ArticleInjury epidemiology2016
Complications and in-hospital mortality in trauma patients treated in intensive care units in the United States, 2013.
Article in Injury epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
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Who cites it
47 citing papers in PubMed.
- Adjudication instrument for infection in critically injured trauma patients.Trauma surgery & acute care open · 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
- Hemostatic abnormalities after trauma resuscitation: challenges and strategies in caring for the critically injured patient.Annals of intensive care · 2025Review
- Review
- Impact of direct prehospital transport on mortality in patients with severe trauma based on the injury severity score: a nationwide observational study in the Republic of Korea.Osong public health and research perspectives · 2025Article
- Evaluating complications in a South African neurocritical care unit: A 1-year retrospective audit.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- The clinical profile of abdominopelvic injury and the determinants of length of stay and mortality in the intensive care unit of a tertiary hospital.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- Usefulness of presepsin as a prognostic indicator for patients with trauma in the emergency department in Korea: a retrospective study.Journal of trauma and injury · 2024Article
- Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Risk factors of healthcare-associated infection among healthcare workers in intensive care units: A multicenter cross-sectional study.PloS one · 2024Article
- Impact of novel psychosocial programming on readmission and recidivism rates among patients with violence-related trauma.Archives of orthopaedic and trauma surgery · 2023Article
- Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score.Clinical and experimental emergency medicine · 2023Article
- Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Mortality and incidence rate of acute severe trauma patients in the emergency department: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.Clinical and experimental emergency medicine · 2023Article
- Assessing the utility of a sliding-windows deep neural network approach for risk prediction of trauma patients.Scientific reports · 2023Article
- Incidence and predictors of mortality among adult trauma patients admitted to the intensive care units of comprehensive specialized hospitals in Northwest Ethiopia.European journal of medical research · 2023Article
- Age-dependent thrombin generation predicts 30-day mortality and symptomatic thromboembolism after multiple trauma.Scientific reports · 2023Article
- Traumatic injuries to the renal blood vessels and in-hospital renal complications in patients with penetrating or blunt trauma.Frontiers in surgery · 2023Article
- Surveillance of health-care associated infections in an intensive care unit at a tertiary care hospital in Central India.GMS hygiene and infection control · 2023Article
- Validation of the adapted clavien dindo in trauma (ACDiT) scale to grade management related complications at a level I trauma center.Turkish journal of surgery · 2022Article
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2 authors.
Funding
Abstract
backgroundTraumatic injury is a leading cause of morbidity and mortality worldwide, but epidemiologic data about trauma patients who require intensive care unit (ICU) admission are scant. This study aimed to describe the annual incidence of ICU admission for adult trauma patients, including an assessment of risk factors for hospital complications and mortality in this population.
methodsThis was a retrospective study of adults hospitalized at Level 1 and Level 2 trauma centers after trauma and recorded in the National Trauma Data Bank in 2013. Multiple logistic regression analyses were performed to determine predictors of hospital complications and hospital mortality for those who required ICU admission.
resultsThere were an estimated total of 1.03 million ICU admissions for trauma at Level 1 and Level 2 trauma centers in the United States in 2013, yielding an annual incidence of 3.3 per 1000 population. The annual incidence was highest in men (4.6 versus 1.9 per 100,000 for women), those aged 80 years or older (7.8 versus 3.6-4.3 per 100,000 in other age groups), and residents in the Western US Census region (3.9 versus 2.7 to 3.6 per 100,000 in other regions). The most common complications in patients admitted to the ICU were pneumonia (10.9 %), urinary tract infection (4.7 %), and acute respiratory distress syndrome (4.4 %). Hospital mortality was significantly higher for ICU patients who developed one or more complications (16.9 % versus 10.7 % for those who did not develop any complications, p < 0.001).
conclusionsAdmission to the ICU after traumatic injury is common, and almost a quarter of these patients experience hospital complications. Hospital complications are associated with significantly increased risk of mortality.
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