Abstract
Abstract Aim The Grange University Hospital is a new major acute hospital in South Wales. Similarly, to other hospitals without neurosurgery, patients presenting to A&E with head injury (HI) that do not require transfer to a neurosurgery centre are admitted under general surgery. This audit aimed to: Method Patients admitted via A&E with the diagnosis code “Head Injury” (N=119) identified between November 28th-April 28th, 2021 (6 months). Paediatric (Aged 0–18) patients (N=25) were excluded as identified admitting team as per protocol is paediatrics. Relevant data extracted using Clinical Workstation. Results N =94 patients. Of these, 12 were discussed with neurosurgery and 1 patient transferred to a tertiary centre. 44% were referred to a surgical speciality other than general surgery for assessment. Despite this, of those 41, 61% (25) were admitted under general surgery (Average length of stay 2.5 days). Only 8 admitted patients necessitated plans beyond neuro observations. 28% of patients admitted under general surgery required medical assessment (4 falls assessments, 3 COTE referrals and subsequent takeovers). 0 patients had any general surgical pathology. Conclusions
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