Are injury admissions on weekends and weeknights different from weekday admissions?

Tiruneh, Abebe; Siman‐Tov, Maya; Radomislensky, Irina; Peleg, Kobi

doi:10.1007/s00068-018-1022-8

Cited by 8 publications

(5 citation statements)

References 31 publications

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“…These results are consistent with the increase in burn injuries previously reported during weekends. 21 Nevertheless, no significant differences in patterns of injuries were found between the two time periods.…”

Section: Discussionmentioning

confidence: 89%

Changes in pediatric major trauma epidemiology, injury patterns, and outcome during COVID-19–associated lockdown

Hashavya

2021

Trauma

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Introduction The COVID-19 pandemic and its associated preventive measures such as national and regional lockdowns have dramatically changed the epidemiology of pediatric admissions to the emergency department. Nevertheless, there are scant data on the epidemiology and injury patterns of major pediatric trauma injuries during these lockdown periods. Methods A single-center retrospective study of data obtained from a tertiary level 1 trauma hospital trauma registry. The data included demographics, injury mechanisms, injury severity and type, treatment, and resource utilization in children aged 0–18 years who required trauma team activation upon arrival. The analysis compares the data from the 5-week lockdown period from March to May 2020 in Jerusalem, Israel, to its parallel periods in 2018–2019. Results A total of 187 trauma visits that required trauma team activation (TTA) were analyzed: 48 visits during the lockdown period vs. 139 in 2018–2019, corresponding to a 40% drop in TTA. There was a significant decrease of 34% in MVA-related injuries ( p = 0.0001) but a significant increase of 14% in burns ( p = 0.01) and a 16% increase in bicycle-related injuries ( p = 0.001). No changes in ISS, injury patterns, admission rate, PICU utilization, or need for interventions were observed. Conclusion There was a significant decrease in the number of overall pediatric trauma visits during the 2020 lockdown, mainly in MVA-associated trauma, but an increase in burns and bicycle injuries. These findings can thus inform policy makers as to the need to formulate prevention awareness programs alerting the public to indoor hazards and the dangers of activities outside the home. Furthermore, it can inform hospital policy decision-making in future lockdowns. The fact that PICU admissions and the need for operating rooms stayed unchanged suggests that it is vital to maintain trauma team capabilities even during lockdowns.

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Section: Discussionmentioning

confidence: 89%

Changes in pediatric major trauma epidemiology, injury patterns, and outcome during COVID-19–associated lockdown

Hashavya

2021

Trauma

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“…First, Little et al 19) analyzed the Trauma database and reported that there was no significant difference in admission GCS scores between weekdays and weekend hospitalizations among TBI patients. On the other hand, Tiruneh et al 31) investigated the Israeli National Trauma Registry and, although not GCS, reported that the overall injury severity score was statistically significantly higher in weekend group. In conclusion, there has not been a complete consensus or evidence yet that the TBI severity of weekend hospitalizations is significantly higher, so whether severity acts as a confounder of the “weekend effect” needs to be investigated through further studies in the future.…”

Section: Discussionmentioning

confidence: 97%

“…Several recent studies have demonstrated the presence of the “weekend effect” or the association between mortality and patient admission during holidays. 24 31) Of these, one of the largest studies, conducted by Bell and Redelmeier 3) included over 3 million participants and compared mortality rates among acute care admissions from emergency departments in Ontario, Canada, between 1988 and 1997. The study included a total of 3,789,917 admissions, encompassing a variety of medical conditions including ruptured abdominal aortic aneurysm (5,454 admissions), acute epiglottitis (1,139), and pulmonary embolism (11,686), and 3 control diseases, myocardial infarction (160,220), intracerebral hemorrhage (10,987), and acute hip fracture (59,670).…”

Section: Discussionmentioning

confidence: 99%

Weekend Admission and Mortality in Patients With Traumatic Brain Injury: A Meta-analysis

Jang,

Jang

2023

Korean J Neurotrauma

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Objective Previous studies have reported the presence of a “weekend effect” with respect to mortality in serious emergency admissions, including cases of traumatic brain injury (TBI). However, the relationship between weekend hospitalization and TBI mortality has not been fully established. This study aimed to conduct a systematic review of available evidence and investigate differences in mortality among TBI patients between weekday and weekend admissions. Methods Electronic databases including PubMed, Cochrane Library, and Embase were used to obtain relevant articles. Mortality, as the primary outcome of interest, encompassed in-hospital or 30-day mortality. Mortality rates were compared between the 2 groups, weekend and weekday admissions. Additionally, meta-regression analysis was performed on potential confounders to verify and provide comparative results. Results A total of 7 studies involving 522,942 TBI patients were eligible for inclusion in the synthesis of the systematic review. Of these patients, 71.6% were admitted during weekdays, whereas 28.4% were hospitalized on weekends. The overall integrated mortality was 11.0% (57,286/522,942), with a mortality rate of 10.8% in the weekday group and 11.3% in the weekend group. Pooled analysis revealed no significant difference in mortality between the weekday and weekend groups (risk ratio, 0.99; 95% confidence interval, 0.90–1.09; p =0.78). Furthermore, the meta-regression analysis for sensitivity assessment showed no modifying effect on mortality ( p =0.79). Conclusion This study found no difference in mortality rates between weekday and weekend admissions among TBI patients. Additional sensitivity analyses also demonstrated no significant increase in the risk of mortality in the weekend group.

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“…Moreover, hospital stay, sick leave duration, and risk of death have been shown to be higher in workers who receive care for acute occupational injuries during dead time[ 20 , 21 ]. However, no relationship was observed between sick leave and caring for individuals with OHWI either at night (15%) or on weekends (30%) (data not shown).…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of work-related hand and wrist injuries in a referral center: A descriptive study

Rodríguez,

Tocanchón,

Villalba

et al. 2024

World J Orthop

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BACKGROUND Occupational hand and wrist injuries (OHWIs) account for 25% of work-related accidents in low- and middle-income countries. In Colombia, more than 500000 occupational accidents occurred in 2021, and although the rate declined to less than 5% in 2020 and 2021, at least one in four accidents involved a hand or wrist injury. AIM To describe the OHWIs in workers seen at the emergency room at a second-level hospital in Colombia. METHODS An observational study was performed using data from workers who experienced OHWIs and attended a second-level hospital, between June, 2020 and May, 2021. The overall frequency of OHWIs, as well as their distribution by sociodemographic, clinical, and occupational variables, are described. Furthermore, association patterns between sex, anatomical area (fingers, hand, wrist), and type of job were analyzed by correspondence analysis (CA). RESULTS There were 2.101 workers treated for occupational accidents, 423 (20.3%) were cases of OHWIs, which mainly affected men (93.9%) with a median age of 31 years and who worked mainly in mining (75.9%). OHWIs were more common in the right upper extremity (55.3%) and comprised different types of injuries, such as contusion (42.1%), laceration (27.9%), fracture (18.7%), and crush injury (15.6%). They primarily affected the phalanges (95.2%), especially those of the first finger (25.7%). The CAs showed associations between the injured anatomical area and the worker’s job that differed in men and women (explained variance > 90%). CONCLUSION One out of five workers who suffered occupational accidents in Cundinamarca, Columbia had an OHWI, affecting mainly males employed in mining. This occupational profile is likely to lead to prolonged rehabilitation, and permanent functional limitations. Our results might be useful for adjusting preventive measures in cluster risk groups.

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Are injury admissions on weekends and weeknights different from weekday admissions?

Cited by 8 publications

References 31 publications

Changes in pediatric major trauma epidemiology, injury patterns, and outcome during COVID-19–associated lockdown

Changes in pediatric major trauma epidemiology, injury patterns, and outcome during COVID-19–associated lockdown

Weekend Admission and Mortality in Patients With Traumatic Brain Injury: A Meta-analysis

Epidemiology of work-related hand and wrist injuries in a referral center: A descriptive study

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