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©The Author(s) 2023.
World J Orthop. Jul 18, 2023; 14(7): 516-525
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.516
Published online Jul 18, 2023. doi: 10.5312/wjo.v14.i7.516
Table 1 Demographics of uncomplicated supracondylar humerus fractures treated before and after implementation of the 6 AM start program
| Total (n = 44) | Before implementation (n = 16) | After implementation (n = 28) | P value | |
| Female, % (n) | 61 (27) | 56 (9) | 64 (18) | 0.182 |
| Age | 5.1 | 5.1 | 5.1 | 0.912 |
| Gartland classification, % (n) | 0.686 | |||
| Type I | 0 (0) | 0 (0) | 0 (0) | |
| Type II | 38.6 (17) | 31.3 (5) | 42.9 (12) | |
| Type III | 52.2 (23) | 56.3 (9) | 50 (14) | |
| Type IV | 9.09 (4) | 12.5 (2) | 7.14 (2) | |
| Reduction, % (n) | 0.732 | |||
| Closed | 95.5 (42) | 100 (16) | 92.9 (26) | |
| Open | 4.6 (2) | 0 (0) | 7.14 (2) |
Table 2 Length of time within phases of patient care for supracondylar humerus fractures
| Total (n = 44) | Before implementation (n = 16) | After implementation (n = 28) | P value | |
| Wait time for surgery, h | 10.4 ± 9.3 | 13.4 ± 8.6 | 8.6 ± 7.9 | 0.001 |
| Operative duration, min | 31.5 (24.5-35.3) | 30.5 (21.5-37.5) | 31.5 (24.5-35.3) | 0.817 |
| PACU LOS, h | 1.34 (1.2-1.6) | 2 ± 1.6 | 1.4 (1.2-1.6) | 0.060 |
| Wait time for discharge, h | 4.96 (3.5-9.7) | 3 (0.01-7.21) | 5 (3.5-9.7) | 0.924 |
Table 3 Demographics of supracondylar humerus fractures treated after the implementation of the 6 AM start program, stratified by scheduled surgery time
| Overnight cases (n = 4) | 6 AM cases (n = 14) | Add-on cases (n =10) | P value | |
| Female, % (n) | 100 (4) | 57.1 (8) | 60 (6) | 0.271 |
| Age | 6 | 4 | 6.3 | 0.310 |
| Gartland classification, % (n) | 0.514 | |||
| Type I | 0 (0) | 0 (0) | 0 (0) | |
| Type II | 50 (2) | 42.9 (6) | 40 (4) | |
| Type III | 25 (1) | 50 (7) | 60 (6) | |
| Type IV | 25 (1) | 7.1 (1) | 0 (0) | |
| Reduction, % (n) | 0.210 | |||
| Closed | 75 (3) | 100 (14) | 90 (9) | |
| Open | 25 (1) | 0 (0) | 10 (1) |
Table 4 Length of time within phases of patient care for supracondylar humerus fractures, stratified by scheduled surgery time
| Night cases (n = 4) | 6 AM cases (n = 14) | Add-on cases (n = 10) | P value | |
| Wait time for surgery, h | 2.3 ± 0.2 | 8.2 ± 2.4 | 11.8 ± 3.1 | 1.19e-06 |
| Operative duration, min | 30.5 (27.5-71.5) | 33.5 ± 7.7 | 25.5 (19-35) | 0.229 |
| PACU LOS, h | 1.2 ± 0.3 | 1.4 (1.2-1.6) | 1.5 (1.1-1.6) | 0.681 |
| Wait time for discharge, h | 8.9 ± 6.6 | 6.5 ± 3.6 | 3.6 (0.9-3.9) | 0.410 |
- Citation: Kym D, Kaur J, Pham NS, Klein E, Langner JL, Wang E, Vorhies JS. Effectiveness of an early operating room start time in managing pediatric trauma. World J Orthop 2023; 14(7): 516-525
- URL: https://www.wjgnet.com/2218-5836/full/v14/i7/516.htm
- DOI: https://dx.doi.org/10.5312/wjo.v14.i7.516