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Addition of a general surgeon without addition of appropriate support is inadequate to improve outcomes of trauma patients in a rural setting: a cohort study of 1962 consecutive patients

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Abstract

Purpose

Trauma care poses many challenges in small hospitals in rural settings. This report was designed to assess the role of a rural general surgeon with trauma patients.

Methods

A cohort study was designed using a retrospective analysis of a cohort at Bozkır Community Hospital that included trauma patients admitted to the emergency department between June 2007 and May 2009. The patients of group 1 were those treated during the first year of the study period, when the hospital staff was only non-specialist physicians. In the second year, a general surgeon was added to the staff, and the patients from this period constituted group 2.

Results

The top three leading causes of injuries were falls (46.5 %), piercing/cutting injuries (38.2 %), and assault (6.5 %). The frequency of trauma due to falls was higher in group 1, and assault and piercing/cutting injuries were higher in group 2 (p < 0.001 for each). The percentage of discharged and transferred patients was not significantly different between groups (p = 0.065 and p = 0.082, respectively). Similar mortality rates were also detected (group 1: 0.5 %, group 2: 0.3 %, p = 0.479).

Conclusions

The presence of a solo general surgeon was not found to be adequate for improving the outcome for trauma patients in a rural hospital.

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Authors and Affiliations

  1. Department of General Surgery, Umraniye Education and Research Hospital, Istanbul, Turkey

    F. Basak

  2. Genel Cerrahi Klinigi Sekreterlik, Elmalikent Mahallesi, Adem Yavuz Cad. No:1 Umraniye, Istanbul, Turkey

    F. Basak

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  1. F. Basak
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Correspondence to F. Basak.

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Conflict of interest

Author, Fatih Basak, declares that he has no conflict of interest.

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Basak, F. Addition of a general surgeon without addition of appropriate support is inadequate to improve outcomes of trauma patients in a rural setting: a cohort study of 1962 consecutive patients. Eur J Trauma Emerg Surg 43, 835–839 (2017). https://doi.org/10.1007/s00068-016-0736-8

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  • DOI: https://doi.org/10.1007/s00068-016-0736-8

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