Introduction: This study evaluates factors that influence
door to operation theatre (OT) time in a tertiary referral
centre following activation of trauma team. Specific factors
observed in this study were association of the injury
severity score (ISS), activation of trauma team and the
number of referred specialty to door to operation theatre
time.
Methods: Retrospective chart review that evaluates all
trauma patients which required immediate operative
intervention from January 2011 to December 2015. Trauma
patients were selected from the resuscitation log book and
data were collected by chart review of selected patients.
Results: Only 5 out of 279 patients (1.8%) achieved optimal
door to OT time. (<60 minutes) Mean door to OT time was
299.27 minutes (95% CI: 280.52, 318.52). Trauma team
activation has shown significant improvement in door to OT
time (p=0.047). Time of multiple team referrals (p=0.023) and
time of operative decision (p<0.001) both had significant
impact on door to OT time. Other factors included were
demographics, ISS score, Glasgow Coma Scale (GCS),
mechanism of injury and systolic blood pressure on arrival
all which showed no significance.