UNASSIGNED: Introduction: The literature indicates that medical staff suffer from a decline in cognitive and physical performance at night. This study evaluates the process quality and outcomes of emergency care during night-time and daytime. Method: Out of 1,226 prospectively registered @entity1 , 420 were included into this study (observation period: 76 months). Inclusion criteria were an ISS >=    16 and admission to @entity130 room during "DAY" (8 am to 4:49   pm) or "NIGHT" (9   pm to 5:59 am). The fundamental part was the 130 items of the TraumaRegister DGU. The additional 350 items contain data about prehospital treatment, @entity130 room management and intensive care. Data were collected by a research assistant over a 24-h period. Results: The study sample contained 268 DAY- @entity1 and 152 NIGHT- @entity1 . @entity1 admitted during night were injured more severely: ISS 34.9 (     16.4) vs. 31.1 (     14.2), p   =   0.015 and younger: 33.3 (     16.6) vs. 43.6 (     22.3) years old, p   <   0.001. However, this had no impact on outcome prediction scores like @entity43179 , RISC2 or TRISS, p   >=    0.775. Furthermore, no difference in process quality was observed like the time to gain an arterial access: NIGHT 4.5 (     3.7) vs. DAY 5.0 (     3.7) min, p   =   0.116, time for splinting 3.8 (     3.7) vs. 3.4 (     3.1) min, p   =   0.922, or other parameters, like time to CT: 26.9 (     11.2) vs. 26.6 (     14.5) min, p   =   0.520. Nor was there any difference in outcome: 17.8% of the NIGHT- @entity1 ( @entity43179 -prognosis: 23.8%, @entity5047 0.74) died in hospital, and 18.3% of the DAY- @entity1 ( @entity43179 -prognosis: 24.0%, @entity5047 0.77), p   =   0.894. As well the comparison of the Glasgow Outcome Scale revealed no difference: NIGHT 3.8 (     1.5) vs. DAY 3.8 (     1.6), p   =   0.491. Discussion: Although evidence suggests a drop of performance by medical staff at night, this effect could not be demonstrated. Considering this, the level of process quality and outcome - regardless of the time of arrival - remained constant on a high level. These results might be attributable to the quality management and the standardisation of the treatment.

[While Others are Sleeping - Performance of XXXX Care at Night].

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5047 :: ('147719', 'Gene') :: ['SMR'] @entity43179 :: ('59342', 'Gene') :: ['RISC'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['Major Trauma']
