Predicting Early Versus Late In-Hospital Mortality in the Trauma Population

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Manuscript

Publication Date

8-1-2023

Keywords

Humans, Middle Aged, Adolescent, Hospital Mortality, Injury Severity Score, Blood Transfusion, Hospitalization, Trauma Centers, Wounds and Injuries, Retrospective Studies

Disciplines

Anesthesiology | Surgery | Trauma

Abstract

This study aimed to evaluate non-survivors who were admitted to a level I trauma center but later died, in terms of predicting who would expire early vs late. This is a single-center study of Trauma Registry data, from July 3, 2016, to February 24, 2022. The inclusion criteria were based upon age (≥18 years) and in-hospital mortality. 546 patients (mean age 58) were included in the analysis. Trauma patients who may experience an earlier death were those with increasing injury severity scores, activation of massive transfusion protocol, comorbid advanced directive limiting care, COPD, personality disorder, and ED death location. Patients were more likely to experience later in-hospital mortality, including those with increasing ICU stays, and comorbid dementia.

Publisher or Conference

The American Surgeon

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