ArticleCureus2025
The Effect of Team Census on Outcomes in Trauma Patients.
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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Abstract
backgroundPhysician workload has steadily increased, with higher workloads linked to worse patient outcomes. However, the impact of workload on trauma care remains unexplored. This study aims to evaluate the impact of the census on trauma patients' outcomes.
methodsWe conducted a five-year retrospective analysis of all trauma patients admitted to our Level I trauma center. A multivariate regression analysis was performed to assess the relationship between team census on the day of admission and patient outcomes, adjusting for Injury Severity Score (ISS).
resultsPatients admitted on high census days had significantly higher ISS. After adjusting for ISS, these patients demonstrated significantly higher rates of delirium but no significant differences in other complications. Notably, hospital length of stay was significantly shorter for patients admitted on high census days.
conclusionThe most severely injured trauma patients often present on the busiest days, potentially straining clinical resources. Higher delirium rates and shorter lengths of stay raise concerns about whether these patients receive optimal care or are being discharged prematurely. These findings underscore the critical need to preserve care quality during high-volume periods and to develop strategies that mitigate the impact of rising workloads on trauma patient outcomes.
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