Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2023; 14(7): 516-525
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.516
Effectiveness of an early operating room start time in managing pediatric trauma
Dan Kym, Japsimran Kaur, Nicole Segovia Pham, Eric Klein, Joanna Lind Langner, Ellen Wang, John Schoeneman Vorhies
Dan Kym, Japsimran Kaur, Nicole Segovia Pham, Joanna Lind Langner, John Schoeneman Vorhies, Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, CA 94304, United States
Eric Klein, Lucile Packard Children’s Hospital, Palo Alto, CA 94304, United States
Ellen Wang, Department of Anesthesiology, Pain and Perioperative Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, United States
Author contributions: Kym D, Kaur J, Pham NS, Klein E, Langner JL, Wang E, and Vorhies JS contributed to the research, writing, and revision of the manuscript.
Institutional review board statement: This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted an IRB waiver by the Ethics Committee of Stanford University (IRB No. 46989).
Informed consent statement: This project is not a randomized clinical trial. Per our Institutional Review Board, this study did not need signed consent from participants.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: John Schoeneman Vorhies, MD, Assistant Professor, Department of Orthopaedic Surgery, Stanford University School of Medicine, 453 Quarry Rd, 3rd Floor, MC 5658, Palo Alto, CA 94304, United States. john.vorhies@stanford.edu
Received: February 22, 2023
Peer-review started: February 22, 2023
First decision: April 13, 2023
Revised: May 10, 2023
Accepted: June 6, 2023
Article in press: June 6, 2023
Published online: July 18, 2023
Processing time: 146 Days and 10.5 Hours
Core Tip

Core Tip: This study describes the effect of a program allowing an early operating room start for uncomplicated trauma prior to an elective day of surgery to decrease wait times for surgery for urgent fractures admitted overnight. After implementation, the mean wait time for surgery decreased by 4.8 h or 35.4%. Survey results demonstrated decreased popularity of the program among nurses and anesthesiologists relative to surgeons. Our findings demonstrate significantly reduced wait times for surgery for uncomplicated pediatric supracondylar humerus fractures presenting overnight while discussing the importance of shared decision-making with the stakeholders.