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11

2YEARS OF SEVERE INJURY IN CHILDREN

2Years of Severe Injury in Children (ISS > 15)

Arrival time at hospital 2013-2014

Hour

Weekday

Weekend

Hour

Weekday

Weekend

0

2.3

1.8

1

2.0

2.0

2

2.4

2.3

3

1.1

2.3

4

1.4

2.7

5

1.0

1.7

6

1.3

1.0

7

1.2

2.5

8

2.5

2.0

9

4.3

2.3

10

4.3

5.0

11

2.8

4.5

13

4.4

6.3

14

5.2

9.3

15

4.5

8.5

16

9.7

12.5

17

10.2

12.0

18

9.5

11.0

19

9.8

8.8

20

5.7

8.5

21

5.4

6.8

22

4.2

3.8

23

4.0

5.5

Average number of severely injured children

attending by hour and day of week during

2013-2014.

12

4.7

7.5

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23 8.0

7.0

6.0

5.0

4.0

3.0

2.0

2013/14 weekday

2013/14 weekend

2012 weekday

2012 weekend

1.0

0.0

Severely injured children attend

hospital mainly during daytime

hours, although a small percentage

attends after midnight. Many injured

children attend at the weekend

and in the evenings.This pattern

of attendance has an implication

for the staffing of paediatric

trauma services which need to be

geared to receive severely injured

children during the evening and

at weekends.The relatively low

number of severe injuries occurring

at night raises a question about

the cost effectiveness of on-site

paediatric trauma expertise during

the night.