Benjamin C Jordan1, Joseph Brungardt1, Jared Reyes1, Stephen D Helmer2, James M Haan3. 1. Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA. 2. Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA; Department of Medical Education, Via Christi Hospital Saint Francis, Wichita, KS, USA. 3. Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA; Department of Trauma Services, Via Christi Hospital Saint Francis, Wichita, KS, USA. Electronic address: James.Haan.Research@viachristi.org.
Abstract
BACKGROUND: The specific contribution of dementia towards mortality in trauma patients is not well defined. The purpose of the study was to evaluate dementia as a predictor of mortality in trauma patients when compared to case-matched controls. METHODS: A 5-year retrospective review was conducted of adult trauma patients with a diagnosis of dementia at an American College of Surgeons-verified level I trauma center. Patients with dementia were matched with non-dementia patients and compared on mortality, ICU length of stay, and hospital length of stay. RESULTS: A total of 195 patients with dementia were matched to non-dementia controls. Comorbidities and complications (11.8% vs 12.4%) were comparable between both groups. Dementia patients spent fewer days on the ventilator (1 vs 4.5, P = 0.031). The length of ICU stay (2 days), hospital length of stay (3 days), and mortality (5.1%) were the same for both groups (P > 0.05). CONCLUSIONS: Dementia does not appear to increase the risk of mortality in trauma patients. Further studies should examine post-discharge outcomes in dementia patients.
BACKGROUND: The specific contribution of dementia towards mortality in traumapatients is not well defined. The purpose of the study was to evaluate dementia as a predictor of mortality in traumapatients when compared to case-matched controls. METHODS: A 5-year retrospective review was conducted of adult traumapatients with a diagnosis of dementia at an American College of Surgeons-verified level I trauma center. Patients with dementia were matched with non-dementiapatients and compared on mortality, ICU length of stay, and hospital length of stay. RESULTS: A total of 195 patients with dementia were matched to non-dementia controls. Comorbidities and complications (11.8% vs 12.4%) were comparable between both groups. Dementiapatients spent fewer days on the ventilator (1 vs 4.5, P = 0.031). The length of ICU stay (2 days), hospital length of stay (3 days), and mortality (5.1%) were the same for both groups (P > 0.05). CONCLUSIONS:Dementia does not appear to increase the risk of mortality in traumapatients. Further studies should examine post-discharge outcomes in dementiapatients.
Authors: Sukhpreet S Ahluwalia; Javier Dejesus Lugo; Adam M Gordon; Ivan J Golub; Afshin E Razi; Joseph Feliccia; Kevin K Kang Journal: Eur J Orthop Surg Traumatol Date: 2022-03-01