APPENDIX 1
TRENT AND PENINSULA ISTC'S: CLINICAL OUTCOMES:
22 MARCH 2004-30 JANUARY 2006
|
| Patients operated and
discharged (excluding
re-admissions)
| Percentage of
operated and
discharged
|
|
Total Surgery | 7,617
| |
Hip Replacements | 1,693
| 22.22% |
Hip Revisions
(Part of Minimum Take)
| 11 | 0.14%
|
Knee Replacements | 2,149
| 28.13% |
Knee Revisions (Part of Minimum Take) | 5
| 0.06% |
Minor surgery | 3,759
| 49.35% |
DNA Say Surgery | 28
| 0.74% |
DNA In-Patients | 17
| 0.44% |
Surgery Cancelled for Clinical Reasons |
121 | 1.58%
|
Surgery Cancelled for Non-Clinical Reasons |
21 | 0.27%
|
|
1. REASONS FOR
CLINICAL CANCELLATIONS
(SUMMARISED)
Cancelled after Outpatient Assessment
Require further diagnostics
Other Procedure Required
Urinary Tract Infection X-Rays not available
2. CANCELLED AFTER
SURGERY HAS
BEEN BOOKED
Clinical Reasons
Unforeseen other surgery
Tract Infection/Blood in Urine Prolapsed Uterus
Non Clinical Reasons
CLINICAL OUTCOMES
1. Returned to theatre for unforeseen procedure
|
Patients Operated and Discharged | Return to Theatre
| % |
|
7,617 | 159
| 2.08% |
|
|
Reasons Return to Theatre (Summarised)
| |
|
Manipulation under anaesthetic (knee) | 17
|
Dislocation | 14
|
Wound Inspection and Debridement | 34
|
Secondary Suturing | 2
|
Prosthetic Component Replacement/Revision |
5 |
Insertion/Removal of Drain | 2
|
Removal of Pin | 2
|
Removal of K-Wire | 1
|
|
2. Transferred to another provider for treatment
|
Patients Operated and Discharged |
Transferred | %
|
|
7,617 | 25
| 0.32% |
|
|
Reasons Transferred (Summarised) |
|
|
Cardiac Arrest | 2
|
DislocationAdmired QMC | 1
|
Uncontrolled Hypertension | 2
|
Pneumonia | 1
|
Stroke | 1
|
Bowel Obstruction | 1
|
Urinary Retention | 2
|
Chronic Diarrhoea | 1
|
Respiratory Arrest | 1
|
Ischemic Changes on ECCT | 4
|
Peptic Bleeding Gastric Ulcers | 1
|
on-Procedure related incident (Car Accident)
| 1 |
DVT | 2 |
|
3. Re-admission within 29 days after discharge
|
Patients Operated and Discharged |
Re-admitted | %
|
|
7,617 | 174
| 2.28% |
|
|
Reasons Re-admitted |
|
|
Returned to theatre (Re-admitted) | 72 (5 In-hospital returns, before discharge)
|
Pain Management | 12
|
Oozing Wound | 8
|
Suspected DVT | 7
|
Fall at home | 5
|
Blisters/cellulites | 3
|
Swollen Leg/Feet | 3
|
Haematoma | 2
|
Social Reasons | 2
|
|
4. Clinical outcomes
|
Patients Operated and Discharged |
Re-admitted | %
|
|
| Total patients
| % |
Nosocomial Infection | 32
| 0.4 |
Community acquired infection | 19
| 0.24 |
Unexpected admission to HDU/ITU | 9
| 0.11 |
Hemorrhage | 3
| 0.03 |
Adverse incidents | 92
| 1.20 |
Allergic reaction | 9
| 0.11 |
Deep Vein Thrombosis | 5
| 0.06 |
Pulmonary Embolism | 2
| 0.02 |
Death | 4 |
0.05 |
Transfer to NHS Trust Hospital | 23
| 0.30 |
|
Patient satisfaction based on surveyat least 10% of Patients
| | |
|
|
| Patients
| % |
|
Total patients seen | 9,982
| |
Total Responses | 4,790
| 47.9 |
Overall Patient Satisfaction |
| 95 |
|
Rate of patient complaints as % of all patients Referred
| | |
|
|
| Patients
| % |
|
Total patients referred | 9,982
| |
Total number of complaints | 163
| 1.63 |
|
|