ArticleCritical care (London, England)2014
Factors influencing lengths of stay in the intensive care unit for surviving trauma patients: a retrospective analysis of 30,157 cases.
Article in Critical care (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Rehabilitation in the Intensive Care Unit for Adults with Traumatic Brain Injury: A Systematic Review and Meta-analysis.Neurocritical care · 2026Pooled it
- Return to work after major trauma: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Pooled it
- Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device.ESC heart failure · 2021Trial
- Quantifying the Severity of Facial Trauma in a Bulgarian Cohort Using the Comprehensive Facial Injury Score.Reports (MDPI) · 2026Article
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- Epidemiology and Outcomes of Battlefield-Related Penetrating and Closed Traumatic Brain Injuries Compared to Non-Head Injuries: A Retrospective Cohort Study.Military medicine · 2026Article
- Determinants of Hospital Length of Stay Among Trauma Patients in Sudan: A Retrospective Study (2009-2014).Cureus · 2026Article
- Comparison of long-term patient-reported outcome and quality of life 10 years after severe trauma versus polytrauma.PloS one · 2026Article
- Immediate post-injury HMGB1 neutralization prevents synaptic dysfunction in burn and hindlimb unloaded rats.Frontiers in immunology · 2026Article
- Effect of different factors on predicting patient mortality beyond the NACA classification: a multivariate analysis of more than 2,000 polytrauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Effect of Creatinine on Various Clinical Outcomes in Patients with Severe Traumatic Brain Injury (TBI).Metabolites · 2025Article
- Minimally Invasive vs. Open Surgical Repair in Traumatic Diaphragmatic Hernia: A Systematic Review of 8,990 Patients.Cureus · 2025Review
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- Passive, Active, or Both-What Hemostats Do Surgeons Choose in the Real World, and Should We Rethink It?Medical devices (Auckland, N.Z.) · 2025Article
- Risk factors and economic impact of long-term nursing care after major trauma.Frontiers in public health · 2025Article
- Epidemiological analysis of a 10-year retrospective study of pediatric trauma in intensive care.Scientific reports · 2024Article
- The effect of Channa striata, Moringa oleifera, and Curcuma xanthorrhiza extract on accelerating recovery in a ventilated patient with hemorrhagic shock grade 3 due to prolonged retained placenta: a case report.Journal of medical case reports · 2024Article
- Postinjury multiple organ failure in polytrauma: more frequent and potentially less deadly with less crystalloid.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Outcomes of traumatically injured patients after nighttime transfer from the intensive care unit.Trauma surgery & acute care open · 2024Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are many potential influencing factors that affect the duration of intensive care treatment for patients who have survived multiple trauma. Yet the respective factors' relevance to ICU length of stay (LOS) has been rarely studied. Thus, the aim of the present study was to investigate to what extent specific factors influence ICU LOS in surviving trauma patients.
methodsWe retrospectively analyzed a dataset of 30,157 surviving trauma patients from the TraumaRegister DGU® who were older than six years of age and received subsequent intensive care treatment for more than one day, from 2002 to 2011. Univariate analysis and multiple linear regression analysis were used to examine 25 categorical pre- and post-trauma parameters.
resultsUnivariate analysis confirmed the impact of all analyzed factors. In subsequent multiple linear regression analyses, coefficients ranged from -1.3 to +8.2 days. The factors that influenced the prolongation of ICU LOS most were renal failure (+8.1 days), sepsis (+7.8 days) and respiratory failure (+4.9 days). Patients spent one additional day in the ICU for every 5 additional points on the Injury Severity Score (regression coefficient +0.2 per point). Furthermore, massive transfusion (+3.3 days), invasive ventilation (+3.1 days), and an initial Glasgow Coma Scale score ≤8 (+3.0 days) had a significant impact on ICU LOS. The coefficient of determination for the model was 44% (R2).
conclusionsTreatment regimens, as well as secondary effects and complications of trauma and intensive care treatment, prolong ICU LOS more than the mechanism of trauma or pre-trauma patient conditions. Successful prevention of complicated courses of illness, such as sepsis and renal and respiratory failure, could significantly abbreviate the ICU stay in trauma patients. Therefore, the staff's attention should be focused on preventive strategies.
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