Burns
Volume 35, Issue 8 , Pages 1092-1096 , December 2009

Does “off-hours” admission affect burn patient outcome?

  • Breena R. Taira

      Affiliations

    • Department of Emergency Medicine, Stony Brook University Medical Center, HSC L4, 080, Stony Brook, NY 11794-8350, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 631 444 8351.
    • ,
  • Hongdao Meng

      Affiliations

    • Department of Preventive Medicine, Stony Brook University Medical Center, United States
    • ,
  • Melody S. Goodman

      Affiliations

    • Department of Preventive Medicine, Stony Brook University Medical Center, United States
    • ,
  • Adam J. Singer

      Affiliations

    • Department of Emergency Medicine, Stony Brook University Medical Center, HSC L4, 080, Stony Brook, NY 11794-8350, United States

,Accepted 24 April 2009.

References 

  1. Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med. 2001;345:663–668
  2. Cram P, Hillis SL, Barnett M, Rosenthal GE. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117:151–157
  3. Morales IJ, Peters SG, Afessa B. Hospital mortality rate and length of stay in patients admitted at night to the intensive care unit. Crit Care Med. 2003;31:858–863
  4. Luyt CE, Combes A, Aegerter P. Mortality among patients admitted to intensive care units during weekday day shifts compared with “off” hours. Crit Care Med. 2007;35:3–11
  5. Vaziri K, Roland JC, Robinson L, Fakhry SM. Optimizing physician staffing and resource allocation: sine-wave variation in hourly trauma admission volume. J Trauma. 2007;62:610–614
  6. Committee on Trauma ACoS. National Trauma Databank version 7.1. In: American College of Surgeons; 2008.
  7. NTDB Data Dictionary Version 1.2.1. American College of Surgeons, 2008 (accessed July 30, 2008, at http://www.facs.org/trauma/ntdb/ntdsdictionary08.pdf).
  8. The Barell Injury Diagnosis Matrix, Classification by Body Region and Nature of the Injury. Center for Disease Control (accessed October 29, 2008, at http://www.cdc.gov/nchs/about/otheract/ice/barellmatrix.htm).
  9. Bendavid E, Kaganova Y, Needleman J, Gruenberg L, Weissman JS. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120:422–428
  10. Guidelines for the operation of burn centers. J Burn Care Res 2007; 28:134–41.
  11. Carmody IC, Romero J, Velmahos GC. Day for night: should we staff a trauma center like a nightclub?. Am Surg. 2002;68:1048–1051
  12. Arbabi S, Jurkovich GJ, Wahl WL, Kim HM, Maier RV. Effect of patient load on trauma outcomes in a Level I trauma center. J Trauma. 2005;59:815–818[discussion 9–20]
  13. Information related to the ACGME's effort to Address Resident Duty Hours and Other Relevant Resource Materials. Accreditation Council for Graduate Medical Education (accessed December 18, 2008, at http://www.acgme.org/acWebsite/dutyHours/dh_index.asp).
  14. Salim A, Teixeira PG, Chan L. Impact of the 80-hour workweek on patient care at a level I trauma center. Arch Surg. 2007;142:708–712[discussion 12–4]
  15. Helling TS, Nelson PW, Shook JW, Lainhart K, Kintigh D. The presence of in-house attending trauma surgeons does not improve management or outcome of critically injured patients. J Trauma. 2003;55:20–25
  16. Fulda GJ, Tinkoff GH, Giberson F, Rhodes M. In-house trauma surgeons do not decrease mortality in a level I trauma center. J Trauma. 2002;53:494–500[discussion 2]
  17. Kardooni S, Haut ER, Chang DC. Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominators. J Trauma. 2008;64:273–277[discussion 7–9]

☆ Presented in part at the 2009 Society for Academic Emergency Medicine annual meeting, May 17, 2009, New Orleans, LA.

PII: S0305-4179(09)00143-0

doi: 10.1016/j.burns.2009.04.023

Burns
Volume 35, Issue 8 , Pages 1092-1096 , December 2009

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