Abstract
IntroductionWe aim to evaluate the frequency of use and changing practices for all out-of-hours interventional radiology (IR) procedures performed in a new hospital.MethodsThis is a 5 year retrospective review of all out-of-hours procedures performed by the Interventional Radiology team from July 2010 to June 2015. Number and category of procedures performed were identified from the RIS database.ResultsOf the 7140 procedures performed by IR over the 5 years, 764 were out-of-hours. The total number of out-of-hours cases performed annually by IR has increased by 240% from year 1 to year 5. The variety and distribution of out-of-hours work has shown a characteristic trend with rising requests for advanced procedures such as active haemorrhage control.ConclusionThe rising number and complexity of cases for on-call IR further supports the need for a formal on-call rota, ideally 1:6, to provide a sustainable 24/7 service and optimize patient outcome in an acute hospital.
Highlights
We aim to evaluate the frequency of use and changing practices for all out-of-hours interventional radiology (IR) procedures performed in a new hospital
Of the 7140 procedures performed by IR over the 5 years, 764 were out-of-hours
The total number of outof-hours cases performed annually by IR has increased by 240% from year 1 to year 5
Summary
We aim to evaluate the frequency of use and changing practices for all out-of-hours interventional radiology (IR) procedures performed in a new hospital. Royal College of Radiology (RCR) guidelines and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) recommendations are that out-of-hours (OOH) IR should be subject to a formal rota, to ensure safe and reliable service provision (The. Royal College of Radiologists, 2017; Tsetis et al, 2016; The Royal College of Radiologists, 2014). Singapore 768828, Singapore implementation is difficult both in availability of manpower and resources, with a national survey of interventional radiology provision across England in 2014 reporting a formal OOH provision of 68%: OOH provision for nephrostomy of 65.6%, endovascular intervention of 77.8%, embolization for post partum haemorrhage of 59.8% and general embolization services of 67.4% (NHS Improving Quality, 2014). Many authors cite the need for strategic planning of 24/7 IR services (NHS Improving Quality, 2014; Zealley et al, 2012)
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