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The Crisis of Deficiency in Emergency Coverage for Hand and Facial Trauma: Exploring the Discrepancy Between Availability of Elective and Emergency Surgical Coverage.

Publication ,  Journal Article
Whipple, LA; Kelly, T; Aliu, O; Roth, MZ; Patel, A
Published in: Ann Plast Surg
October 2017

INTRODUCTION: Injuries are one of the most common reasons for emergency department visits, with approximately 40.2 million injury-related visits occurring in 2011. Facial, hand, and wrist injuries make up a large portion of these visits. Despite the high demand for specialists to attend to these injury-related emergency department visits, recent studies have suggested a discrepancy between elective surgical coverage and trauma care in general. The goal of this study was to determine if there was a difference between access to elective surgical procedures in comparison with on-call emergency care for facial and hand/wrist conditions in New York State. METHODS: Hospitals throughout New York State, excluding New York City, were selected from the Department of Health Web site, hospitals.nyhealth.gov. A phone survey was administered between May 2012 and October 2013, to quantify the availability of elective and emergent procedures for facial and hand/wrist conditions. We compared the availability of emergency facial and hand/wrist surgical care based on hospital characteristics such as bed size and access to a surgical intensive care unit. RESULTS: We selected 113 hospitals, and 52 hospitals participated for a response rate of 46%. A total of 88% of hospitals offered elective hand procedures, but only 27% had consistent coverage for emergency hand trauma. Furthermore, only 29 % of hospitals had a facial specialist consistently available whereas the availability for elective facial procedures was 79%. CONCLUSION: Our study results show a discrepancy between the availability of surgeons for elective procedures and on-call emergency care for facial and hand/wrist condition.

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Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

October 2017

Volume

79

Issue

4

Start / End Page

354 / 358

Location

United States

Related Subject Headings

  • Workforce
  • Surgery, Plastic
  • Surgery
  • Plastic Surgery Procedures
  • New York
  • Humans
  • Healthcare Disparities
  • Health Surveys
  • Health Services Accessibility
  • Hand Injuries
 

Citation

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Chicago
ICMJE
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Whipple, L. A., Kelly, T., Aliu, O., Roth, M. Z., & Patel, A. (2017). The Crisis of Deficiency in Emergency Coverage for Hand and Facial Trauma: Exploring the Discrepancy Between Availability of Elective and Emergency Surgical Coverage. Ann Plast Surg, 79(4), 354–358. https://doi.org/10.1097/SAP.0000000000001155
Whipple, Lauren A., Tara Kelly, Oluseyi Aliu, Malcolm Z. Roth, and Ashit Patel. “The Crisis of Deficiency in Emergency Coverage for Hand and Facial Trauma: Exploring the Discrepancy Between Availability of Elective and Emergency Surgical Coverage.Ann Plast Surg 79, no. 4 (October 2017): 354–58. https://doi.org/10.1097/SAP.0000000000001155.
Whipple, Lauren A., et al. “The Crisis of Deficiency in Emergency Coverage for Hand and Facial Trauma: Exploring the Discrepancy Between Availability of Elective and Emergency Surgical Coverage.Ann Plast Surg, vol. 79, no. 4, Oct. 2017, pp. 354–58. Pubmed, doi:10.1097/SAP.0000000000001155.

Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

October 2017

Volume

79

Issue

4

Start / End Page

354 / 358

Location

United States

Related Subject Headings

  • Workforce
  • Surgery, Plastic
  • Surgery
  • Plastic Surgery Procedures
  • New York
  • Humans
  • Healthcare Disparities
  • Health Surveys
  • Health Services Accessibility
  • Hand Injuries