Original Article

Impact of Holidays on Pediatric Trauma Admissions to a Community Hospital in South Florida

Authors: Stephanie Eyerly-Webb, PhD, Rachele Solomon, MPH, LeAnne Young, MSN, RN, Keren Bard, , Carrie Laituri, MD, Andrew Rosenthal, MD, Julie Long, MD


Objectives: The data from temperate regions indicate increases in pediatric traumatic injuries during the spring and summer months with anticipated admission spikes on warm weather holidays; hospitals in southern subtropical regions should not anticipate the same trends. The objectives of this study were to identify holiday-specific spikes in pediatric traumatic injury admissions at a community hospital in South Florida and report injury patterns in age, mechanism of injury, and surgical consults.

Methods: A 5-year retrospective review of pediatric traumatic injuries during holiday periods was conducted; patterns in age, mechanism of injury, and surgical consults were described. A ratio of the mean number of patients seen per day for holiday periods versus nonholiday days of the same month was calculated for each holiday.

Results: The most notable spikes in injury volume were for autumn and winter holidays; average volume doubled during the holiday periods for New Year’s Day, Super Bowl weekend, Valentine’s Day, St Patrick’s Day, and Halloween. Holiday periods had increases in the proportion of injuries related to motorcycle crashes.

Conclusions: Hospitals located in southern subtropical climates should consider increasing staffing as necessary during select autumn and winter holidays.

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1. Odetola FO, Gebremariam A. Paediatric trauma in the USA: patterns of emergency department visits and associated hospital resource use. Int J Inj Contr Saf Promot 2015;22:260-266.
2. Søreide K, Krüger AJ, Ellingsen CL, et al. Pediatric trauma deaths are predominated by severe head injuries during spring and summer. Scand J Trauma Resusc Emerg Med 2009;17:3.
3. Livingston KS, Miller PE, Lierhaus A, et al. Does weather matter? The effect of weather patterns and temporal factors on pediatric orthopedic trauma volume. Open Orthop J 2016;10:550-558.
4. Ekström DS, Larsen RH, Lauritsen JM, et al. Children and adolescents admitted to a university-level trauma centre in Denmark 2002-2011. Dan Med J 2017;64:A5356.
5. Christoffel KK. Effect of season and weather on pediatric emergency department use. Am J Emerg Med 1985;3:327-330.
6. Macgregor DM. Effect of weather on attendance with injury at a paediatric emergency department. Emerg Med J 2003;20:204-205.
7. D’Ippolito A, Collins CL, Comstock RD. Epidemiology of pediatric holiday-related injuries presenting to US emergency departments. Pediatrics 2010;125:931-937.
8. American Automotive Association. 2017 year-end holiday travel forecast review. https://newsroom.aaa.com/wp-content/uploads/2017/12/2017-Year-end-QA_FINAL.pdf.pdf. Accessed December 15, 2018.
9. Krinsky-Diener M, Agoritsas K, Chao JH, et al. Predicting flow in the pediatric emergency department: are holidays lighter? Pediatr Emerg Care 2017;33:339-343.
10. Galvez J. The Florida elusive snowbird. https://www.bebr.ufl.edu/sites/default/files/Research%20Reports/snowbirds_0.pdf. Published 1997. Accessed December 17, 2018.
11. American College of Surgeons. National Trauma Data Bank 2016: pediatric annual report. https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntdb%20pediatric%20annual%20report%202016.ashx. Accessed March 14, 2018.
12. Friede KA, Osborne MC, Erickson DJ, et al. Predicting trauma admissions: the effect of weather, weekday, and other variables. Minn Med 2009;92:47-49.
13. Rising WR, O'Daniel JA, Roberts CS. Correlating weather and trauma admissions at a level I trauma center. J Trauma 2006;60:1096-1100.
14. Laupland KB, Ball CG, Kirkpatrick AW. Hospital mortality among major trauma victims admitted on weekends and evenings: a cohort study. J Trauma Manag Outcomes 2009;3:8.
15. Linakis JG, Amanullah S, Mello MJ. Emergency department visits for injury in school-aged children in the United States: a comparison of nonfatal injuries occurring within and outside of the school environment. Acad Emerg Med 2006;13:567-570.
16. Epperson S, Blanton L, Kniss K, et al. Influenza activity-United States, 2013-14 season and composition of the 2014-15 influenza vaccines. MMWR Morb Mortal Wkly Rep 2014;63:483-490.
17. Hirve S, Newman LP, Paget J, et al. Influenza seasonality in the tropics and subtropics-when to vaccinate? PLoS One 2016;11: e0153003.
18. Kassam-Adams N, Marsac ML, Hildenbrand A, et al. Posttraumatic stress following pediatric injury: update on diagnosis, risk factors, and intervention. JAMA Pediatr 2013;167:1158-1165.
19. Azarian A, Miller TW, Palumbo AJ, et al. Anniversary reactions in a five-year-old boy. Unresolved conflict, guilt, and self-identifications. Psychoanal Study Child 1997;52:214-26.
20. Musaph H. Anniversary reaction as a symptom of grief in traumatized persons. Isr J Psychiatry Relat Sci 1990;27:175-179.