ArticleCureus2025
Impact of Trauma Team Census on Patients With Rib Fractures.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWorkloads of healthcare professionals have continued to increase in recent years. With increased workload, some studies have shown increased length of stay for patients, higher cost, and higher risk of patient safety events. Trauma teams are a group that is particularly vulnerable to changes in patient census. This study aims to evaluate the impact of high versus low trauma team census on outcomes.
methodsA retrospective review of all rib fracture patients at a level I trauma center from 2017 to 2022 was conducted. The average daily census was determined, and high or low census days were assessed by being above or below this, respectively. The impact of census levels on outcomes was assessed using bivariate analysis and multivariate regression.
resultsA total of 1,291 patients were included, with 663 admitted on high census days and 628 admitted on low census days. Demographics and comorbidities were similar between groups. Surgical fixation rates and time to surgery were similar between census levels. High census admissions had lower ICU admission rates (odds ratio (OR): 0.78, p=0.034) and higher delirium risk (OR: 3.21, p=0.005).
conclusionDespite some seasonal variation between groups, patients admitted on high and low census days have similar demographics and prehospital comorbidities. However, patients admitted on high census days were less likely to receive ICU admission and had increased delirium rates, raising concerns about under-triage and emphasizing the need for improved resource allocation during high-volume periods.
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