Table 4.
Care process in all hospitals by financial year 08/09–16/17 – patients with ISS ≥ 9.
| Financial year |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2008/09 | 2009/10 | 2010/11 | 2011/12 | 2012/13 | 2013/14 | 2014/15 | 2015/16 | 2016/17 | Total | |
| First hospital MTC, n (%) | 2789 (32%) | 4055 (34%) | 5572 (32.6%) | 6876 (31%) | 9694 (36.8%) | 12,588 (40%) | 14,139 (40.6%) | 15,694 (40%) | 16,871 (41%) | 88,278 (38%) |
| Time to arrival, median (IQR) | 1.1 (0.8–1.6) | 1.2 (0.9–1.7) | 1.2 (0.8–1.8) | 1.2 (0.8–1.8) | 1.4 (1–2.1) | 1.5 (1.1–2.2) | 1.6 (1.2–2.4) | 1.7 (1.2–2.6) | 1.8 (1.3–2.8) | 1.5 (1.1–2.3) |
| Intubated by Dr prehospital, n (%) | 50 (0.6%) | 80 (0.7%) | 80 (0.5%) | 41 (0.2%) | 73 (0.3%) | 80 (0.3%) | 99 (0.3%) | 73 (0.2%) | 44 (0.1%) | 620 (0.3%) |
| Arrival at first hospital midnight - 8:00 am, n (%) | 1556 (17.5%) | 2049 (16.9%) | 2894 (16.1%) | 3641 (15.7%) | 4388 (15.5%) | 5241 (15.6%) | 5972 (15.8%) | 6845 (16.2%) | 7184 (16.3%) | 39,770 (16%) |
| CT at any time, n (%) | 4035 (45%) | 5953 (49%) | 8984 (50%) | 12,313 (53%) | 15,626 (55%) | 19,774 (58.8%) | 23,036 (61%) | 27,059 (63.9%) | 28,865 (65.5%) | 145,645 (58.7%) |
| Seen by consultant in ED, n (%) | 2188 (25%) | 3218 (27.3%) | 5217 (30.5%) | 7601 (34.6%) | 11,531 (43.7%) | 14,406 (46.3%) | 16,111 (46.3%) | 17,691 (45.3%) | 18,797 (46.2%) | 96,760 (41.8%) |
| Seen by consultant in ED if ISS > 15, n (%) | 1136 (31.9%) | 1713 (34.6%) | 2712 (38.2%) | 3825 (43.7%) | 5552 (54.8%) | 7044 (57.7%) | 7942 (57.8%) | 8876 (56.4%) | 9412 (56.8%) | 48,212 (52%) |
| Seen by consultant in ED if GCS < 13, n (%) | 459 (47.4%) | 664 (52.2%) | 1027 (58%) | 1338 (62%) | 1981 (72.9%) | 2384 (75.4%) | 2558 (74.6%) | 2755 (74.8%) | 2724 (76%) | 15,890 (69.9%) |
| Intubated in ED, n (%) | 951 (10.9%) | 1248 (10.6%) | 1639 (9.6%) | 1898 (8.6%) | 2386 (9%) | 2700 (8.7%) | 2850 (8.2%) | 2976 (7.6%) | 2929 (7.2%) | 19,577 (8.4%) |
| Admitted direct or transfer to MTC, n (%) | 3879 (44.7%) | 5394 (45.7%) | 7383 (43.1%) | 8893 (40.5%) | 11,803 (44.8%) | 15,076 (48.4%) | 16,837 (48.3%) | 18,747 (48%) | 19,811 (48.7%) | 107,823 (46.5%) |
| Time to surgery, median (IQR) | 19.9 (5.8–50.5) | 19.4 (6.4–47.2) | 19.35 (6.7–44.8) | 20.5 (8.2–45.4) | 20.4 (8.7–44) | 21.5 (11.1–45.8) | 22.1 (12.3–46) | 22.5 (13.2–45.4) | 23.3 (13.6–47.3) | 21.7 (10.7–45.9) |
| Admitted to ICU or HDU, n (%) | 2219 (24.9%) | 3090 (25.5%) | 4266 (23.8%) | 5180 (22.3%) | 5559 (19.7%) | 6347 (18.9%) | 7024 (18.6%) | 7719 (18.2%) | 7582 (17.2%) | 48,986 (19.7%) |
| LOS in hospital, median (IQR) | 10 (5–21) | 10 (5–20) | 9 (5–19) | 9 (5–18) | 9 (5–18) | 9 (5–18) | 10 (5–19) | 10 (5–19) | 10 (5–19) | 10 (5–19) |
| LOS in ICU/HDU, median (IQR) | 4 (2–9) | 4 (2–9) | 4 (2–9) | 3 (1–7) | 3 (1–8) | 3 (1–7) | 3 (1–7) | 3 (1–7) | 3 (1–7) | 3 (1–8) |
| Survival at discharge, n (%) | 8245 (92.6%) | 11,129 (91.8%) | 16,535 (92.1%) | 21,385 (92.1%) | 25,829 (91.5%) | 30,808 (91.6%) | 34,558 (91.6%) | 38,733 (91.4%) | 40,407 (91.7%) | 227,629 (91.7%) |
| TXA given n (%) | 2 (0%) | 1 (0%) | 24 (0.1%) | 304 (1.3%) | 1217 (4.3%) | 2511 (7.5%) | 3092 (8.2%) | 3633 (8.6%) | 3041 (6.9%) | 13,825 (5.6%) |
| Blood given within 6 h n (%) | 174 (2%) | 333 (2.7%) | 374 (2.1%) | 396 (1.7%) | 639 (2.3%) | 633 (1.9%) | 714 (1.9%) | 810 (1.9%) | 672 (1.5%) | 4745 (1.9%) |
| TXA and blood given within 6 h n (%) | 1 (0.6%) | 1 (0.3%) | 7 (1.9%) | 89 (22.5%) | 394 (61.7%) | 485 (76.6%) | 616 (86.3%) | 717 (88.5%) | 601 (89.4%) | 2911 (61.3%) |
| Time to death within 30 days, median (IQR) | 8 (5–14) | 8 (4–14) | 8 (4–13) | 8 (4–13) | 7 (4–13) | 8 (4–13) | 8 (4–14) | 8 (4–14) | 8 (4–14) | 8 (4–14) |