Saudi Journal of Emergency Medicine

Original Article
SJEMed. 2022; 3(1): 010-016

Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center

Authors: Faisal Alhusain, Abdulmajid Asiri, Basem Alharbi, Shahad Alenizi, Sulaiman Abanmi, Mohammed Alhelail.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1634987810

Abstract

Background: Road traffic accidents are the eighth leading cause of mortality globally and the second in Saudi Arabia. Trauma patients need specialized care and access to health care facilities. Early intervention by a multidisciplinary team results in better outcomes in terms of mortality and morbidity. The aim of this study was to analyze the association between the different mechanisms of injury that resulted in trauma team activations (TTAs) and the time in the 24-hour day over a 3-year period in a tertiary trauma center. Methods: A single center retrospective study with trauma patients triggering the TTA was conducted. The study was conducted over a 3-year period, and the sample size was 587. Results: The highest volume of TTA’s during the 3 years occurred from 20:00 and 23:00 and the busiest single hour was 21:00. Pedestrian trauma was more prevalent at the end of the day from 18:00 to 22:00. Our study showed the mechanism of injury for more than half of the sample was a motor vehicle accident, followed by pedestrian trauma. The highest proportion of the sample was admitted from the Emergency Department to an intensive care unit (46.6%) or operation room/angiography (37.5%). After 19:00, there were more severe injuries and unstable patients, who required an intensive care unit or operation room/angiography. The peak occurred after 17:00 for 1 hour. Age, systolic and diastolic blood pressure were not statically significant. The mortality rate was higher in TTA patients’ groups with an initial mean heart rate of 118 per minute and a 91% oxygen pulse oximetry. Conclusion: The outcome of trauma patients was affected by the time of the 24-hour day. Severe injuries and unstable patients were more prevalent during nighttime. A higher initial heart rate for TTA patients was linked with increased mortality.

Keywords:   Trauma, Emergency Medicine, Trauma activation, health administration, Saudi Arabia


© Copyright: Author(s)

Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center


Authors
Faisal Alhusain
Department of Emergency Medicine, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Abdulmajid Asiri
Department of Emergency Medicine, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Basem Alharbi
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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Shahad Alenizi
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Sulaiman Abanmi
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Mohammed Alhelail
Department of Emergency Medicine, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
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Correspondence to:
. Faisal Alhusain, Department of Emergency Medicine, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia.; faisalaalhusaini@gmail.com

Publication history
Received 23 Oct 2021
Accepted 15 Nov 2021
Published online 03 Dec 2021
Published in print 07 Mar 2022

How to cite this article

Pubmed Style

Alhusain F, Asiri A, Alharbi B, Alenizi S, Abanmi S, Alhelail M. Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. SJEMed. 2022; 3(1): 010-016. doi:10.24911/SJEMed/72-1634987810


Web Style

Alhusain F, Asiri A, Alharbi B, Alenizi S, Abanmi S, Alhelail M. Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. https://www.sjemed.com/?mno=135206 [Access: July 02, 2022]. doi:10.24911/SJEMed/72-1634987810


AMA (American Medical Association) Style

Alhusain F, Asiri A, Alharbi B, Alenizi S, Abanmi S, Alhelail M. Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. SJEMed. 2022; 3(1): 010-016. doi:10.24911/SJEMed/72-1634987810


Vancouver/ICMJE Style

Alhusain F, Asiri A, Alharbi B, Alenizi S, Abanmi S, Alhelail M. Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. SJEMed. (2022), [cited July 02, 2022]; 3(1): 010-016. doi:10.24911/SJEMed/72-1634987810


Harvard Style

Alhusain, F., Asiri, . A., Alharbi, . B., Alenizi, . S., Abanmi, . S. & Alhelail, . M. (2022) Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. SJEMed, 3 (1), 010-016. doi:10.24911/SJEMed/72-1634987810


Turabian Style

Alhusain, Faisal, Abdulmajid Asiri, Basem Alharbi, Shahad Alenizi, Sulaiman Abanmi, and Mohammed Alhelail. 2022. Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. Saudi Journal of Emergency Medicine, 3 (1), 010-016. doi:10.24911/SJEMed/72-1634987810


Chicago Style

Alhusain, Faisal, Abdulmajid Asiri, Basem Alharbi, Shahad Alenizi, Sulaiman Abanmi, and Mohammed Alhelail. "Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center." Saudi Journal of Emergency Medicine 3 (2022), 010-016. doi:10.24911/SJEMed/72-1634987810


MLA (The Modern Language Association) Style

Alhusain, Faisal, Abdulmajid Asiri, Basem Alharbi, Shahad Alenizi, Sulaiman Abanmi, and Mohammed Alhelail. "Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center." Saudi Journal of Emergency Medicine 3.1 (2022), 010-016. Print. doi:10.24911/SJEMed/72-1634987810


APA (American Psychological Association) Style

Alhusain, F., Asiri, . A., Alharbi, . B., Alenizi, . S., Abanmi, . S. & Alhelail, . M. (2022) Volume and flow of trauma team activation patients throughout the 24-hour day over a 3-year period at an academic trauma center. Saudi Journal of Emergency Medicine, 3 (1), 010-016. doi:10.24911/SJEMed/72-1634987810


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