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

• Published in: The American surgeon Vol. 89; no. 8; p. 3490
• Main Authors: Dunitz, Jackson, Rhodes, Heather X, Pepe, Antonio P
• Format: Journal Article
• Language: English
• Published: United States 01.08.2023
• Subjects: mortality; early vs late in-hospital; pre-existing comorbidity; trauma mortality
• ISSN: 1555-9823
• DOI: 10.1177/00031348231161771

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.