Can Pre-Hospital Medical Management Predict In-Hospital Mortality in Trauma?

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Abstract

Publication Date

3-10-2023

Keywords

pre-existing comorbidity, pre-hospital risk, trauma mortality

Disciplines

Surgery

Abstract

The current literature demonstrates an association between both size and presence of TBI and its effects on mortality; however, it does not readily address the morbidity and associated functional outcomes of those who survive. We hypothesize that the likelihood of discharge to home decreases with advancement of age in the presence of TBI. This is a single-center study of trauma registry data, inclusive years July 1, 2016, to October 31, 2021. The inclusion criteria was based upon age (≥40 years), and ICD10 diagnosis of a TBI. Disposition to home without services was the dependent variable. 2031 patients were included in the analysis. We hypothesized correctly that the likelihood of discharge to home decreases (by 6%) with advancement of age (per year) in the presence of intracranial hemorrhage.

Publisher or Conference

The American Surgeon

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