Association between nighttime/weekend visits and patient outcomes in children with blunt liver and spleen injuries
Topic overview
This nationwide multicenter study examined whether nighttime or weekend hospital admissions affect outcomes in children with blunt liver and spleen injuries. Analysis of 1,414 pediatric trauma patients found no significant differences in intervention rates, mortality, or time to treatment between out-of-hours and weekday admissions.
Key takeaways
- No 'out-of-hours effect' found in pediatric blunt liver/spleen injuries—weekend/nighttime admissions had similar intervention rates as weekday.
- 30-day mortality rates were comparable regardless of admission timing in 1414 pediatric BLSI cases across Japanese trauma centers (2008-2019).
- Time to first intervention showed no significant delay for children admitted during nights/weekends versus daytime/weekdays.
- Pediatric trauma systems may maintain consistent care quality for BLSI around the clock, unlike some adult medical conditions.
- Non-operative management protocols for pediatric BLSI appear robust enough to avoid timing-related outcome disparities.
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How to cite: GlobalCastMD. Association between nighttime/weekend visits and patient outcomes in children with blunt liver and spleen injuries. GlobalCastMD Medical Library. 2024-11-25. https://dev.library.globalcastmd.com/article/9452?via_space=staycurrentmd
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