Characteristics and outcomes of patients 64 years and under and 65 years and older, before (PRE) versus after (POST) implementation of formalized trauma service
| PRE n=1613 | POST n=1590 | P value | ||||
| <65 n=1075 | 65+ n=538 | <65 n=1061 | 65+ n=529 | <65 (PRE vs POST) | 65+ (PRE vs POST) | |
| Mean age (years) | 38.5±14.9 | 79.9±8.5 | 38.5±14.5 | 79.0±9.1 | 1.00 | 0.10 |
| Mean ISS | 9.9±7.8 | 10.0±6.6 | 9.1±7.5 | 10.0±6.4 | 0.02* | 1.00 |
| Comorbidities | 664 (62%) | 513 (95%) | 561 (53%) | 483 (91%) | <0.0001* | 0.01* |
| Complications | 1.0 | 0.14 | ||||
| VAP | 17 (1.6%) | 0 (0%) | 17 (1.6%) | 2 (0.4%) | 1.0 | 0.14 |
| ARDS | 3 (0.3%) | 0 (0%) | 2 (0.2%) | 2 (0.4%) | 0.64 | 0.14 |
| CAUTI | 2 (0.2%) | 2 (0.4%) | 5 (0.5%) | 10 (1.9%) | 0.24 | 0.02* |
| Unplanned ICU admission | 10 (0.9%) | 9 (1.7%) | 4 (0.4%) | 6 (1.1%) | 0.15 | 0.40 |
| Unplanned 30-day readmission | 13 (1.2%) | 11 (2.0%) | 16 (1.5%) | 13 (2.5%) | 0.55 | 0.58 |
| Median LOS (days) | 3.0 | 4.0 | 2.0 | 3.0 | <0.0001* | <0.0001* |
| Discharge disposition | ||||||
| Home | 76% | 48% | 79% | 54% | ||
| SNF | 3% | 35% | 3% | 33% | ||
| Rehabilitation | 7% | 5% | 5% | 3% | ||
| Other | 14% | 11% | 13% | 10% | ||
*P<0.05.
AAST, The American Association for the Surgery of Trauma; ARDS, acute respiratory distress syndrome; CAUTI, catheter-associated urinary tract infection; ICU, intensive care unit; ISS, Injury Severity Score; LOS, length of stay; SNF, skilled nursing facility; VAP, ventilator-associated pneumonia.