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Major trauma: Does weekend attendance increase 30-day mortality?

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This study found no increased 30-day mortality for major trauma patients admitted on weekends. However, Friday and Saturday admissions showed higher mortality, particularly for severe head injuries, warranting further investigation.

Keywords:
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Area of Science:

  • Trauma care research
  • Public health surveillance
  • Mortality analysis

Background:

  • The

Purpose of the Study:

  • To investigate 30-day mortality rates in major trauma patients.
  • To determine if admission day influences mortality.
  • To explore reasons behind any observed mortality differences.

Main Methods:

  • Retrospective review of the Trauma Audit and Research Network (TARN) database.
  • Inclusion of major trauma patients with an Injury Severity Score (ISS) of 9 or higher.
  • Analysis of 30-day mortality rates based on the day of hospital admission.

Main Results:

  • No significant difference in 30-day mortality between weekend (7.8%) and weekday (7.7%) admissions.
  • Highest 30-day mortality observed on Fridays (10.8%), lowest on Sundays (5.5%).
  • Significantly higher 30-day mortality for Friday/Saturday admissions (10.4%) versus Sunday-Thursday (6.6%).
  • Patients with head injuries admitted on Friday/Saturday had lower Glasgow Coma Scale (GCS) scores and higher mortality (22.7% vs. 12%).

Conclusions:

  • No evidence of a