ArticleTrauma surgery & acute care open2017
Preinjury ASA score as an independent predictor of readmission after major traumatic injury.
Article in Trauma surgery & acute care open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- A comparison of clinical prediction scores for massive traumatic hemorrhage.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Predictors of health-related quality of life among major trauma patients discharged from hospitals. A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2025Article
- Risk Factors for Readmission Within 30 Days After Discharge Following Hip Fracture Surgery: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Textbook outcomes in the laparoscopic common bile duct exploration of choledocholithiasis: a new comprehensive quality evaluation criterion.Frontiers in surgery · 2025Article
- The incidence and risk factors for unplanned readmission within 90 days after surgical treatment of spinal fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study.World journal of emergency surgery : WJES · 2024Observational
- The Epidemiology of Lower Limb Fractures: A Major United Kingdom (UK) Trauma Centre Study.Cureus · 2024Article
- Epidemiology and Incidence of Upper Limb Fractures: A UK Level 1 Trauma Center Perspective.Cureus · 2024Article
- Article
- Crosswalk between Charlson Comorbidity Index and the American Society of Anesthesiologists Physical Status Score for Geriatric Trauma Assessment.Healthcare (Basel, Switzerland) · 2023Article
- RISC II is superior to TRISS in predicting 30-day mortality in blunt major trauma patients in Hong Kong.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- In-Hospital Clinical Outcomes in Patients with Fragility Fractures of the Lumbar Spine, Thoracic Spine, and Pelvic Ring: A Comparison of Data before and after Certification as a DGUMedicina (Kaunas, Lithuania) · 2021Observational
- Longitudinal analysis of health status the first year after trauma in severely injured patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- The role of the American Society of anesthesiologists physical status classification in predicting trauma mortality and outcomes.American journal of surgery · 2019Article
- Learning curve of enhanced recovery after surgery program in open colorectal surgery.World journal of gastrointestinal surgery · 2019Article
- Association of age with death and withdrawal of life-sustaining therapy after severe traumatic brain injury.Canadian journal of surgery. Journal canadien de chirurgieArticle
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7 authors.
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Abstract
backgroundPatients with trauma have a high predisposition for readmission after discharge. Unplanned solicitation of medical services is a validated quality of care indicator and is associated with considerable economic costs. While the existing literature emphasizes the severity of the injury, there is heterogeneity in defining preinjury health status. We evaluate the validity of the American Society of Anesthesiologists (ASA) Physical Status score as an independent predictor of readmission and compare it to the Charlson Comorbidity Index (CCI).
methodsThis is a single center, retrospective cohort study based on adult patients (>18 years of age) with trauma admitted to the Ottawa Hospital from January 1, 2004 to November 1, 2014. A multivariate logistic regression model is used to control for confounding and assess individual predictors. Outcome is readmission to hospital within 30 days, 3 months and 6 months.
resultsA total of 4732 adult patients were included in this analysis. Readmission rates were 6.5%, 9.6% and 11.8% for 30 days, 3 months and 6 months, respectively. Higher preinjury ASA scores demonstrated significantly increased risk of readmission across all levels in a dose-dependent manner for all time frames. The effect of preinjury ASA scores on readmission is most striking at 30 days, with patients demonstrating a 2.81 (1.88-4.22, P<0.0001), 3.59 (2.43-5.32, P<0.0001) and 7.52 (4.72-11.99, P<0.0001) fold odds of readmission for ASA class 2, 3 and 4, respectively, as compared with healthy ASA class 1 patients. The ASA scores outperformed the CCI at 30 days and 3 months.
conclusionsThe preinjury ASA score is a strong independent predictor of readmission after traumatic injury. In comparison to the CCI, the preinjury ASA score was a better predictor of readmission at 3 and 6 months after a major traumatic injury. LEVEL OF EVIDENCE: Prognostic and Epidemiological Study, Level III.
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