J Acute Care Surg.  2020 Mar;10(1):10-12. 10.17479/jacs.2020.10.1.10.

Surgical Volumes in a Regional Trauma Center: Is It Enough?

Affiliations
  • 1Department of Trauma Surgery, Gachon University, Gil Medical Center, Incheon, Korea

Abstract

Purpose
This study evaluated the surgical volumes and types of specific surgical procedures in a single trauma center for 3 consecutive years.
Methods
From January 2014 to December 2016 there were 9,530 injury cases in the trauma registry that were reviewed.
Results
There were 1,502 patients (15.8%) with an injury severity score over 15, of which 426 (28.4%) underwent an emergency operation or had an interventional radiology procedure. There were 186 craniotomies, 87 laparotomies, and 74 interventional radiology procedures performed.
Conclusion
The number of emergency operations by each dedicated trauma surgeon was very low therefore implementation of an acute-care surgery model is appropriate to consider together with changes to the training program for trauma surgeons.

Keyword

general surgery; trauma centers; wounds and injuries
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