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Seasonal variation in trauma admissions to a level III trauma unit over 10 years

Injury Jul 23, 2020

Hind J, Lahart IM, Jayakumar N, et al. - Researchers aimed at describing seasonal variations in trauma over a 10-year period at a level III trauma unit. They assessed one of the largest datasets for all the trauma admissions to a level III trauma unit in the UK. Over 10 years, 13,007 ‘first admissions’ were reported with a mean (SD) age of 55.6 (27.7) years. Observations revealed that seasonal patterns exist in the patient demographics, site of injury, treatment received, and length of hospital stay for trauma patients. In summer, higher admissions were reported (27%) and in winter, lower admissions were reported (23.6%). Further, on average younger patients admitted in the summer (52.8 years) and older in winter (59.2 years). Relative to other seasons, a lower proportion of patients underwent operations in summer (72%), with winter having the highest at 77%. In winter vs summer, more patients aged less than 60 years stayed in hospital (13.2% vs 11.6%–12.4%) although often for a day. Longer stay was reported in spring and winter for patients aged 60 years. These outcomes may aid in enhancing patient care and reducing health care costs by decreasing unwarranted variations and allowing service delivery to match the demand in all trauma units.

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