The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis
Objectives: Trauma is one of the leading causes of death and its incidence increases annually. The “weekend effect” and “holiday season effect” on traumatic injury mortality remain controversial, whereby traumatic injury patients admitted during weekends and/or holiday season have a higher risk of i...
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| Format: | Article |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=69;epage=77;aulast=Lin |
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| _version_ | 1850157506923331584 |
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| author | Po-Chen Lin Chi-Yuan Liu I-Shiang Tzeng Tsung-Han Hsieh Chun-Yu Chang Yueh-Tseng Hou Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu |
| author_facet | Po-Chen Lin Chi-Yuan Liu I-Shiang Tzeng Tsung-Han Hsieh Chun-Yu Chang Yueh-Tseng Hou Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu |
| author_sort | Po-Chen Lin |
| collection | DOAJ |
| description | Objectives: Trauma is one of the leading causes of death and its incidence increases annually. The “weekend effect” and “holiday season effect” on traumatic injury mortality remain controversial, whereby traumatic injury patients admitted during weekends and/or holiday season have a higher risk of in-hospital death. The present study is aimed to explore the association between “weekend effect” and “holiday season effect” and mortality in traumatic injury population. Materials and Methods: This retrospective descriptive study included patients from the Taipei Tzu Chi Hospital Trauma Database between January 2009 and June 2019. The exclusion criterion was age of < 20 years. The primary outcome was the in-hospital mortality rate. The secondary outcomes included intensive care unit (ICU) admission, ICU re-admission, length of stay (LOS) in the ICU, ICU admission duration ≥ 14 days, total hospital LOS, total hospital LOS ≥ 14 days, need for surgery, and re-operation rate. Results: In this study, 11,946 patients were included in the analysis, and 8143 (68.2%) patients were admitted on weekdays, 3050 (25.5%) on weekends, and 753 (6.3%) on holidays. Multivariable logistic regression revealed that the admission day was not associated with an increased risk of in-hospital mortality. In other clinical outcome analyses, we found no significant increase in the risk of in-hospital mortality, ICU admission, ICU LOS ≥ 14 days, or total LOS ≥ 14 days in the weekend and holiday season groups. The subgroup analysis showed that the association between holiday season admission and in-hospital mortality was noted only in the elderly and shock condition populations. The holiday season duration did not differ in terms of in-hospital mortality. Longer holiday season duration was also not associated with an increased risk of in-hospital mortality, ICU LOS ≥14 days, and total LOS ≥14 days. Conclusion: In this study, we did not find any evidence that weekend and holiday season admissions in the traumatic injury population were associated with an increased risk of mortality. In other clinical outcome analyses, there was no significant increase in the risk of in-hospital mortality, ICU admission, ICU LOS ≥ 14 days, or total LOS ≥ 14 days in the weekend and holiday season groups. |
| format | Article |
| id | doaj-art-35378a90f53a4091a782d2e1e49cee15 |
| institution | OA Journals |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-35378a90f53a4091a782d2e1e49cee152025-08-20T02:24:08ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562023-01-01351697710.4103/tcmj.tcmj_20_22The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysisPo-Chen LinChi-Yuan LiuI-Shiang TzengTsung-Han HsiehChun-Yu ChangYueh-Tseng HouYu-Long ChenDa-Sen ChienGiou-Teng YiangMeng-Yu WuObjectives: Trauma is one of the leading causes of death and its incidence increases annually. The “weekend effect” and “holiday season effect” on traumatic injury mortality remain controversial, whereby traumatic injury patients admitted during weekends and/or holiday season have a higher risk of in-hospital death. The present study is aimed to explore the association between “weekend effect” and “holiday season effect” and mortality in traumatic injury population. Materials and Methods: This retrospective descriptive study included patients from the Taipei Tzu Chi Hospital Trauma Database between January 2009 and June 2019. The exclusion criterion was age of < 20 years. The primary outcome was the in-hospital mortality rate. The secondary outcomes included intensive care unit (ICU) admission, ICU re-admission, length of stay (LOS) in the ICU, ICU admission duration ≥ 14 days, total hospital LOS, total hospital LOS ≥ 14 days, need for surgery, and re-operation rate. Results: In this study, 11,946 patients were included in the analysis, and 8143 (68.2%) patients were admitted on weekdays, 3050 (25.5%) on weekends, and 753 (6.3%) on holidays. Multivariable logistic regression revealed that the admission day was not associated with an increased risk of in-hospital mortality. In other clinical outcome analyses, we found no significant increase in the risk of in-hospital mortality, ICU admission, ICU LOS ≥ 14 days, or total LOS ≥ 14 days in the weekend and holiday season groups. The subgroup analysis showed that the association between holiday season admission and in-hospital mortality was noted only in the elderly and shock condition populations. The holiday season duration did not differ in terms of in-hospital mortality. Longer holiday season duration was also not associated with an increased risk of in-hospital mortality, ICU LOS ≥14 days, and total LOS ≥14 days. Conclusion: In this study, we did not find any evidence that weekend and holiday season admissions in the traumatic injury population were associated with an increased risk of mortality. In other clinical outcome analyses, there was no significant increase in the risk of in-hospital mortality, ICU admission, ICU LOS ≥ 14 days, or total LOS ≥ 14 days in the weekend and holiday season groups.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=69;epage=77;aulast=Linholiday season effectmortalitytraumaweekend effect |
| spellingShingle | Po-Chen Lin Chi-Yuan Liu I-Shiang Tzeng Tsung-Han Hsieh Chun-Yu Chang Yueh-Tseng Hou Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis Tzu Chi Medical Journal holiday season effect mortality trauma weekend effect |
| title | The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis |
| title_full | The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis |
| title_fullStr | The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis |
| title_full_unstemmed | The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis |
| title_short | The impact of holiday season and weekend effect on traumatic injury mortality: Evidence from a 10-year analysis |
| title_sort | impact of holiday season and weekend effect on traumatic injury mortality evidence from a 10 year analysis |
| topic | holiday season effect mortality trauma weekend effect |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=69;epage=77;aulast=Lin |
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