Towards a more intelligent model of providing pediatric trauma care: identifying temporal variations in trauma team activations

Autor: Stephen Kaminski, Rohit Sharma, Arianne Johnson, John Anis, Robert Kanard
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Trauma Surgery & Acute Care Open, Vol 5, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2397-5776
DOI: 10.1136/tsaco-2020-000448
Popis: Background Trauma centers are resource-intensive environments, and pediatric-specific personnel are often limited resources. Identifying the temporal patterns of pediatric traumas can help guide resource allocation strategies to optimize patient care.Methods We conducted a retrospective, single-institution analysis of 575 injured patients less than 18 years old that triggered a trauma team activation (TTA). TTA volume according to time of day and day of the week was analyzed using a mixed Poisson regression model and monthly patterns were analyzed using an analysis of variance. Subset analyses were conducted for children and teenagers.Results Across all days, the 6-hour time frame between 15:00 and 21:00 had significantly more activations than average, encompassing nearly half (47.2%) of all pediatric TTAs (p=0.01). Saturdays had significantly more activations than the daily average (Saturdays: 26.0/year, Other: 14.8/year, p
Databáze: Directory of Open Access Journals