I have a questions. I do the registry for Miners Hospital and Conemaugh Hospital. There was a patient who suffered a GLF...
There was a patient who suffered a GLF that was taken to our ED. The only finding from imaging was a left intertrochanteric fx., which would make this patient a non PTOS. The patient was transferred to a level 1 trauma center and was found to also have a rib fx.
Once I get the followup letter back from the level 1 with the additional injury, would I change it to PTOS or leave it a NON? And if I am to change it to a PTOS, it could potentially be late because I wouldn’t be able to change it until I receive the outside facility letter.
This is the first time I’m running into this situation, so I wanted to check with you.
This is a great question! No, you would not change the patient from nonPTOS to PTOS. This is because we are an incidence based registry. At the time your facility cared for the patient, the patient was nonPTOS since their only injury was a hip fracture from a fall on the same level which meets our exclusion criteria. You can still capture this patient as nonPTOS in your facility registry and include the follow-up information from the receiving hospital.