Lack of regional pathways impact on surgical delay: Analysis of the Orthopaedic Trauma Hospital Outcomes–Patient Operative Delays (ORTHOPOD) study

Ahmed, Hussam Elamin; Baldock, Thomas; Wei, Nicholas; Walshaw, Thomas; Walker, Reece; Trompeter, Alex; Scott, Sharon; Eardley, William G.P.; Stevenson, Iain; Yoong, Andrel; Rankin, Iain; Dixon, James; Lim, Jun Wei; Sattar, Mariam; McDonald, Stephen; Scott, Sharon; Davies, Helen; Jones, Louise; Nolan, Michelle; McGinty, Rebecca; Stevenson, Helene; Bowe, David; Sim, Francis; Vun, James; Strain, Ritchie; Giannoudis, Vasileios; Talbot, Christopher; Gunn, Christopher; Le, Ha Phuong Do; Bradley, Matthew; Lloyd, William; Hanratty, Brian; Lim, Yizhe; Brookes-Fazakerley, Steven; Varasteh, Amir; Francis, Jonathan; Choudhry, Nameer; Malik, Sheraz; Vats, Amit; Evans, Ashish; Garner, Madeleine; King, Stratton; Zbaeda, Mohamed; Diamond, Owen; Baker, Gavin; Napier, Richard; Guy, Stephen; McCauley, Gordon; King, Samuel; Edwards, Gray; Lin, Benjamin; Davoudi, Kaveh; Haines, Samuel; Raghuvanshi, Manav; Buddhdev, Pranai; Karam, Edward; Nimmyel, Enoch; Ekanem, George; Lateef, Razaq; Jayadeep, JS; Crowther, Ian; Mazur, Karolina; Hafiz, Nauman; Khan, Umair; Chettiar, Krissen; Ibrahim, Amr; Gopal, Prasanth; Tse, Shannon; Lakshmipathy, Raj; Towse, Claudia; Al-Musawi, Hashim; Walmsley, Matthew; Aspinall, Will; Metcalfe, James; Moosa, Aliabbas; Crome, George; Abdelmonem, Mohamed; Lakpriya, Sathya; Hawkins, Amanda; Waugh, Dominic; Kennedy, Matthew; Elsagheir, Mohamed; Kieffer, Will; Oyekan, Adekinte; Collis, Justin; Raad, Marjan; Raut, Pramin; Baker, Markus; Gorvett, Alexander; Gleeson, Hannah; Fahmy, John; Walters, Sam; Tinning, Craig; Chaturvedi, Abhishek; Russell, Heather; Alsawada, Osama; Sinnerton, Robert; Crane, Evan; Warwick, Catherine; Dimascio, Lucia; Ha, Taegyeong Tina; King, Thomas; Engelke, Daniel; Chan, Matthew; Gopireddy, Rajesh; Deo, Sunny; Vasarhelyi, Ferenc; Jhaj, Jasmeet; Dogramatzis, Kostas; McCartney, Sarah; Ardolino, Toni; Fraig, Hossam; Hiller-Smith, Ryan; Haughton, Benjamin; Greenwood, Heather; Stephenson, Nicola; Chong, Yuki; Sleat, Graham; Saedi, Farid; Gouda, Joe; Ravi, Sanjeev Musuvathy; Henari, Shwan; Imam, Sam; Howell, Charles; Theobald, Emma; Wright, Jan; Cormack, Jonathan; Borja, Karlou; Wood, Sandy; Khatri, Amulya; Bretherton, Chris; Tunstall, Charlotte; Lowery, Kathryn; Holmes, Benjamin; Nichols, Jennifer; Bashabayev, Beibit; Wildin, Clare; Sofat, Rajesh; Thiagarajan, Aarthi; Abdelghafour, Karim; Nicholl, James; Abdulhameed, Ahmed; Duke, Kathryn; Maling, Lucy; McCann, Matthew; Masud, Saqib; Marshman, James; Moreau, Joshua; Cheema, Kanwalnaini; Rageeb, Peter Morad; Mirza, Yusuf; Kelly, Andrew; Hassan, Abdul; Christie, Alexander; Davies, Angharad; Tang, Cary; Frostick, Rhiannon; Pemmaraju, Gopalakrishna; Handford, Charles; Chauhan, Govind; Dong, Huan; Choudri, Mohammed Junaid; Loveday, David; Bawa, Akshdeep; Baldwick, Cheryl; Roberton, Andrew; Burden, Eleanor; Nagi, Sameer; Johnson-Lynn, Sarah; Guiot, Luke; Kostusiak, Milosz; Appleyard, Thomas; Mundy, Gary; Basha, Amr; Abdeen, Bashar; Robertson-Smith, Bill; Hussainy, Haydar Al; Reed, Mike; Jamalfar, Aral; Flintoft, Emily; McGovern, Julia; Alcock, Liam; Koziara, Michal; Ollivere, Benjamin; Zheng, Amy; Atia, Fady; Goff, Thomas; Slade, Henry; Teoh, Kar; Shah, Nikhil; Al-Obaedi, Ossama; Jamal, Bilal; Bell, Stuart; Macey, Alistair; Brown, Cameron; Simpson, Cameron; Alho, Roberto; Wilson, Victoria; Lewis, Charlotte; Blyth, Daniel; Chapman, Laura; Woods, Lisa; Katmeh, Rateb; Pasapula, Chandra; Youssef, Hesham; Tan, Jerry; Famure, Steven; Grazette, Andrew; Lloyd, Adam; Beaven, Alastair; Jackowski, Anna; Piper, Dani; Lotfi, Naeil; Chakravarthy, Jagannath; Elzawahry, Ahmed; Trew, Christopher; Neo, Chryssa; Elamin-Ahmed, Hussam; Ashwood, Neil; Wembridge, Kevin; Eyre-Brook, Alistair; Greaves, Amy; Watts, Anna; Stedman, Tobias; Ker, Andrew; Wong, Li Siang; Fullarton, Mairi; Phelan, Sean; Choudry, Qaisar; Qureshi, Alham; Moulton, Lawrence; Cadwallader, Craig; Jenvey, Cara; Aqeel, Aqeel; Francis, Daniel; Simpson, Robin; Phillips, Jon; Matthews, Edward; Thomas, Ellen; Williams, Mark; Jones, Robin; White, Tim; Ketchen, Debbie; Bell, Katrina; Swain, Keri; Chitre, Amol; Lum, Joann; Syam, Kevin; Dupley, Leanne; O'Brien, Sarah; Ford, David; Chapman, Taya; Zahra, Wajiha; Guryel, Enis; McLean, Elizabeth; Dhaliwal, Kawaljit; Regan, Nora; Berstock, James; Deano, Krisna; Donovan, Richard; Diamond, Owen; Blythe, Andrew; Salmon, Jennifer; Craig, Julie; Hickland, Patrick; Matthews, Scott; Brown, William; Borland, Steven; Aminat, Akinsemoyin; Stamp, Gregory; Zaheen, Humayoon; Jaibaji, Monketh; Egglestone, Anthony; Sampalli, Sridhar Rao; Goodier, Henry; Gibb, Julia; Islam, Saad; Ranaboldo, Tom; Theivendran, Kanthan; Bond, Georgina; Richards, Joanna; Sanghera, Ranjodh; Robinson, Karen; Fong, Angus; Tsang, Bonita; Dalgleish, James; McGregor-Riley, Jonathan; Barkley, Sarah; Eardley, William; Elhassan, Almutasim; Tyas, Ben; Chandler, Henry; McVie, James; Wei, Nicholas; Negus, Oliver; Baldock, Thomas; Ravi, Kuppuswamy; Qazzaz, Layth; Mohamed, Muawia; Sivayoganthan, Sriharan; Poole, William; Slade, George; Beaumont, Hugo; Beaumont, Oliver; Taha, Rowa; Lever, Caroline; Sood, Abhay; Moss, Maximillian; Khatir, Mohammed; Trompeter, Alex; Jeffers, Aisha; Brookes, Charlotte; Dadabhoy, Maria; Matthews, Edward; Bhattacharya, Rajarshi; Singh, Abhinav; Beer, Alexander; Hodgson, Harry; Rahman, Kashed; Barter, Reece; Mackinnon, Thomas; Frasquet-Garcia, Antonio; Aldarragi, Ameer; Warner, Christian; Pantelides, Christopher; Attwood, Joseph; Al-Uzri, Muntadhir; Qaoud, Qaiys Abu; Green, Stephen; Osborne, Alex; Griffiths, Alexandra; Emmerson, Benjamin; Slater, Duncan; Altahoo, Hasan; Scott, Helen; Rowland, David; O'Donnell, Janine; Edwards, Taff; Hafez, Ahmed; Khan, Basharat; Crane, Emily; Axenciuc, Rostislav; Al-Habsi, Ruqaiya; McAlinden, Gavan; Sterne, Jonathan; Wong, Matthew Lynch; Patil, Sunit; Ridha, Ali; Rasidovic, Damir; Searle, Henry; Choudhry, Jamaal; Farhan-Alanie, Muhamed M; Tanagho, Andy; Sharma, Sidharth; Thomas, Suresh; Smith, Ben; McMullan, Mark; Winstanley, Robert; Mirza, Saqeb; Hamlin, Katharine; Elgayar, Lugman; Larsen, Matthew P; Eissa, Mohamed; Stevens, Samuel; Hopper, Graeme P; Fang Soh, Terrence Chi; Doorgakant, Ashtin; Yogeswaran, Apimaan; Myatt, Darren; Mahon, Joseph; Ward, Nicholas; Reid, Susan; Deierl, Krisztian; Brogan, Declan; Little, Max; Deakin, Sue; Baines, Elliott; Jones, Georgie; Boulton, Helen; Douglas, Trixie; Jeyaseelan, Lucky; Abdale, Abdirizak; Islam, Aminul; Atkinson, Kate V; Mohamedfaris, Khalid; Mmerem, Kingsley; Jamal, Shazil; Wharton, Danielle; Rana, Anurag; McAllister, Ross; Sasi, Sijith; Thomas, Terin; Pillai, Anand; Flaherty, David; Khan, Munir; Akkena, Sudheer; Shandala, Yaseen; Lankester, Benedict; Hainsworth, Louis

doi:10.1016/j.injury.2023.111007

Injury

2023

DOI: 10.1016/j.injury.2023.111007

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Lack of regional pathways impact on surgical delay: Analysis of the Orthopaedic Trauma Hospital Outcomes–Patient Operative Delays (ORTHOPOD) study

Hussam Elamin Ahmed,

Thomas Baldock,

Nicholas Wei

et al.

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2024

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Cited by 3 publications

References 17 publications

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Early surgery improves survival after femoral fractures in the elderly: A retrospective review of 502 fragility fractures

Gilmore,

Mayne,

Goodland

et al. 2024

Injury

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Early surgery improves survival after femoral fractures in the elderly: A retrospective review of 502 fragility fractures

Gilmore,

Mayne,

Goodland

et al. 2024

Injury

View full text Add to dashboard Cite

The mission-led health agenda

Ollivere

2024

Bone &Amp; Joint 360

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Enhancing Trauma Care: A Machine Learning Approach with XGBoost for Predicting Urgent Hemorrhage Interventions Using NTDB Data

Zhang,

Jin,

Tang

et al. 2024

Bioengineering

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Objective: Trauma is a leading cause of death worldwide, with many incidents resulting in hemorrhage before the patient reaches the hospital. Despite advances in trauma care, the majority of deaths occur within the first three hours of hospital admission, offering a very limited window for effective intervention. Unfortunately, a significant increase in mortality from hemorrhagic trauma is primarily due to delays in hemorrhage control. Therefore, we propose a machine learning model to predict the need for urgent hemorrhage intervention. Methods: This study developed and validated an XGBoost-based machine learning model using data from the National Trauma Data Bank (NTDB) from 2017 to 2019. It focuses on demographic and clinical data from the initial hours following trauma for model training and validation, aiming to predict whether trauma patients require urgent hemorrhage intervention. Results: The XGBoost model demonstrated superior performance across multiple datasets, achieving an AUROC of 0.872 on the training set, 0.869 on the internal validation set, and 0.875 on the external validation set. The model also showed high sensitivity (77.8% on the external validation set) and specificity (82.1% on the external validation set), with an accuracy exceeding 81% across all datasets, highlighting its high reliability for clinical applications. Conclusions: Our study shows that the XGBoost model effectively predicts urgent hemorrhage interventions using data from the National Trauma Data Bank (NTDB). It outperforms other machine learning algorithms in accuracy and robustness across various datasets. These results highlight machine learning’s potential to improve emergency responses and decision-making in trauma care.

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Lack of regional pathways impact on surgical delay: Analysis of the Orthopaedic Trauma Hospital Outcomes–Patient Operative Delays (ORTHOPOD) study

Cited by 3 publications

References 17 publications

Early surgery improves survival after femoral fractures in the elderly: A retrospective review of 502 fragility fractures

Early surgery improves survival after femoral fractures in the elderly: A retrospective review of 502 fragility fractures

The mission-led health agenda

Enhancing Trauma Care: A Machine Learning Approach with XGBoost for Predicting Urgent Hemorrhage Interventions Using NTDB Data

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