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Head Trauma Victims are More Likely to Die On the Weekends

Conducted by researchers from Johns Hopkins University, 38,000 patients  record were assessed and researchers found older adults who suffer from head  trauma during the weekend are considerably more likely to die from their  injuries than on weekdays.

"There isn't a medical reason for worse results on weekends," said study  lead Eric B. Schneider, PhD, an epidemiologist at the Johns Hopkins University  School of Medicine's Center for Surgical Trials and Outcomes Research. "It's  more likely a difference in how hospitals operate over the weekend as opposed to  during the week, meaning that there may be a real opportunity for hospitals to  change how they operate and save lives."

According to Schneider, statistics reveal an estimated 1.4 million Americans  suffer from head trauma a year. Nearly 50,000 people die from head-related  trauma injuries and 235,000 individuals require inpatient care.

The data analyzed included an inpatient sample from 2006 to 2008 which  included records of 38,675 patients who were between the ages of 65 and 89 years  old. Of those patients, 29.6 percent were admissions that occurred during the  weekend. Schneider and his team discovered that weekend patients were 14 percent  more likely to die from head trauma injuries compared to patients who are  admitted during the Monday through Friday work days. Though factors such as  patients who were either admitted during the work week or weekends were of the  same age, and weekend patients had less than severe trauma issues, researchers  believe the problem arises with the amount of staff available during the  weekend.

Schneider and his team believe there are reduced amount of doctors and nurses  working the weekend shifts. Also many hospitals may experience delays in getting  specialists such as neurosurgeons to the hospital for victims with head  trauma.

Schneider recommends that each hospital should begin to staff the same  optimal level as weekdays, however he acknowledges that may be a financial  burden for some, so an alternative solution can be having medical personnel  transporting older patients with head injuries directly to trauma centers.

The study was published in the Journal of Surgical  Research.

Source: Medical Daily at  http://www.medicaldaily.com/articles/11320/20120806/head-trauma-elderly-weekends-hospital.htm#KYVb0OgTV8Bx22QZ.99

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