Value assessment of a trauma hybrid OR

Editor's Note

This study from the University of Florida Health, Gainesville, examines the complications, cost-utility, and value of a dedicated trauma-endovascular hybrid OR.

A total of 292 trauma patients, who underwent immediate operative intervention at a Level I trauma center (106 before construction of a hybrid OR and 186 after construction), were included in the analysis.

Among the findings:

• Resuscitative endovascular occlusion of the aorta was more frequently used in the hybrid OR.
• Hemorrhage control occurred faster in the hybrid OR (60 vs 49 minutes), and fewer red blood cells (1 vs 0 units) and plasma (1 vs 0 units) transfusions were required 4- to 24 hours after admission.
• Severe complications and complications were similar except for a significant decrease in pneumonia (7% vs 4%) with the hybrid OR.
• Costs were not significantly different ($50,023 vs $54,740), and there was no change in overall value (1.00 vs 1.07) with the hybrid OR.

The researchers concluded that conversion of a standard trauma OR to an endovascular hybrid OR provided improvements in hemorrhage control, red blood cell and plasma transfusions, and postoperative pneumonia without a significant increase in cost; value was unchanged.