@article{b64c084ffcca47b380c634fa0cb874a1,
title = "Impact of the 80-hour resident work week on mortality and morbidity in trauma patients",
abstract = "Question: Has the implementation of the resident work hours restriction of 80 hours per week impacted on mortality of injured patients and the resources used to care for them? Design: Retrospective cohort study. Data source: National Trauma Data Bank (NTDB) version 6.2. Results: Overall mortality decreased from 4.64% in the pre-80 hour work week to 4.46% in the post-80 hour week (p < 0.001). Of particular interest were the differences in outcomes observed in academic versus non - aca demic institutions. In university hospitals, the mortality decreased from 5.16% to 5.03% (p = 0.03), whereas in nonteaching hospitals, mortality increased from 3.38% to 3.85% (p < 0.001). There were also small but statistically significant improvements seen in secondary outcomes during the post-80 hour work week. Conclusion: The 80-hour work week has not resulted in significant deteri - oration in the outcome of injured patients.",
author = "Brasel, {Karen J.} and Paola Fata and Flynn, {Timothy C.}",
note = "Funding Information: Evidence Based Reviews in Surgery (EBRS) is a program jointly sponsored by the Canadian Association of General Surgeons (CAGS) and the American College of Surgeons (ACS) and is supported by an educational grant from ETHICON and ETHICON ENDO-SURGERY, both units of Johnson & Johnson Medical Products, a division of Johnson & Johnson and ETHICON Inc. and ETHICON ENDO-SURGERY Inc., divisions of Johnson & Johnson Inc. The primary objective of EBRS is to help practising surgeons improve their critical appraisal skills. During the academic year, 8 clinical articles are chosen for review and discussion. They are selected for their clinical relevance to general surgeons and because they cover a spectrum of issues important to surgeons, including causation or risk factors for disease, natural history or prognosis of disease, how to quantify disease, diagnostic tests, early diagnosis and the effectiveness of treatment. A methodological article guides the reader in critical appraisal of the clinical article. Methodological and clinical reviews of the article are performed by experts in the relevant areas and posted on the EBRS website, where they are archived indefinitely. In addition, a listserv allows participants to discuss the monthly article. Surgeons who participate in the monthly packages can obtain Royal College of Physicians and Surgeons of Canada Maintenance of Certification credits and/or continuing medical education credits for the current article only by reading the monthly articles, participating in the listserv discussion, reading the methodological and clinical reviews and completing the monthly online evaluation and multiple choice questions. ",
year = "2013",
month = jun,
doi = "10.1503/cjs.009713",
language = "English (US)",
volume = "56",
pages = "204--206",
journal = "Canadian Journal of Surgery",
issn = "0008-428X",
publisher = "Canadian Medical Association",
number = "3",
}