Crandon, Ivor W.; Harding, Hyacinth E.; Benaris, M.; Bruce, C. A.; McDonald, Archibald H.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Unnecessary Admissions of Patients with Head Injury at the University Hospital of the West Indies. Are There Implications for Cost Saving? [Abstract]
West Indian Medical Journal
Date of Publication
Objective: The goal of this study was to determine the profile of head injured patients admitted to the University Hospital of the West Indies (UHWI) and to assess the appropriateness of their admissions. Design and Method: the prospectively collected data in the Jamaican National Trauma Registry, operated by the section of Surgery, identified 88 patients, admitted to the UHWI over the one-year period October 2001 to September 2002, because of head injury. The Scottish Intercollegiate Guidelines Network (SIGN) method was used to assess the appropriateness of admission to hospital. Data were expressed as frequencies or means with standard deviation as appropriate and were analyzed using the Statistical Package for the Social Sciences (SPSS) version 10.0. Conclusions: Admitted patients with head injury are mainly young males, half of whom have intentional injuries and 19% of whom have serious injuries. Increased efficiency may result from standardization of admission criteria for head injury patients and consistent implementation of the SIGN guidelines for admission without increased risk to patients. This may be expected to minimize unnecessary admissions and result in considerable cost savings.....