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Table 3 Treatment characteristics

From: Outcomes and costs of blunt trauma in England and Wales

  Injury Severity Score
  0–9 10–16 17–25 26–75 All
Mode of arrival (%)
   Ambulance 77.3 85.9 86.4 80.4 80.2
   Helicopter 2.9 7.6 10.6 17.7 6.2
   Car 15.9 4.9 1.7 0.4 10.6
   Walking 1.1 0.4 0.2 0.1 0.8
   Other 2.9 1.2 1.2 1.4 2.3
   n 19,713 5,625 3,875 3,559 32,772
Time from emergency call to arrival at the A&E department (minutes)a
   Mean (standard deviation) 59.6 (64.8) 70.6 (94.8) 100.9 (149.5) 100.5 (136.3) 70.7 (94.7)
   n 7,493 2,247 1,482 1,307 12,529
Time in the A&E department (minutes)
   Mean (standard deviation) 217.0 (144.7) 195.9 (166.0) 149.6 (170.4) 120.5 (141.5) 193.8 (155.4)
   n 14,262 4,154 3,020 2,827 24,263
Grade of most senior doctor seen in the A&E department (%)
   Consultant 9.2 18.0 24.1 32.4 14.9
   Middle grade 35.0 49.3 57.6 56.4 42.3
   Senior house officer 50.9 30.1 16.1 9.3 38.9
   n 20,078 5,592 3,895 3,480 33,045
Specialty of doctors seen in the A&E department (%)b
   Emergency medicine 83.4 68.2 53.8 50.7 73.8
   Orthopaedics 48.7 39.0 27.0 29.5 42.4
   Anaesthesia 4.0 16.7 30.8 41.5 13.3
   Neurosurgery 2.5 12.8 24.2 27.0 9.5
   General surgery 3.9 12.5 16.6 21.9 8.8
   Other 9.2 15.7 22.0 22.8 13.3
   n 20,263 5,651 3,994 3,588 33,496
Surgery (%)c
   Bone fixationd 60.9 38.5 19.4 18.5 47.4
   Wound debridement 5.6 8.4 5.2 5.0 6.0
   Intracranial procedurese 0.2 5.3 18.2 23.6 5.8
   n 21,280 6,075 4,375 3,834 35,564
Admitted to critical care
   Percentage 9.6 31.3 61.2 79.1 29.0
   n 13,427 4,374 3,256 2,895 23,952
Length of stay in critical care (days)f
   Median (interquartile range) 2 (1 to 5) 3 (2 to 7) 4 (2 to 10) 7 (3 to 15) 4 (2 to 10)
   n 1,287 1,368 1,991 2,290 6,936
Total length of stay (days)g
   Median (interquartile range) 8 (5 to 14) 10 (5 to 19) 13 (6 to 26) 17 (6 to 39) 9 (5 to 19)
   n 13,427 4,374 3,256 2,895 23,952
Hospital has a neurosurgical centre
   Percentage 46.9 54.4 61.2 67.4 52.2
   n 21,280 6,075 4,375 3,834 35,564
Hospital has a spinal injuries unit
   Percentage 6.2 5.3 3.9 3.6 5.5
   n 21,280 6,075 4,375 3,834 35,564
  1. aAmong those arriving by ambulance at the accident and emergency (A&E) department. bPatients could be seen by doctors from more than one specialty; hence the numbers sum to more than 100%. cBased on the 10 most common procedures. dIncluding open reduction and internal fixation, nail insertion, manipulation of bone, screw insertion, external fixation and K-wire insertion. eIncluding evacuation of extradural haematoma/subdural haematoma, intracranial pressure monitor and craniotomy. fFigures pertain only to those patients who were admitted to critical care. gIncluding length of stay in critical care; figures pertain both to those who were admitted to critical care and those who were not.