Emergency care during the night can be complicated by medical errors, increased complications and less frequent use of aggressive interventions. In particular, presentation at night has been identified as a risk factor for poor outcomes in critically ill patients needing a prompt diagnosis and the timely implementation of interventions. Many multiple trauma patients arrive at the trauma center during the evening and night. Multiple trauma is one of the leading causes of death and disability worldwide, and severe injuries must be diagnosed and treated 24 h per day. Despite the differences in these factors, arrival at night did not have a negative effect on the outcome. The patient population and injury severity vary between the day and night with regard to age, injury pattern and trauma mechanism. Admission at night was not a predictor of a higher mortality rate. There were no differences in RISC II scores or mortality rates according to time period. There was no relevant difference in the Revised Injury Severity Classification II (RISC II) score or mortality rate between patients admitted during the day and at night. The outcome was also not affected by level of the trauma center. Time in the trauma department and time to an emergency operation were only marginally different. Resultsįewer patients were admitted during the night (6.00 pm–11.59 pm: 18.8% of the patients, 0.00–5.59 am: 4.6% of the patients) than during the day. Incidences, patient demographics, injury patterns, trauma center levels and trauma care times and outcomes were evaluated. All data were obtained from TraumaRegister DGU®. Methodsĭata from 58,939 multiple trauma patients from 2007 to 2017 were analyzed retrospectively. This study involved the analysis of a population of multiple trauma patients admitted at night and a comparison of various indicators of the quality of care at different admission times. Several studies have demonstrated worse outcomes and higher mortality in patients admitted at night. For more information, visit .įor more information or to schedule an appointment, please contact us.Optimal multiple trauma care should be continuously provided during the day and night. Luke’s is committed to providing high-quality care in a friendly hospital environment. Equipped with the most advanced medical technology, and staffed by a team of highly skilled healthcare professionals, Tempe St. Luke’s offers comprehensive healthcare services, including emergency care, orthopedics, advanced surgical procedures, diagnostic imaging, women’s services, pain management, wound care and help for a broad range of medical conditions. Luke’s Hospital is an 74-bed, state-of-the-art hospital that has been serving the East Valley for more than 60 years. In addition, HealthGrades also recognized Mountain Vista with five-star ratings in numerous categories, including the treatment of heart failure. Mountain Vista is also named a 2012 Distinguished Hospital for Clinical Excellence™ by HealthGrades®, the nation’s leading independent healthcare ratings organization. Equipped with the most advanced medical technology, and staffed by a team of highly skilled healthcare professionals, Mountain Vista is committed to providing high-quality care in a friendly hospital environment. Mountain Vista Medical Center is a 178-bed, state-of-the-art hospital located in east Mesa, Arizona, offering comprehensive healthcare services, including emergency care, heart care, advanced surgical procedures, orthopedics, breast care, maternity care, women’s services, and help for a broad range of medical conditions. For patient convenience, Phoenix Heart Center is affiliated with two Steward Health Care Family Hospitals throughout the Valley: East Mesa: Mountain Vista Medical Center Primary Stroke Center, Provisional Level III Trauma Center, Chest Pain Center and an accredited Cardiac Receiving Center
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