ArticleCanadian journal of surgery. Journal canadien de chirurgie2009
Dedicated orthopedic trauma theatres: effect on morbidity and mortality in a single trauma centre.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- Dedicated Trauma Operating Rooms in Hand Surgery: A North American Survey of Access, Impact, and Opportunities for System-Level Improvement.Hand (New York, N.Y.) · 2026Article
- Avoidable and unavoidable delays in hip fracture surgery : a prospective observational study of who, what, and why?Bone & joint open · 2025Article
- Does treatment at a level I trauma center reduce disparities in patient outcomes for open tibia fractures? A retrospective analysis of the National trauma Databank.Journal of clinical orthopaedics and trauma · 2023Article
- Prosthetic Joint Infection Trends at a Dedicated Orthopaedics Specialty Hospital.Advances in orthopedics · 2019Article
- Incidence and root causes of delays in emergency orthopaedic procedures: a single-centre experience of 36,017 consecutive cases over seven years.Patient safety in surgery · 2018Article
- Impact of multidisciplinary hip fracture program on timing of surgery in elderly patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014Article
- Does a Dedicated Unit for the Treatment of Hip Fractures Improve Acute Outcomes?International scholarly research notices · 2014Article
- Treatment of femoral neck fracture with a minimal invasive surgical approach for hemiarthroplasty - clinical and radiological results in 180 geriatric patients.The open orthopaedics journal · 2014Article
- Surgical time of day does not affect outcome following hip fracture fixation.Geriatric orthopaedic surgery & rehabilitation · 2013Article
- Operating room use for emergency general surgery cases: analysis of the Patterns of Complex Emergency General Surgery in Canada study.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA general trend in orthopedic traumatology is the advent of daily, dedicated orthopedic trauma theatres. Availability of trauma theatres is believed to decrease morbidity and mortality, but this remains unproven. We performed a retrospective review comparing morbidity and mortality outcomes at a single institution before and after the establishment of a dedicated trauma room. The purpose was to determine whether a change in outcomes occurred for a single routine procedure with known outcome expectations (hemiarthroplasty of the hip after femoral neck fracture) with the implementation of a designated trauma theatre.
methodsWe examined a cohort of 457 elderly patients (245 before and 212 after trauma theatre implementation) who underwent hemiarthroplasty for displaced low-energy subcapital hip fractures.
resultsPatients in both groups were similar in terms of age, sex ratio and ASA classification. We found statistically significant differences favouring the dedicated trauma room system for postoperative morbidity. Despite this outcome, the average time to surgery for these patients significantly increased. We noted no difference in mortality between the 2 groups.
conclusionThe hip fracture population can be treated safely in the context of dedicated trauma room time; however, there needs to be prioritization of hip fractures in a tertiary care centre or other trauma cases will tend to take precedence.
Indexed as
Identifiers
19399201PMC2663511What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.