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Table 2 Care and outcome parameters of injured patients: business hours 1 vs. off hours 2

From: The off-hour effect on trauma patients requiring subspecialty intervention at a community hospital in Japan: a retrospective cohort study

 

All

Shock (SBP < 90 mmHg)

Penetrating injury

ISS > 15

Parameter

Business hours (n = 379)

Off hours (n = 426)

Business hours (n = 59)

Off hours (n = 81)

Business hours (n = 59)

Off hours (n = 48)

Business hours (n = 152)

Off hours (n = 218)

Prehospital time (min)

50.4 ± 25.0

50.7 ± 25.7

52.8 ± 23.2

51.3 ± 27.4

41.2 ± 20.6

43.9 ± 22.1

56.2 ± 27.3

53.0 ± 26.7

ER stay time (min)

143.1 ± 80.2

144.9 ± 67.7

110.9 ± 69.4

133.1 ± 72.1*

132.4 ± 85.9

115.1 ± 48.5

140.7 ± 85.7

147.4 ± 69.0*

Total time to OR (min)

193.5 ± 83.8

195.6 ± 69.1

163.7 ± 71.7

184.4 ± 73.7*

173.5 ± 88.8

159.0 ± 54.6

196.9 ± 90.8

200.4 ± 69.9

Mortality, n (%)

32 (8.4)

34 (8.0)

18 (30.5)

21 (25.9)

0 (0)

0 (0)

31 (20.4)

32 (14.7)

Unexpected trauma death 3 (%)

12/342 (3.5)

18/391 (4.6)

4/ 32 (12.5)

7/54 (13.0)

0/0 (0)

0/0 (0)

11/115 (9.6)

16/183 (8.7)

Good recovery, n (%)

318 (83.9)

361 (84.7)

35 (59.3)

52 (64.2)

54 (91.5)

44 (91.7)

110 (72.4)

169 (77.5)

Adverse events in the ER, n (%)

33 (8.7)

60 (14.1)*

10 (16.9)

17 (21.0)

1 (1.7)

1 (2.1)

24 (15.8)

46 (21.1)

  1. 18:01 AM to 6:00 PM weekdays.
  2. 26:01 PM to 8:00 AM weekdays plus all weekend hours.
  3. 3Death/Ps>0.5.
  4. Data expressed as mean ± standard deviation unless otherwise indicated. *p < 0.05. ER, emergency room; ISS, Injury Severity Score; OR, operating room; Ps, probability of survival; RTS, Revised Trauma Score; SBP, systolic blood pressure.