The Impact of Non-trauma Factors on Trauma Patient Mortality and Hospital Resource Utilization: Population-Based Retrospective Review.

Division

East Florida

Hospital

Kendall Regional Medical Center

Document Type

Manuscript

Publication Date

11-12-2024

Keywords

hospital, mild injury, mortality, nontraumatic preexisting conditions, resource utilization

Disciplines

Medicine and Health Sciences | Surgery | Trauma

Abstract

BACKGROUND: The death of trauma patients with low injury severity scores (ISS) may not be fully explained by the severity of their injuries. Our objective was to evaluate preexisting conditions (PECs) that may contribute to the mortality rate of and hospital resources consumed by patients with low ISS.

METHODS: Trauma patients with ISS[NTDB] [2019-21]. Bivariate and multivariate analysis identified the risk factors associated with mortality, adjusting for secondary PECs, mechanism of injury, AIS body region, vital signs, and blood transfusion. A

RESULTS: 1,689,392 patients suffered mild injuries [59.1% male, mean age 45.2, 8579 expired (0.5%)]. Mortality was associated with the presence of several risk factors, especially advanced directive [OR = 9.13,

DISCUSSION: Nontraumatic factors and preexisting conditions are associated with increased mortality and hospital resource consumption in trauma patients with a low ISS. They should be considered during clinical decision-making for these patients, who may otherwise masquerade as part of a low-risk population.

Publisher or Conference

The American Surgeon

Link to Full Text

Share

COinS