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Temporal Variations in Pediatric Trauma: Rationale for Altered Resource Utilization

Eric M Groh, Paul L Feingold, Barry Hashimoto

    The American Surgeon
    |July 9, 2018
    PubMed

    Insights

    Pediatric trauma cases increase during evenings, weekends, and summer months. Hospitals should adjust staffing and resources to meet this predictable rise in trauma volume.

    Area of Science:

    • Pediatric Trauma Care
    • Public Health Surveillance
    • Emergency Medicine

    Background:

    • Trauma significantly impacts pediatric morbidity and mortality.
    • Understanding temporal patterns in pediatric trauma is crucial for resource allocation.
    • Previous characterization of temporal variations in pediatric trauma is limited.

    Purpose of the Study:

    • To analyze temporal variations in pediatric trauma incidence.
    • To identify peak times and seasons for pediatric trauma injuries.
    • To inform hospital resource allocation and staffing.

    Main Methods:

    • Retrospective analysis of pediatric trauma patients (2011-2015).
    • Data included date/time of injury, injury type (blunt/penetrating), and disposition.
    • Heatmaps and mixed Poisson regression used to assess temporal trends.

    Main Results:

    • Pediatric trauma rates were significantly higher between 1800 and 0100 hours.
    • Trauma incidence increased on weekends compared to weekdays.
    • Higher rates of pediatric trauma were observed from May to August compared to November to February.

    Conclusions:

    • Pediatric trauma exhibits distinct temporal patterns, with peaks in evenings, weekends, and summer.
    • Hospitals should prepare for increased patient volume during these periods.
    • Optimized staffing and resource availability in emergency departments, operating rooms, and ICUs are recommended.

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