Readmissions after nonoperative trauma: Increased mortality and costs with delayed intervention.

ABSTRACT:

Background

We sought to examine patterns of readmission after nonoperative trauma, including rates of delayed operative intervention and mortality.

Methods

The Nationwide Readmissions Database (2013-2014) was queried for all adult trauma admissions and 30-day readmissions. Index admissions were classified as operative (OI) or nonoperative (NOI), and readmissions examined for major operative intervention (MOR). Multivariable regression modeling was used to evaluate risk for readmission requiring MOR and in-hospital mortality.

Results

Of 2,244,570 trauma admissions, there were 59,573 readmissions: 66% after NOI, and 35% after OI. Readmission rate was higher after NOI compared with OI (3.6% vs. 1.7% p < 0.001). Readmitted NOI patients were older, with a higher proportion

SUBMITTER: McCrum ML 

PROVIDER: S-EPMC7441581 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature