Nocturnal Violence: Implications for Resident Trauma Operative Experiences

Watkins, Colyn J.; Feingold, Paul L.; Hashimoto, Barry; Johnson, Laura S.; Dente, Christopher J.

doi:10.1177/000313481207800618

Cited by 8 publications

(5 citation statements)

References 15 publications

(18 reference statements)

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“…showed similar temporal variations in adult trauma at their single institution and suggested these finding may hinder general surgery residents' trauma experience, especially considering the current work hour restrictions. 13 Furthermore, adult trauma has been shown to occur more frequently with increasing temperature and during warm weather months of the year. 14,15 One study demonstrated that temperature is most highly predictive of increased trauma-related volume compared with other weatherrelated variables, such as rainfall, snowfall, and humidity.…”

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confidence: 99%

Temporal Variations in Pediatric Trauma: Rationale for Altered Resource Utilization

Groh

Feingold

Hashimoto

et al. 2018

The American Surgeon™

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Trauma is a major cause of morbidity and mortality in the pediatric population. However, temporal variations of trauma have not been well characterized and may have implications for appropriate allocation of hospital resources. Data from patients evaluated at an ACS-verified Level I pediatric trauma center between 2011 and 2015 were retrospectively analyzed. Date and time of injury, type of injury (blunt vs penetrating), and postemergency department disposition were reviewed. To assess temporal trends, heatmaps were constructed and a mixed poisson regression model was used to assess statistical significance. Pediatric trauma from blunt and penetrating injuries occurred at significantly higher rates between the hours of 1800 and 0100, on weekends compared with weekdays, and from May to August compared with November to February. These data provide useful information for hospital resource utilization. The emergency department, operating room, and intensive care unit should be prepared for increased trauma-related volume between May and August, weekends, and evening hours by appropriately increasing staff volume and resource availability.

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confidence: 99%

Temporal Variations in Pediatric Trauma: Rationale for Altered Resource Utilization

Groh

Feingold

Hashimoto

et al. 2018

The American Surgeon™

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“…In line with other studies, we expect increased free time activity and so called disco journeys on Saturdays to be responsible for these results [ 22 , 26 ]. A younger patient age and an increased hospital admission during the night substantiate this theory [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 98%

The influence of foehn winds on the incidence of severe injuries in southern Bavaria – an analysis of the TraumaRegister DGU®

Greve

Kanz

Zyskowski

et al. 2020

BMC Musculoskelet Disord

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Background: Foehn describes a wind which occurs in areas with close proximity to mountains. The presence of foehn wind is associated with worsening health conditions. This study analyzes the correlation between a foehn typical circulation and the incidence for suffering a severe trauma. Methods: This is a retrospective, multicentre observational register study. The years from 2013 to 2016 were analyzed for the presence of foehn winds. A logistic regression analysis with the number of daily admitted trauma patients as the primary target value was performed in dependence of foehn winds. Southern Bavaria is a typical foehn wind region. Individuals were treated in 37 hospitals of Southern Bavaria which participate in the TraumaRegister DGU®, an international register that includes all severe trauma patients, mainly in Germany. We analyzed patients with an Injury Severity Score (ISS) of at least nine with admission to intensive care units or prior death in the emergency room. Results: 6215 patients were enrolled in this study. A foehn-typical circulation was present on 65 days (4.5%). 301 patients (5%) suffered a trauma with an ISS ≥ 9 on a foehn day. The mean ISS was 20.2 (9-75). On average, 4.3 patients (0-15 patients) were admitted on a daily basis due to a severe trauma. The multivariate regression analysis revealed a daily increase of 0.87 individuals (p = 0.004; 95% CI 0.23-1.47) on foehn days. During spring 1.07 patients (p = < 0.001; 95% CI 0.72-1.42), in summer 1.98 patients (p = < 0.001; 95% CI 1.63-2.32), in fall 0.63 (p = < 0.001; 95% CI 0.28-0.97) and on Saturdays, 0.59 patients (p = < 0.001; 95% CI 0.24-0.93) were additionally admitted due to severe trauma.

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“…The majority of the victims had faced the assault during the first half of the night. Violence-associated incidents are frequently reported at night, especially among men (17), and this is when people tend to consume alcohol while returning home after the day’s work (18). Victims’ own home is the location where the majority of these incidents had taken place.…”

Section: Discussionmentioning

confidence: 99%

Medicolegal Aspects of Victims of Assault Admitted to a Tertiary Care Hospital in Sri Lanka

Jayasundara¹,

Thivaharan²,

Muthulingam³

et al. 2021

Academic Forensic Pathology

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Introduction: Violence with physical assault is a common cause of morbidity and mortality prevalent but not limited to underdeveloped countries. The opinion of the forensic expert is often indispensable in such cases to determine the penalties. This study was planned to describe the pattern of presentation of the victims and evaluate the strengths and limitations in formulating a scientific medicolegal opinion based on the findings of the victim. Methods: A retrospective descriptive study based on the case records of the victims of assault admitted to Colombo North Teaching Hospital, Ragama, Sri Lanka, was conducted for four years. Results: Out of the 400 victims, the majority (72% n = 290) were males and of the age-group of 21 to 40 (n = 216). The reason for assault in the majority was sudden provocation (n = 99, 25%), followed by previous long-duration enmity (n = 89, 22%). The majority (83%) had isolated blunt force trauma, and the injuries were nongrievous (74%). Defense injuries were significantly associated with attempted defense (p = 0.000) and sharp force trauma (p = 0.002). The underlying reason for the assault was not significantly associated with the causative weapon (p = 0.228) or body region injured (p = 0.195). Conclusions: Even though the presentation and the pattern of injures are definitely of value in formulating a scientific opinion, the study identified the limitations of the forensic experts, and the need for a holistic approach at the investigations was highlighted.

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Nocturnal Violence: Implications for Resident Trauma Operative Experiences

Cited by 8 publications

References 15 publications

Temporal Variations in Pediatric Trauma: Rationale for Altered Resource Utilization

Temporal Variations in Pediatric Trauma: Rationale for Altered Resource Utilization

The influence of foehn winds on the incidence of severe injuries in southern Bavaria – an analysis of the TraumaRegister DGU®

Medicolegal Aspects of Victims of Assault Admitted to a Tertiary Care Hospital in Sri Lanka

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