Transfer information | Preimplementation | Postimplementation |
(37 weeks) | (20 weeks) | |
Neurology specialty request | ||
Neurosurgery | 406 (62%) | 353 (80%) |
Neurology | 188 (28%) | 54 (12%) |
Interventional radiology | 59 (9%) | 31 (7%) |
Total | 653 | 438 |
Total patients transferred (all specialties) | 456 | 353 |
Total neurosurgery/neurocritical care transferred | 144 (31%) | 150 (42%) |
Total declined (excludes consult only) | 53 | 50 |
Consult only (remained at requesting facility) | ||
Neurology | 9 | 8 |
Interventional radiology | 1 | 6 |
Neurosurgery | 5 | 23 |
Total | 15 (4%) | 37 (10%) |
Consult only intracranial haemorrhage diagnosis | ||
Diagnosis SDH/ground level fall | 2 | 6 |
Diagnosis SAH/ICH | 0 | 6 |
Receiving ED discharge after transfer | ||
SDH | 24 | 13 |
SAH | 14 | 6 |
Other neurosurgery related | 23 | 23 |
Total | 61 (15%) | 42 (12%) |
Disposition | ||
Admitted neurosurgery/neurocritical care | 79 (19%) | 104 (29%) |
Discharged | 61 (15%) | 42 (12%) |
Deceased | 1 | 1 |
Left against medical advice | 3 | 3 |
Patients requiring neurosurgical intervention | ||
Neurosurgical intervention within 24 Hours | 15 | 9 |
Neurosurgical intervention after 24 Hours | 1 | 1 |
Taken directly from helipad to surgery | 0 | 2 |
Total | 16 (4%) | 12 (4%) |
ED, emergency department; ICH, intracranial haemorrhage; SAH, subarachnoid haemorrhage; SDH, subdural haematoma.