{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:49:38Z","timestamp":1791236978489,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Computed tomography (CT) is an essential part of trauma patient initial workup. Rapid performance of CT has become the standard of care in most parts of the world. This study aims to assess if the time to CT has changed over a 10\u2010year period at the study centre and examine the potential impact on patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective audit of prospectively collected trauma registry from 2010 to 2019 was performed, including trauma presentations to John Hunter Hospital (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099712) with injury severity score above 15. CT data, including start time, end time, time to CT and body region imaged, were collected from RIS\u2010PACS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Time to CT over the 10\u2010year period ranged from 6 to 299, with a mean of 92\u2009min. Regression analysis showed no overall change in time to CT. Patients who arrived intubated, polytrauma patients and those with isolated head injuries had faster time to CT. Longer time to CT was seen in patients hypotensive on arrival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Time to CT in trauma patients has not changed over a 10\u2010year period, remaining below international standards. In\u2010hospital mortality of major trauma patients at our institution continued to decrease over the study timeframe, resulting in one of the lowest risk\u2010adjusted mortality rates in the country. Development and publication of an Australian KPI for Time to CT in Trauma patients is an important next step in Australian trauma policy and guidelines. This study will serve as a baseline for reassessment of trauma patient initial management workflow within the hospital following the addition of a new acute care services block, protocols for suitable major trauma patients to bypass the emergency resuscitation bay, and a CT hybrid room through our institution's expansion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70163","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T07:42:58Z","timestamp":1747640578000},"page":"1242-1246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Time to Computed Tomography for Major Trauma Patients: 10\u2010Year Trends at a Level\u20101 Trauma Centre"],"prefix":"10.1111","volume":"95","author":[{"given":"Claudia A.","family":"Yarad","sequence":"first","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4924-5653","authenticated-orcid":false,"given":"Daniel","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin M.","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1936-9003","authenticated-orcid":false,"given":"Kate L.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0277-4822","authenticated-orcid":false,"given":"Zsolt J.","family":"Balogh","sequence":"additional","affiliation":[{"name":"Department of Traumatology John Hunter Hospital  Newcastle NSW Australia"},{"name":"Discipline of Surgery, School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Injury and Trauma Research Program Hunter Medical Research Institute  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60232-4"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31820930f9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20107241\u201019\u201073"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15470"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06150.x"},{"key":"e_1_2_9_7_1","unstructured":"Deutsche Gesellschaft f\u00fcr Unfallchirurgie (DGU) and Committee on Emergency Medicine Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU) \u201cAnnual Report 2021. Cologne: AUC\u2013Academy for Trauma Surgery \u201d2021."},{"key":"e_1_2_9_8_1","volume-title":"Resources for Optimal Care of the Injured Patient: 2022 Standards","author":"American College of Surgeons (ACS)","year":"2022"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000404"},{"key":"e_1_2_9_10_1","volume-title":"Stata Statistical Software: Release 13. College Station","author":"StataCorp LP","year":"2013"},{"issue":"5","key":"e_1_2_9_11_1","first-page":"939","article-title":"Clinical Impact of a Dedicated Trauma Hybrid Operating Room","volume":"91","author":"Loftus T. J.","year":"2021","journal-title":"Journal of Trauma and Acute Care Surgery"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51699"},{"key":"e_1_2_9_13_1","unstructured":"Australian Trauma Quality Improvement (AusTQIP) Collaboration \u201cAustralia New Zealand Trauma Registry: Management of the Severely Injured 1 July 2021 to 30 June 2022 [Internet] \u201dMelbourne: Alfred Health 2023."}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70163","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70163","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T09:06:28Z","timestamp":1770195988000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/ans.70163"],"URL":"https:\/\/doi.org\/10.1111\/ans.70163","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,19]]},"assertion":[{"value":"2024-12-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}