{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T19:40:09Z","timestamp":1773171609514,"version":"3.50.1"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To assess the outcomes of elderly hip fracture surgeries performed 12 months before and 12 months after the implementation of a daily 6 <jats:sc>am<\/jats:sc>\u20139 <jats:sc>am<\/jats:sc> dedicated orthopaedic trauma room (DOTR) at a Level II community trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Level II academic trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>A total of 431 consecutive trauma patients undergoing surgical management of isolated low-energy hip fractures from January 1, 2018, to December 31, 2019.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Implementation of a 6 <jats:sc>am<\/jats:sc>\u20139 <jats:sc>am<\/jats:sc> DOTR Monday through Friday.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measures:<\/jats:title>\n            <jats:p>Time to surgery, number of cases performed after hours, surgical time, 90-day morbidity and mortality, and time to therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Retrospective analysis showed that despite a 24% increase in surgical hip fracture volume, implementation of a part-time DOTR led to a decrease in after-hours surgery (32.4% vs. 19.6%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.008) and patients requiring the intensive care unit postoperatively (7% vs. 3.8%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.036). Surgeries performed after hours were longer than that of surgeries performed during the daytime (82.0 vs. 68 minutes; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003) and had more complications (pneumonia, pulmonary embolism, and surgical site infection; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002, 0.047, 0.024, respectively).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Our results show that a part-time DOTR in a community Level II hospital is associated with improvement in patient care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001966","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T19:06:25Z","timestamp":1600455985000},"page":"245-251","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":14,"title":["Effect of a 6 am\u20139 am Dedicated Orthopaedic Trauma Room on Hip Fracture Outcomes in a Community Level II Trauma Center"],"prefix":"10.1097","volume":"35","author":[{"given":"Michael","family":"McDonald","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Macomb Hospital, Clinton Township, MI;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Macomb Hospital, Clinton Township, MI;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Wortham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Macomb Hospital, Clinton Township, MI;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breanna","family":"Sorenson","sequence":"additional","affiliation":[{"name":"Michigan State University College of Osteopathic Medicine, Lansing, MI; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Jarski","sequence":"additional","affiliation":[{"name":"Emeritus School of Health Sciences Oakland University, Rochester, MI."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddie","family":"El-Yussif","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Macomb Hospital, Clinton Township, MI;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1097\/01.ta.0000220428.91423.78","article-title":"The value of the dedicated orthopaedic trauma operating room","volume":"60","author":"Bhattacharyya","year":"2006","journal-title":"J Trauma."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.2106\/JBJS.19.00352","article-title":"The dedicated orthopaedic trauma room model: adopting a new standard of care","volume":"101","author":"Featherall","year":"2019","journal-title":"J Bone Joint Surg Am."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"e24","DOI":"10.1097\/BOT.0000000000000441","article-title":"Value of a dedicated saturday orthopaedic trauma operating room","volume":"30","author":"Runner","year":"2016","journal-title":"J Orthop Trauma."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1097\/BOT.0000000000000154","article-title":"Dedicated orthopaedic operating rooms: beneficial to patients and providers alike","volume":"29","author":"Roberts","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R5-20250614","first-page":"513","article-title":"The dedicated orthopedic trauma operating room","volume":"71","author":"Min","year":"2011","journal-title":"J Trauma."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/BOT.0b013e31816c748b","article-title":"The effect of an orthopedic trauma room on after-hours surgery at a level one trauma center","volume":"22","author":"Wixted","year":"2008","journal-title":"J Orthop Trauma."},{"key":"R7-20250614","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.injury.2005.05.001","article-title":"The effectiveness of orthopaedic trauma theatres in decreasing morbidity and mortality: a study of 701 displaced subcapital hip fractures in two trauma centres","volume":"36","author":"Elder","year":"2005","journal-title":"Injury"},{"key":"R8-20250614","first-page":"447","article-title":"Does late night hip surgery affect outcome?","volume":"71","author":"Chacko","year":"2011","journal-title":"J Trauma."},{"key":"R9-20250614","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1097\/BOT.0000000000001232","article-title":"Use of the dedicated orthopaedic trauma room for open tibia and femur fractures: does it make a difference?","volume":"32","author":"Steeby","year":"2018","journal-title":"J Orthop Trauma."},{"key":"R10-20250614","first-page":"87","article-title":"Dedicated orthopedic trauma theatres: effect on morbidity and mortality in a single trauma centre","volume":"52","author":"Lemos","year":"2009","journal-title":"Can J Surg."},{"key":"R11-20250614","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.2106\/JBJS.H.00661","article-title":"Is after-hours orthopaedic surgery associated with adverse outcomes? 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