable us to further council patients preoperatively and stratify patients according to clinical need.

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Section: Introductionmentioning

confidence: 99%

Negative Predictors of Outcomes of Flexor Tendon Repairs

Hurley¹,

Reilly²,

Callaghan³

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…In our unit at the Royal Free Hospital we run at least one full-day trauma operating list every day, with between 5-15 day-case hand trauma patients per day. This equates to several thousand patients per year, a picture mirrored in the majority of UK plastic surgery units [3]. Despite high demand for services, there is limited operating capacity in most units, increasing pressure on the operating teams.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effect of an innovative automated text messaging service on patient experience in day-case hand trauma surgery

Smith

Stewart

Rastogi

et al. 2018

Journal of Plastic, Reconstructive & Aesthetic Surgery

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IntroductionHand trauma provides high volume of cases in Plastic Surgery Departments. However high patient turnover can cause delays and miscommunications which can lead to patient dissatisfaction. We aimed to evaluate the effect of an automated text-messaging platform (Lister) on patient satisfaction in hand trauma. MethodsDay case hand trauma patients were allocated to two patient groups (n=20v20). Lister group received texts via the Lister software providing them pre-operative information and updates on wait time on the day of surgery. The control group received standard written information. Each patient answered a PROMs questionnaire postoperatively. ResultsMore Lister patients understood instructions regarding hospital attendance (85% v 65%) and felt well informed on the day of surgery (85% v 65%) compared to the control group. Three Control patients felt "Not at all" informed during the day of their surgery. Overall patient experience was better in the Lister group, with 16 (80%) reporting experience as "Very good" compared to 8 (40%) in the Control group (p < 0.05). Two Control patients reported their experience as "Bad". The majority of Lister patients reported the pre-hospital text message had been very helpful, whilst 14 (70%) Control patients reported a text message service would improve their overall experience. ConclusionWe have demonstrated that the Lister automated software can significantly improve the understanding of patients regarding their hospital attendance, time of operation and overall hospital experience within a busy hand trauma unit. Further studies are needed to confirm the potential for cost reduction and financial analysis.

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The Organisation and Management of Hand Trauma Presenting to Plastic Surgical Services in the British Isles

Cited by 2 publications

References 4 publications

Negative Predictors of Outcomes of Flexor Tendon Repairs

Negative Predictors of Outcomes of Flexor Tendon Repairs

Evaluation of the effect of an innovative automated text messaging service on patient experience in day-case hand trauma surgery

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