PMID- 32360089
OWN - NLM
STAT- MEDLINE
DCOM- 20210519
LR  - 20231107
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 51
IP  - 9
DP  - 2020 Sep
TI  - The need for a rapid transfer to a hybrid operating theatre: Do we lose benefit 
      with poor efficiency?
PG  - 1987-1993
LID - S0020-1383(20)30369-7 [pii]
LID - 10.1016/j.injury.2020.04.029 [doi]
AB  - PURPOSE: Recent studies on hybrid operating rooms (ORs) have mainly reported 
      their applications in orthopaedic surgery and interventional radiology (IR); 
      there are few studies assessing severely injured patients who underwent IR or 
      surgery in hybrid ORs for haemostasis. Therefore, this study aimed to evaluate 
      our early experience with the use of hybrid OR to control haemorrhage in severe 
      trauma patients. METHODS: Medical charts of patients who underwent an emergency 
      surgery or IR for haemostasis were analysed retrospectively between January and 
      December 2015. RESULTS: Of the 95 patients directly transported to the general or 
      hybrid OR, 69 (73%) were transported to the non-hybrid OR and underwent emergency 
      surgeries, whereas 26 (27%) were transported to the hybrid OR and underwent 
      emergency IR or surgery on-site. Patients transported to the hybrid OR had a 
      higher median Injury Severity Score (median: 29, interquartile range[IQR]: 
      21-36.5 vs median: 21, IQR: 16-27) and lower median initial systolic blood 
      pressure (median: 96, IQR: 82.75-128.75 vs median: 114, IQR: 95-151.5) than those 
      transported to the non-hybrid OR. The median time from the emergency room (ER) 
      arrival to the start of the emergency procedure in the hybrid OR group was 
      similar with that in the non-hybrid OR group (median: 80, IQR: 62.75-91.5 vs 
      median: 75, IQR: 56.5-99). Seven patients underwent IR and surgery concurrently 
      in the hybrid OR because of a haemodynamically unstable pelvic fracture, severe 
      liver injury, and severe brain haemorrhage. The median time from the ER arrival 
      to the start of the haemostatic procedure or operation was 64(43-97) minutes. 
      CONCLUSIONS: Although the hybrid OR may be used for haemostasis in severely 
      injured patients, the long median time from ER arrival to the start of a 
      haemostatic procedure in hybrid OR indicates the need for a new workflow to 
      reduce this time and to facilitate hybrid OR use.
CI  - Copyright (c) 2020 Elsevier Ltd. All rights reserved.
FAU - Jang, Ji Young
AU  - Jang JY
AD  - Department of Surgery, National Health Insurance Service Ilsan Hospital, Republic 
      of Korea. Electronic address: jyjang@hanmail.net.
FAU - Oh, Jiwoong
AU  - Oh J
AD  - Department of Neurosurgery, Yonsei University College of Medicine, Republic of 
      Korea.
FAU - Shim, Hongjin
AU  - Shim H
AD  - Department of Surgery, Yonsei University Wonju College of Medicine, Republic of 
      Korea; Regional Trauma Centre, Wonju Severance Christian Hospital, Republic of 
      Korea.
FAU - Kim, Seongyup
AU  - Kim S
AD  - Department of Surgery, Yonsei University Wonju College of Medicine, Republic of 
      Korea; Regional Trauma Centre, Wonju Severance Christian Hospital, Republic of 
      Korea.
FAU - Jung, Pil Young
AU  - Jung PY
AD  - Department of Surgery, Yonsei University Wonju College of Medicine, Republic of 
      Korea; Regional Trauma Centre, Wonju Severance Christian Hospital, Republic of 
      Korea.
FAU - Kim, Sohyun
AU  - Kim S
AD  - Department of Physiology, Yonsei University College of Medicine, Republic of 
      Korea.
FAU - Bae, Keum Seok
AU  - Bae KS
AD  - Department of Surgery, Yonsei University Wonju College of Medicine, Republic of 
      Korea; Regional Trauma Centre, Wonju Severance Christian Hospital, Republic of 
      Korea.
LA  - eng
PT  - Journal Article
DEP - 20200422
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
CIN - Injury. 2023 Aug;54(8):110895. PMID: 37349168
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - Injury Severity Score
MH  - *Operating Rooms
MH  - Patient Transfer
MH  - Retrospective Studies
MH  - Workflow
OTO - NOTNLM
OT  - Hybrid operating room
OT  - Interventional radiology
OT  - Severely injured patient
COIS- Declaration of Competing Interest All authors have no conflict of interests.
EDAT- 2020/05/04 06:00
MHDA- 2021/05/20 06:00
CRDT- 2020/05/04 06:00
PHST- 2019/11/27 00:00 [received]
PHST- 2020/03/29 00:00 [revised]
PHST- 2020/04/17 00:00 [accepted]
PHST- 2020/05/04 06:00 [pubmed]
PHST- 2021/05/20 06:00 [medline]
PHST- 2020/05/04 06:00 [entrez]
AID - S0020-1383(20)30369-7 [pii]
AID - 10.1016/j.injury.2020.04.029 [doi]
PST - ppublish
SO  - Injury. 2020 Sep;51(9):1987-1993. doi: 10.1016/j.injury.2020.04.029. Epub 2020 
      Apr 22.