Is there a weekend effect on mortality rate and outcome for moderate and severe traumatic brain injury? A population-based, observational cohort study.
Epidemiology
Mortality
Traumatic brain injury
Weekend
Journal
Brain & spine
ISSN: 2772-5294
Titre abrégé: Brain Spine
Pays: Netherlands
ID NLM: 9918470888906676
Informations de publication
Date de publication:
2022
2022
Historique:
received:
09
08
2022
revised:
17
11
2022
accepted:
28
11
2022
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
13
12
2022
Statut:
epublish
Résumé
The aim of the study was to analyse patient and injury characteristics and the effects of weekend admissions on mortality rate and outcome after moderate and severe traumatic brain injuries. This is an observational cohort study based on data from a prospectively maintained regional trauma registry in South Western Norway. Patients with moderate and severe traumatic brain injury admitted between January 1st, 2004 and December 31st, 2019 were included in this study. During the study period 688 patients were included in the study with similar distribution between moderate (n = 318) and severe (n = 370) traumatic brain injury. Mortality rate was 46% in severe and 13% in moderate traumatic brain injury. Two hundred and thirty-one (34%) patients were admitted during weekends. Patients admitted during weekends were significantly younger (median age (IQR) 32.0 (25.5-67.0) vs 47.0 (20.0-55.0), p < 0.001). Pre-injury ASA 1 was significantly more common in patients admitted during weekends (n = 146, 64%, p = 0.001) while ASA 3 showed significance during weekdays compared to weekends (n = 101, 22%, p = 0.013). On binominal logistic regression analysis mortality rate was significantly higher with older age (OR 1.03, 95% CI for OR 1.02-1.04, p < 0.001) and increasing TBI severity (OR 7.08, 95% CI for OR 4.67-10.73, p < 0.001). Mortality rate and poor clinical outcome remain high in severe traumatic brain injury. While a higher number of patients are admitted during the weekend, mortality rate does not differ from weekday admissions.
Identifiants
pubmed: 36506297
doi: 10.1016/j.bas.2022.101699
pii: S2772-5294(22)00840-2
pmc: PMC9729811
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101699Informations de copyright
© 2022 Published by Elsevier B.V. on behalf of EUROSPINE, the Spine Society of Europe, EANS, the European Association of Neurosurgical Societies.
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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