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System for Focal, Closed-System Central Nervous System Injury
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Published on: November 29, 2024

Does the trauma system protect against the weekend effect?

Brendan G Carr1, Peter Jenkins, Charles C Branas

  • 1Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. carrb@upenn.edu

The Journal of Trauma
|November 12, 2010
PubMed
Summary
This summary is machine-generated.

The "weekend effect" does not appear to impact mortality for injured patients at this Level I trauma center. Trauma centers' 24/7 staffing may mitigate off-hours survival differences seen in other conditions.

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Health Services Research

Background:

  • Off-hours care, including weekends and nights, is linked to poorer outcomes in time-sensitive conditions like myocardial infarction and stroke.
  • The existence of a similar

Purpose of the Study:

  • To investigate whether a

Main Methods:

  • A retrospective cohort study was conducted at a Level I trauma center between 2006 and 2008.
  • Mortality risks associated with weekend or night arrival were analyzed using unadjusted and adjusted models.

Main Results:

  • Of 4,382 patients, 34.0% arrived on weekends and 23.3% at night.
  • Unadjusted and adjusted analyses showed no significant difference in mortality for weekend or night arrivals.
  • Key patient demographics and injury severity scores were comparable between off-hours and on-hours arrivals.

Conclusions:

  • This Level I trauma center does not exhibit differential mortality during off-hours (weekends/nights).
  • Continuous, full staffing at trauma centers may explain the absence of an