Bulletin of the World Health Organization

Time intervals in the treatment of fractured femurs as indicators of the quality of trauma systems

Amir Matityahu, Iain Elliott, Meir Marmor, Amber Caldwell, Richard Coughlin & Richard A Gosselin

Volume 92, Number 1, January 2014, 40-50

Table 5. Time intervals involved in the treatment of femur fractures, by hospital/databank

Data source Mean interval in days (IQR)
Injury to admission Admission to surgery Surgery to discharge
Low- or middle-income country
BOHa 16.71 (4.50–25.00) 15.38 (7.25–22.5) 9.07 (6.00–10.50)
MTRHb 5.07 (0.00–0.00) 7.37 (2.75–9.25) 7.95 (4.00–10.00)
MOIc 2.63 (0.00–1.25) 3.80 (0.00–4.00) 3.19 (1.00–2.00)
KATHd 1.71 (1.00–2.00) 20.30 (11.00–25.00) 11.46 (6.00–12.00)
Mean for four hospitals 6.53 (NA) 11.71 (NA) 7.92 (NA)
High-income country
HMCe 0.01 (0.00–0.00) 2.00 (0.00–2.00) 11.29 (6.00–11.00)
MHHf 0.03 (0.00–0.00) 3.89 (0.00–6.00) 18.53 (10.00–20.00)
NTDB 0.22 (0.00–0.00) 0.60 (0.00–1.00) 8.65 (0.00–2.00)
Mean for two hospitals and NTDB 0.09g (NA) 2.16g (NA) 12.82h (NA)

BOH, Bedford Orthopaedic Hospital; CT, computed tomography; HMC, Hadassah Medical Center; IQR, inter-quartile range; KATH, Komfo Anokye Teaching Hospital; MHH, Medicine Horschule Hannover; MOI, Muhumbili Orthopaedic Institute; MTRH, Moi Teaching and Referral Hospital; NA, not applicable; NTDB, United States National Trauma Data Bank.

a Mthata, South Africa.

b Eldoret, Kenya.

c Dar es Salaam, United Republic of Tanzania.

d Kumasi, Ghana.

e Jerusalem, Israel.

f Hannover, Germany.

g Significantly less than the corresponding value for the data from low- and middle-income countries (P < 0.001).

h Significantly less than the corresponding value for the data from low- and middle-income countries (P = 0.025).