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Mortality in trauma patients admitted during, before, and after national academic emergency medicine and trauma surgery meeting dates in Japan

机译:在日本召开国家学术急诊医学和创伤手术会议期间,之前和之后入院的创伤患者的死亡率

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摘要

Annually, many physicians attend national academic meetings. While participating in these meetings can have a positive impact on daily medical practice, attendance may result in reduced medical staffing during the meeting dates. We sought to examine whether there were differences in mortality after trauma among patients admitted to the hospital during, before, and after meeting dates. Using the Japan Trauma Data Bank, we analyzed in-hospital mortality in patients with traumatic injury admitted to the hospital from 2004 to 2015 during the dates of two national academic meetings—the Japanese Association for Acute Medicine (JAAM) and the Japanese Association for the Surgery of Trauma (JAST). We compared the data with that of patients admitted with trauma during identical weekdays in the weeks before and after the meetings, respectively. We used multiple logistic regression analysis to compare outcomes among the three groups. A total of 7,491 patients were included in our analyses, with 2,481, 2,492, and 2,518 patients in the during, before, and after meeting dates groups, respectively; their mortality rates were 7.3%, 8.0%, and 8.5%, respectively. After adjusting for covariates, no significant differences in in-hospital mortality were found among the three groups (adjusted odds ratio [95% CI] of the before meeting dates and after meeting dates groups; 1.18 [0.89–1.56] and 1.23 [0.93–1.63], respectively, with the during meeting dates group as the reference category). No significant differences in in-hospital mortality were found among trauma patients admitted during, before, and after the JAAM and JAST meeting dates.
机译:每年,许多医师参加国家学术会议。参加这些会议可能对日常医疗活动产生积极影响,但出席会议可能会导致会议期间医疗人员减少。我们试图检查在约会期间,之前和之后住院的患者中,创伤后死亡率是否存在差异。使用日本创伤数据库,我们分析了日本急性医学会(JAAM)和日本急性医学会这两次全国性学术会议期间2004年至2015年入院的创伤性损伤患者的院内死亡率。创伤手术(JAST)。我们分别将数据与会议前后数周相同工作日内接受创伤治疗的患者的数据进行了比较。我们使用多元逻辑回归分析比较了三组的结果。我们的分析共纳入7,491例患者,其中在约会日期期间,之前和之后分别有2,481、2,492和2,518例患者。他们的死亡率分别为7.3%,8.0%和8.5%。校正协变量后,三组之间的院内死亡率无显着差异(会议日期前后和会议日期之后各组的校正比值比[95%CI]; 1.18 [0.89–1.56]和1.23 [0.93– [1.63],分别以“会议期间”为参考类别。在JAAM和JAST会议日期之前,之后和之后入院的创伤患者中,院内死亡率没有发现显着差异。

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