Clinical Study

Immediate Care of Open Extremity Fractures: Where Can We Improve?

Table 1

Summary of results.

Key taskPolytrauma versus isolated injuryAssessed by senior house officer versus specialist registrarGustilo type 1 + 2 versus type 3 injuriesWhole sample

Assessed for compartment syndrome4/27 (14.8%) versus
18/74 (24.3%)
18/82 (21.2%) versus
4/16 (25.0%)
10/63 (15.9%) versus
12/38 (31.6%)
22/101 (21.8%)
Assessed for vascular injury27/27 (100%) versus
68/74 (91.9%)
76/82 (92.7%) versus
16/16 (100%)
60/63 (95.2%) versus
35/38 (92.1%)
95/101 (94.1%)
Tetanus status recorded6/27 (22.2%) versus
24/74 (32.4%)
26/82 (31.7%) versus
3/16 (18.6%)
15/63 (23.8%) versus
16/38 (42.1%)
30/101 (29.7%)
Photograph of wound5/27 (18.5%) versus
14/74 (18.9%)
15/82 (18.3%) versus
4/16 (25.0%)
5/63 (7.9%) versus
14/38 (36.8%)
19/101 (18.8%)
Wound swab sent3/27 (11.1%) versus
2/74 (2.7%)
4/82 (4.9%) versus
1/16 (6.3%)
1/63 (1.6%) versus
4/38 (10.5%)
5/101 (5.0%)
IV antibiotics given23/27 (85.2%) versus
61/74 (82.4%)
68/82 (82.9%) versus
15/16 (93.8%)
48/63 (76.2%) versus
36/38 (94.7%)
84/101 (83.2%)
Antiseptic dressing applied16/27 (59.3%) versus
53/74 (71.6%)
55/82 (67.1%) versus
12/16 (75.0%)
42/63 (66.7%) versus
36/38 (94.7%)
69/101 (68.3%)
Number of tasks completed/73.11 versus 3.27
3.22 versus 3.60
2.83 versus 3.82
3.23

Statistically significant result.
*Trend but not statistically significant.