Observational studyMedicine2020
Impact of nighttime and weekends on outcomes of emergency trauma patients: A nationwide observational study in Japan.
Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Interhospital transfer dynamics in foreign body aspiration: Age-stratified nationwide retrospective cohort study.Turk gogus kalp damar cerrahisi dergisi · 2026Article
- Association between time to transfusion and outcomes in patients with traumatic haemorrhagic shock: an analysis of a nationwide trauma registry in Japan.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Seasonal and cultural effects on calendar day variations in trauma incidence in Japan.Scientific reports · 2025Article
- Trends in isolated chest trauma in Japan: a 15-year analysis using the Japan Trauma Data Bank.Journal of thoracic disease · 2025Article
- Impact of pre-existing dementia on neurosurgical intervention and outcomes in older patients with head injury: an analysis of a nationwide trauma registry in Japan.Acta neurochirurgica · 2024Observational
- Effect of Daytime versus Nighttime on Prehospital Care and Outcomes after Severe Traumatic Brain Injury.Journal of clinical medicine · 2024Article
- Perioperative mortality among trauma patients in Northwest Ethiopia: a prospective cohort study.Scientific reports · 2023Article
- Article
- Factors Associated with an Increase in On-Site Time of Pediatric Trauma Patients in a Prehospital Setting: A Nationwide Observational Study in Japan.Children (Basel, Switzerland) · 2022Article
- Survey of trauma patients injured by falling or flying objects in Japan based on the Japan Trauma Data Bank.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Assessing the impact of the national traffic safety campaign: a nationwide cohort study in Japan.BMJ open · 2022Article
- Comparison of Five Triage Tools for Identifying Mortality Risk and Injury Severity of Multiple Trauma Patients Admitted to the Emergency Department in the Daytime and Nighttime: A Retrospective Study.Applied bionics and biomechanics · 2022Article
- Does the time of the day affect multiple trauma care in hospitals? A retrospective analysis of data from the TraumaRegister DGU®.BMC emergency medicine · 2021Article
- The utility of physician-staffed helicopters for managing individuals who experience severe isolated head trauma.Journal of rural medicine : JRM · 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
- Survival outcomes after traumatic brain injury during national academic meeting days in Japan.Scientific reports · 2021Article
- Impact of the weekend effect on outcome after microsurgical clipping of ruptured intracranial aneurysms.Acta neurochirurgica · 2021Article
- The off-hour effect among severe trauma patients: a nationwide cohort study in Japan.Surgery today · 2020Article
- They only come out at night: Impact of time of day on outcomes after penetrating abdominal trauma.Surgery open science · 2020Article
- Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh.Medicine · 2020Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The impact of time of day or day of week on the survival of emergency trauma patients is still controversial. The purpose of this study was to evaluate the outcomes of these patients according to time of day or day of week of emergency admission by using data from the nationwide Japan Trauma Data Bank (JTDB).This study enrolled 236,698 patients registered in the JTDB database from 2004 to 2015, and defined daytime as 09:00 AM to 16:59 PM and nighttime as 17:00 PM to 08:59 AM, weekdays as Monday to Friday, and weekends as Saturday, Sunday, and national holidays. The outcome measures were death in the emergency room (ER) and discharge to death.In total, 170,622 patients were eligible for our analysis. In a multivariable logistic regression adjusted for confounding factors, both death in the ER and death at hospital discharge were significantly lower during the daytime than at nighttime (623/76,162 [0.82%] vs 954/94,460 [1.01%]; adjusted odds ratio [AOR] 0.79; 95% confidence interval [CI] 0.71-0.88 and 5765/76,162 [7.57%] vs 7270/94,460 [7.70%]; AOR 0.88; 95% CI 0.85-0.92). In contrast, the weekdays/weekends was not significantly related to either death in the ER (1058/114,357 [0.93%] vs 519/56,265 [0.92%]; AOR 0.95; 95% CI 0.85-1.06) or death at hospital discharge (8975/114,357 [7.85%] vs 4060/56,265 [7.22%]; AOR 1.02; 95% CI 0.97-1.06).In this population of emergency trauma patients in Japan, both death in the ER and death at hospital discharge were significantly lower during the daytime than at night, but the weekdays/weekends was not associated with outcomes of these patients.
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