In-hospital mortality, major complications decline for adult trauma patients

Issue: September 2012

In-hospital mortality and major complications for adult trauma patients admitted to level I or level II trauma centers decreased from 2000 and 2009, according to this study.

Using the Pennsylvania Trauma Outcome Study database, researchers created a retrospective cohort design of 208,866 patients admitted to level I or level II trauma centers in Pennsylvania between 2000 and 2009. Researchers used multivariate logistic regression to estimate the trend for in-hospital mortality. Patients were stratified by injury severity to estimate mortality trends.

Odds for mortality decreased by 29% and odds of major complications decreased by 32% when researchers compared 2000 to 2001 data with 2008 to 2009 data, according to study results. Between 2000 and 2009, in-hospital mortality and major complications for adult trauma patients admitted to level I or level II trauma centers decreased by 30%. After stratifying patients by injury severity, the mortality rate for patients presenting with moderate or severe injuries decreased by 40% to 50%. However, mortality rates remained unchanged in patients with the least severe or the most severe injuries.

Disclosure: The researchers reported no relevant financial disclosures.

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Source:

Glance LG. Arch Surg. 2012;147:732-737.