ArticleCritical care explorations2022
Risk Factors for Unplanned ICU Readmission Among Trauma Patients: Age Matters.
Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Characteristics and outcomes of trauma patients with unplanned intensive care unit admissions: Bounce backs and upgrades comparison.World journal of critical care medicine · 2025Article
- Intensive Care Unit Readmissions in a Level I Trauma Center.The Journal of surgical research · 2025Article
- Risk Factors Associated With Worse Outcomes in Trauma Patients Aged 55 and Older.HCA healthcare journal of medicine · 2025Article
- Factors associated with unplanned intensive care unit readmission among trauma patients in Republic of Korea.Acute and critical care · 2024Article
- Outcomes of traumatically injured patients after nighttime transfer from the intensive care unit.Trauma surgery & acute care open · 2024Article
- Characteristics and Outcome of ICU Unplanned Readmission in Trauma Patients During the Same Hospitalization.Bulletin of emergency and trauma · 2024Article
- Patient Characteristics and Clinical and Economic Outcomes Associated with Unplanned Medical and Surgical Intensive Care Unit Admissions: A Retrospective Analysis.ClinicoEconomics and outcomes research : CEOR · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To determine the frequency of unplanned ICU readmission (UIR) among adult (18-64) and elderly (65+) trauma patients and to compare the risk factors for UIR and its clinical impact between age groups.
designRetrospective cohort study using clinical data from a statewide trauma registry.
settingAll accredited trauma centers in Pennsylvania. PATIENTS: Consecutive adult and elderly trauma patients requiring admission from the emergency department to the ICU between 2012 and 2017.
interventionsNone. MEASUREMENTS AND MAIN
resultsAmong the 48,340 included in the analysis, 49.5% were elderly and 3.8% experienced UIR. UIR was 1.7 times more likely among elderly patients and was associated with increased hospital length of stay in both age groups. UIR was associated with an absolute increased risk of hospital mortality of 6.1% among adult patients and 16.9% among elderly patients experiencing UIR. In addition to overall injury severity and burden of preexisting medical conditions, specific risk factors for UIR were identified in each age group. In adult but not elderly patients, UIR was significantly associated with history of stroke, peptic ulcer disease, cirrhosis, diabetes, and malignancy. In elderly but not adult patients, UIR was also significantly associated with chronic kidney disease.
conclusionsUIR is associated with worse clinical outcomes in both adult and elderly trauma patients, but risk factors and the magnitude of impact differ between age groups. Interventions to mitigate the risk of UIR that take into account patients' age group and specific risk factors may improve outcomes.
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