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Open Access

Towards a more intelligent model of providing pediatric trauma care: identifying temporal variations in trauma team activations

Arianne Johnson, Rohit Sharma, John Anis, Stephen Kaminski, Robert Kanard
DOI: 10.1136/tsaco-2020-000448 Published 11 November 2020
Arianne Johnson
1Cottage Health Research Institute, Santa Barbara Cottage Hospital, Santa Barbara, California, USA
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Rohit Sharma
2Trauma, Santa Barbara Cottage Hospital, Santa Barbara, California, USA
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John Anis
3Emergency Medicine, Santa Barbara Cottage Hospital, Santa Barbara, California, USA
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Stephen Kaminski
2Trauma, Santa Barbara Cottage Hospital, Santa Barbara, California, USA
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Robert Kanard
4Pediatric Surgery, Santa Barbara Cottage Hospital, Santa Barbara, California, USA
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    Figure 1

    Mean number of activations by day. Saturdays had significantly more activations than any other day of the week (Saturday: 26.0/year, Other: 14.8/year, p<0.01). TTAs, trauma team activations.

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    Figure 2

    Number of activations per 3-hour interval. 15:00–18:00 (27.0/year, p<0.01) and 18:00–21:00 (27.2/year, p<0.01) had significantly more activations than average. 03:00–06:00 (2.0/year, p<0.01) and 06:00–09:00 (5.6/year, p=0.011) had significantly less. TTAs, trauma team activations.

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    Figure 3

    Trauma team activation (TTA) volume by time of day for children and teenagers on Saturdays (A) and all other days (B).

Tables

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  • Table 1

    Patient demographics, injury types, and disposition (n=575)

    Agen (%)
     0–12328 (57.0)
     13–17247 (43.0)
    Gender: Male354 (61.6)
    Race: White509 (88.5)
    Mechanism of Injury
     Blunt510 (88.7)
     Penetrating31 (5.4)
     Burn34 (5.9)
    ISS
     ≤9451 (81.1)
     10–1559 (10.6)
     ≥1646 (8.3)
     NA19 (3.3)
    Level of Activation
     Tier 141 (7.1)
     Tier 2384 (66.8)
     Tier 3150 (26.1)
    ED Disposition
     Floor233 (40.5)
     Discharged163 (28.3)
     ICU111 (19.3)
     Transferred38 (6.6)
     Operating Room28 (4.9)
     Died2 (0.3)
    • ED, emergency department; ICU, intensive care unit; ISS, Injury Severity Score; NA, not applicable.

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Towards a more intelligent model of providing pediatric trauma care: identifying temporal variations in trauma team activations
Arianne Johnson, Rohit Sharma, John Anis, Stephen Kaminski, Robert Kanard
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000448; DOI: 10.1136/tsaco-2020-000448

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Towards a more intelligent model of providing pediatric trauma care: identifying temporal variations in trauma team activations
Arianne Johnson, Rohit Sharma, John Anis, Stephen Kaminski, Robert Kanard
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000448; DOI: 10.1136/tsaco-2020-000448
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Towards a more intelligent model of providing pediatric trauma care: identifying temporal variations in trauma team activations
Arianne Johnson, Rohit Sharma, John Anis, Stephen Kaminski, Robert Kanard
Trauma Surgery & Acute Care Open Nov 2020, 5 (1) e000448; DOI: 10.1136/tsaco-2020-000448
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