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Related Concept Videos

Traumatic Memory01:20

Traumatic Memory

651
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
651

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Related Experiment Video

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Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
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Traumatic subdural hematoma: Is there a weekend effect?

Kavelin Rumalla1, Adithi Y Reddy1, Manoj K Mittal2

  • 1University of Missouri-Kansas City, School of Medicine, 2411 Holmes Street, Kansas City, MO 64108, USA.

Clinical Neurology and Neurosurgery
|January 28, 2017
PubMed
Summary
This summary is machine-generated.

Weekend admissions for traumatic subdural hematoma (TSDH) patients showed increased complications and costs, but similar mortality rates compared to weekday admissions.

Keywords:
MortalityNationwide inpatient sampleOutcomesSubdural hematomaSurgical interventionWeekend effect

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Area of Science:

  • Neurosurgery
  • Trauma Surgery
  • Health Services Research

Background:

  • Traumatic subdural hematoma (TSDH) is a critical surgical condition.
  • The impact of weekend hospital admission on TSDH patient outcomes remains unclear.

Purpose of the Study:

  • To investigate the association between weekend admission and surgical intervention rates.
  • To evaluate the effect of weekend admission on in-hospital outcomes for TSDH patients.

Main Methods:

  • Analysis of Nationwide Inpatient Sample data (2002-2011) for TSDH admissions.
  • Identification of patients undergoing surgical evacuation for TSDH.
  • Multivariable analysis to assess weekend admission's impact on outcomes like complications, length of stay, cost, and mortality.

Main Results:

  • Weekend admissions were linked to reduced surgical intervention rates (OR: 0.85).
  • Weekend admissions showed increased in-hospital complications, prolonged length of stay, higher costs, adverse discharge, and mortality.
  • Despite higher severity in surgical cohorts, mortality rates were similar between weekend and weekday admissions.

Conclusions:

  • Weekend admission for TSDH is associated with poorer outcomes and increased costs.
  • No clinically significant weekend effect on mortality was observed for TSDH patients, despite higher severity on weekends.