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

Autor: Dunitz J; Department of Anesthesiology, Grand Strand Medical Center, Myrtle Beach, Myrtle Beach, SC, USA., Rhodes HX; Department of Surgery, Grand Strand Medical Center, Myrtle Beach, SC, USA., Pepe AP; Department of Anesthesiology, Grand Strand Medical Center, Myrtle Beach, Myrtle Beach, SC, USA.
Jazyk: angličtina
Zdroj: The American surgeon [Am Surg] 2023 Aug; Vol. 89 (8), pp. 3490-3492. Date of Electronic Publication: 2023 Mar 07.
DOI: 10.1177/00031348231161771
Abstrakt: 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.
Databáze: MEDLINE