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Payday, Effects of the Calendar and Time to Trauma Volume in ED in Curaçao, Dutch Caribbean



Objective: The objective is to investigate the effects of calendar variation, time and payday on trauma volume in the ED. This can provide information for prevention, work schedule of the hospital and utilization of the medical staff.
Methods: Data of all injured patients admitted to the Emergency Department (ED) from 2000 until 2013 in Curaçao, a country within the Kingdom of the Netherlands, were provided. In total 14,886 presentations with trauma-related injury were selected. Time was divided in several time frames, taking payday, daylight and weekends into account.
Results: There is significantly more traffic-related trauma at the end of the month after payday (p=0.005) and during weekends (p<0.001). Saturdays show more stab wound- (p=0.036) and molestation-related trauma (p=0.001). Traffic-related trauma are evenly distributed over the day. Firearm-, stab wound- and molestation-related trauma occur mainly at night (p<0.001). There is no difference in incidence per month for all trauma groups.
Conclusion: Frequency varies per time frame and trauma group: traffic-related trauma is evenly distributed over the day and violence-related trauma is mainly at night. Most trauma occurs in the weekend and traffic-related trauma mostly after payday. With this study, medical care could be better organized and thereby improve the healthcare system.

23 Mar, 2015
e-Published: 07 Jul, 2015


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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