BSSH National Trauma Audits

The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries.


UPDATE 15/01/2016

A big thank you to all of the units that have uploaded data. We now have over 600 flexor tendon injuries and 300 fractures. Well done!
The final upload period is now finished. Please get in touch if with any queries or if you are struggling with missing data.

Email us at bsshtraumaaudit@gmail.com.


UPDATE 17/12/2015

A big thank you to all of the units that have uploaded data. We now have over 520 flexor tendon injuries and 270 fractures. Well done!
Final follow up data needs to be uploaded by 14th January. Any problems get in touch with bsshtraumaaudit@gmail.com.


UPDATE 30/11/2015

As discussed at the BAPRAS Winter Scientific Meeting, ALL cases need to be uploaded by 14th December to ensure collaborator status. Final follow up data needs to be uploaded by 14th January.


UPDATE 18/11/2015

  • Connector.

    Two audits

    We are auditing open flexor tendon injuries and open fractures of the hand over a three month period. As of 18/11/15, 126 fractures and 253 flexor tendon injuries have been registered.

  • Connector.

    Multicentre

    This is a primarily a UK audit but includes international centres. A total of 57 hand surgery units are registered.

  • Connector.

    Collaborative

    We have 126 collaborators registered across the 57 units.


Background

The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries.

Hand fractures and flexor tendon injuries are common. There are no national guidelines for the management of either of these injuries. The BSSH have created draft ‘Handstands’ for both flexor tendon injuries and open fractures of the hand (see below for files).

Aims

The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries.

Methods

Prospective audit recruiting all patients presenting with an open hand fracture or an open flexor tendon injury over a 3 month period.

Outcome data collected at 3 months.

Central data collection using the REDCap encrypted database

Audit needs to be registered with local Clinical Audit Department. Caldicott approval not required as information is recorded in the REDCap database without patient identifiable information.

Inclusion criteria
Any acute open flexor tendon injury involving zones 1 – 4 (injuries can be single or multiple)
Any acute open hand fracture (injuries can be single or multiple)

Exclusion criteria
Open tuft fracture
Closed flexor tendon injuries i.e. Jersey Finger

Planned output

Data will be collated and used to assess current standards of management of these two injuries using key markers. This data will help to guide the development of national standards of care in hand trauma produced by the BSSH.

National guidelines will be introduced to optimise patient management and outcome, guided by the results of this audit.

Authorship

We are keen to encourage as many Units to participate as possible. Therefore anyone who is involved in the recruitment process and logs 5 patients into the database will be eligible for collaborative author status (Pubmed citation) on any publications and presentations.

How do I get involved?

The registration and data collection period has closed.
For any queries or problems with REDCap access contact bsshtraumaaudit@gmail.com.


  • Protocol development
  • Site recruitment
  • Data collection
  • Data analysis
  • Manuscript submission
  • Publication
Emma Reay
Consultant Orthopaedic Surgeon
South Tees Hospitals NHS Foundation Trust

Matthew D. Gardiner
Trainee Lead, RSTN

Abhilash Jain
Associate Professor of Plastic Surgery
University of Oxford

Ruth Lester
Consultant Plastic Surgeon
Birmingham Children’s Hospital NHS Foundation Trust

Jill Arrowsmith
Consultant Hand & Plastic Surgeon
Pulvertaft Hand Centre

Shehan Hettiaratchy
Chief of Service, Plastics, Orthopaedics, ENT and Major Trauma
Imperial College Healthcare NHS Trust

Lead unit: Imperial College Healthcare NHS Trust
Supported by the BSSH
No funding
No downloads available