Connect
MJA
MJA

In Other Journals

Peter Lavelle
Med J Aust 2011; 194 (7): 372.
Published online: 4 April 2011

Even if trauma patients don’t die in hospital, they are still at significant risk of death following discharge. So say Davidson and colleagues from the University of Washington, Seattle. They conducted a retrospective cohort study of 124 421 injured adult patients during a 14-year period up to 2008 who were admitted to hospital trauma units in Washington State. Of these, 7243 died before discharge and 21 045 died after discharge. Although in-hospital mortality rates fell from 8% to 4.9% over the period of the study, long-term cumulative mortality rates increased from 4.7% to 7.4%. Hence, in-hospital mortality rates are not reliable indicators of overall mortality rates from trauma, they concluded. Patients who were older and those who were discharged to a skilled nursing facility had the highest risk of death. Other predictors of mortality were advanced age, serious head injury and loss of functional independence.

  • Peter Lavelle


Correspondence: 

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Responses are now closed for this article.