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The Relationship Between an Individual's Birthday and Admission for Traumatic Injury
Jessica M Veatch1,2, Joel R Narveson1, Ryan W Walters3
1Department of Trauma Surgery and Critical Care, Creighton University Medical Center, Omaha, NE, USA.
The American Surgeon
|May 6, 2023
Summary
Trauma evaluations increase on birthdays, especially for younger adults. Alcohol presence is a key predictor of trauma team activation on these occasions.
Area of Science:
- Medical research
- Trauma surgery
- Public health
Background:
- Birthdays are often associated with adverse medical events.
- This study is the first to investigate the link between birthdays and trauma team evaluations.
- Understanding these associations can inform preventative strategies.
Purpose of the Study:
- To examine the association between birthdays and in-hospital trauma team evaluations.
- To identify age-specific patterns in trauma incidence around birthdays.
- To determine patient-level predictors of trauma evaluation on birthdays.
Main Methods:
- Retrospective analysis of trauma registry data from 2011-2021.
- Inclusion of patients aged 19-89 years evaluated by trauma services.
- Statistical analysis using incidence rate ratios (IRRs) and risk ratios.
Main Results:
- A significant association was found between birthdays and trauma evaluations (IRR: 1.78 on birthday, 1.21 within ±3 days).
- Younger adults (19-36 years) showed the highest IRR (2.30) on their birthday.
- Older adults (>65 years) had a higher incidence within ±3 days (IRR: 1.34).
- Ethanol presence was a significant predictor (risk ratio: 1.83).
Conclusions:
- A group-dependent association exists between birthdays and trauma evaluations.
- The youngest age group experiences the highest risk on their birthday, while the oldest group shows increased risk around their birthday.
- Alcohol presence is the strongest patient-level predictor for trauma evaluation.

