Risk factors for death of trauma patients admitted to an Intensive Care Unit.
Maicon Henrique Lentsck, Rosana Rosseto de Oliveira, Ligiana Pires Corona and 1 others
PMID 32074207WHAT IT FOUND
Among 417 adults admitted to one ICU after trauma, 28.2% died.
Older age, comorbidities, severe injury, circulatory complications, vasoactive drugs, ventilation and renal dysfunction were associated with death.
Key findings
01Of 417 adults hospitalized in an ICU after trauma, 28.2% died.
02In the final adjusted model, age 60 years or older, comorbidities and injury severity remained independently associated with death.
03Severe circulatory complications were reported with an adjusted OR of 7.33 and confidence interval 2.43 to 22.06.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It used records from one ICU in one region of Brazil, so the results may not apply to other hospitals. It relied on medical records, and exclusions included 101 unrelated procedures, 31 incomplete records, 9 children, 3 burns and 8 poisoning, so some relevant information may be missing. It was observational, so it cannot show that vasoactive drugs, mechanical ventilation, renal dysfunction or missed admission testing caused death. It did not determine whether circulatory complications happened before or after ICU admission.
The easy way to misread this
Do not conclude that vasoactive drugs, mechanical ventilation or missed admission testing caused death. This was a retrospective chart cohort, so these factors may mark patients who were already more severely injured or more likely to die.