Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients

Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-y...
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Autor*in:	Chaudhary, Muhammad Ali [verfasserIn] Schoenfeld, Andrew J. [verfasserIn] Koehlmoos, Tracey P. [verfasserIn] Cooper, Zara [verfasserIn] Haider, Adil H. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE

Übergeordnetes Werk:	Enthalten in: The American journal of surgery - Amsterdam [u.a.] : Elsevier Science, 1926, 218, Seite 21-26
Übergeordnetes Werk:	volume:218 ; pages:21-26

DOI / URN:	10.1016/j.amjsurg.2019.01.025

Katalog-ID:	ELV002419149

Internformat


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100	1		\|a Chaudhary, Muhammad Ali \|e verfasserin \|4 aut
245	1	0	\|a Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
264		1	\|c 2019
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337			\|a Computermedien \|b c \|2 rdamedia
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520			\|a Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary.
650		4	\|a Prolonged ICU stay
650		4	\|a Trauma
650		4	\|a 1-Year mortality
650		4	\|a Critical care
650		4	\|a TRICARE
700	1		\|a Schoenfeld, Andrew J. \|e verfasserin \|4 aut
700	1		\|a Koehlmoos, Tracey P. \|e verfasserin \|4 aut
700	1		\|a Cooper, Zara \|e verfasserin \|4 aut
700	1		\|a Haider, Adil H. \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t The American journal of surgery \|d Amsterdam [u.a.] : Elsevier Science, 1926 \|g 218, Seite 21-26 \|h Online-Ressource \|w (DE-627)320427757 \|w (DE-600)2003374-6 \|w (DE-576)121465497 \|x 1879-1883 \|7 nnns
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936	b	k	\|a 44.65 \|j Chirurgie
936	b	k	\|a 44.65 \|j Chirurgie
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author_variant	m a c ma mac a j s aj ajs t p k tp tpk z c zc a h h ah ahh
matchkey_str	article:18791883:2019----::rlneiutynissoitowt1erruaotltaaayi
hierarchy_sort_str	2019
bklnumber	44.65
publishDate	2019
allfields	10.1016/j.amjsurg.2019.01.025 doi (DE-627)ELV002419149 (ELSEVIER)S0002-9610(18)30841-9 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Chaudhary, Muhammad Ali verfasserin aut Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary. Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE Schoenfeld, Andrew J. verfasserin aut Koehlmoos, Tracey P. verfasserin aut Cooper, Zara verfasserin aut Haider, Adil H. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 218, Seite 21-26 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:218 pages:21-26 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 218 21-26
spelling	10.1016/j.amjsurg.2019.01.025 doi (DE-627)ELV002419149 (ELSEVIER)S0002-9610(18)30841-9 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Chaudhary, Muhammad Ali verfasserin aut Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary. Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE Schoenfeld, Andrew J. verfasserin aut Koehlmoos, Tracey P. verfasserin aut Cooper, Zara verfasserin aut Haider, Adil H. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 218, Seite 21-26 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:218 pages:21-26 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 218 21-26
allfields_unstemmed	10.1016/j.amjsurg.2019.01.025 doi (DE-627)ELV002419149 (ELSEVIER)S0002-9610(18)30841-9 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Chaudhary, Muhammad Ali verfasserin aut Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary. Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE Schoenfeld, Andrew J. verfasserin aut Koehlmoos, Tracey P. verfasserin aut Cooper, Zara verfasserin aut Haider, Adil H. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 218, Seite 21-26 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:218 pages:21-26 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 218 21-26
allfieldsGer	10.1016/j.amjsurg.2019.01.025 doi (DE-627)ELV002419149 (ELSEVIER)S0002-9610(18)30841-9 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Chaudhary, Muhammad Ali verfasserin aut Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary. Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE Schoenfeld, Andrew J. verfasserin aut Koehlmoos, Tracey P. verfasserin aut Cooper, Zara verfasserin aut Haider, Adil H. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 218, Seite 21-26 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:218 pages:21-26 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 218 21-26
allfieldsSound	10.1016/j.amjsurg.2019.01.025 doi (DE-627)ELV002419149 (ELSEVIER)S0002-9610(18)30841-9 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Chaudhary, Muhammad Ali verfasserin aut Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary. Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE Schoenfeld, Andrew J. verfasserin aut Koehlmoos, Tracey P. verfasserin aut Cooper, Zara verfasserin aut Haider, Adil H. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 218, Seite 21-26 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:218 pages:21-26 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 218 21-26
language	English
source	Enthalten in The American journal of surgery 218, Seite 21-26 volume:218 pages:21-26
sourceStr	Enthalten in The American journal of surgery 218, Seite 21-26 volume:218 pages:21-26
format_phy_str_mv	Article
bklname	Chirurgie
institution	findex.gbv.de
topic_facet	Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE
dewey-raw	610
isfreeaccess_bool	false
container_title	The American journal of surgery
authorswithroles_txt_mv	Chaudhary, Muhammad Ali @@aut@@ Schoenfeld, Andrew J. @@aut@@ Koehlmoos, Tracey P. @@aut@@ Cooper, Zara @@aut@@ Haider, Adil H. @@aut@@
publishDateDaySort_date	2019-01-01T00:00:00Z
hierarchy_top_id	320427757
dewey-sort	3610
id	ELV002419149
language_de	englisch
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author	Chaudhary, Muhammad Ali
spellingShingle	Chaudhary, Muhammad Ali ddc 610 bkl 44.65 misc Prolonged ICU stay misc Trauma misc 1-Year mortality misc Critical care misc TRICARE Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
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topic_title	610 DE-600 44.65 bkl Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients Prolonged ICU stay Trauma 1-Year mortality Critical care TRICARE
topic	ddc 610 bkl 44.65 misc Prolonged ICU stay misc Trauma misc 1-Year mortality misc Critical care misc TRICARE
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title	Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
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title_full	Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
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author_browse	Chaudhary, Muhammad Ali Schoenfeld, Andrew J. Koehlmoos, Tracey P. Cooper, Zara Haider, Adil H.
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author-letter	Chaudhary, Muhammad Ali
doi_str_mv	10.1016/j.amjsurg.2019.01.025
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author2-role	verfasserin
title_sort	prolonged icu stay and its association with 1-year trauma mortality: an analysis of 19,000 american patients
title_auth	Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
abstract	Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary.
abstractGer	Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary.
abstract_unstemmed	Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients.Methods: TRICARE claims data (2011–2015) were queried for trauma patients with an Injury Severity Score > 9. Risk-adjusted Cox models were used to determine the influence of prolonged ICU LOS on 1-year mortality.Results: Of 19,155 patients included, 40% were admitted to the ICU. The overall 1-year mortality was 3.9% and 4.7% in patients with ICU LOS >9 days. In the multivariable model older age (55–64 vs. 18–24 years) (HR: 47.8, CI:20.8–109.9), prior comorbidities (>1 vs. 0) (HR: 2.6, CI: 2.1–3.2), discharge disposition (transfer vs discharge) (HR: 2.3 CI: 1.7–3.1) and ICU-LOS (>7 vs. 1 days) (HR:2.6, CI:1.7–4.0) were associated with 1-year mortality.Conclusion: Prolonged ICU-LOS is a risk factor for 1-year mortality in trauma patients. But an overall high survival (>96%) reinforces the justification for such use of the ICU in trauma patients when clinically necessary.
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title_short	Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients
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author2	Schoenfeld, Andrew J. Koehlmoos, Tracey P. Cooper, Zara Haider, Adil H.
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up_date	2024-07-07T00:39:53.102Z
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Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients

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