ArticleDer Unfallchirurg2018
[Impact of weather, time of day and season on the admission and outcome of major trauma patients].
Article in Der Unfallchirurg, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02165137 (Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome), which is not on this map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome
Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Seasonal and cultural effects on calendar day variations in trauma incidence in Japan.Scientific reports · 2025Article
- The effect of weather and temporal factors on emergency hand trauma consultations.Archives of orthopaedic and trauma surgery · 2023Article
- Risk factors for revision surgery in operative treatment of traumatic injuries of the olecranon and prepatellar bursa.BMC musculoskeletal disorders · 2022Article
- Weather and prehospital predictors of trauma patient mortality in a rural American state.Surgery in practice and science · 2022Article
- Comparative analysis of MGAP, GAP, and RISC2 as predictors of patient outcome and emergency interventional need in emergency room treatment of the injured.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- The Patterns and Impact of Off-Working Hours, Weekends and Seasonal Admissions of Patients with Major Trauma in a Level 1 Trauma Center.International journal of environmental research and public health · 2021Article
- Universal thermal climate index associations with mortality, hospital admissions, and road accidents in Bavaria.PloS one · 2021Article
- Artificial neural networks can predict trauma volume and acuity regardless of center size and geography: A multicenter study.The journal of trauma and acute care surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe potential association of external factors such as time of day, lunar phases or specific weather conditions on the daily management and outcome of trauma emergencies remains under debate. We undertook this trauma centre investigation to detect possible worthwhile factors of influence in order to optimize the organizational structure of trauma admissions. MATERIALS AND
methodsRetrospective cohort analysis over the years 2010-2013, including all emergency trauma admissions with a new injury severity score (NISS) ≥8 (major trauma) treated in a teaching hospital in the lowland of Switzerland (uni- and multivariable analysis; p < 0.05).
resultsDuring the study period, 1178 major trauma patients were admitted to the hospital. The mean age of trauma victims was 53 ± 23 and the average ISS was 14 ± 8. More patients arrived within the summer months than during the rest of the year (p < 0.001). Higher energy trauma was found to correlate with higher daytime temperature, longer duration of sunshine (each p < 0.001), and change in weather conditions (p = 0.008). In contrast, snowfall and lunar phases did not demonstrate any association with the number or characteristics of trauma admissions. Multivariable analysis demonstrated that altogether longer sunshine, higher minimum daytime temperature and lower air humidity, compared to the previous day, accounted for 31 % of major trauma admissions. We could not find any impact of the investigated external factors on the outcome of patients.
conclusionsThe study shows a significant relationship between specific weather conditions, such as higher daytime temperature or change in circulation, and the admission of major trauma patients. Due to the small effect in our setting, our results do not implicate any according change in the management of resources. Nevertheless, for hospitals in other geographic or more exposed weather regions, such effects could indeed be relevant and therefore should be tested.
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