British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 2 , Pages 99-101, March 2009

Patterns of emergency maxillofacial referrals and provision of services

  • S. Laverick

      Affiliations

    • Regional Maxillofacial Unit, Ninewells Hospital, Dundee, United Kingdom
    • Formerly at Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, United Kingdom
    • Corresponding Author InformationCorresponding author at: Regional Maxillofacial Unit, Ninewells Hospital, Dundee, United Kingdom. DD1 9SY Tel.: +44 7818414208.
  • ,
  • P. Siddappa

      Affiliations

    • Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, United Kingdom
  • ,
  • D.C. Jones

      Affiliations

    • Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, United Kingdom

Accepted 29 May 2008. published online 04 August 2008.

Abstract 

The rising number of maxillofacial injuries in the UK requires a reappraisal of emergency services within our specialty. Although the impact of a dedicated trauma list has been reported, it has not been widely embraced, and we know of few data that help to plan the number or timing of such lists.

We designed a minimum dataset to collect information about referral, cause of emergency, assessment of patients, and outcome during 2003 and 2004. Theatre data were examined retrospectively to analyse operations during the same period.

We conclude that to serve a population of 2.6 million a minimum of 8 emergency lists are required each week to deal with non-complex cases; this equates to 3lists/million population. The lists should be concentrated at weekends and early in the week.

Keywords: Maxillofacial surgery, Dedicated emergency lists, NCEPOD

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PII: S0266-4356(08)00202-7

doi:10.1016/j.bjoms.2008.05.008

British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 2 , Pages 99-101, March 2009