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Dementia as a predictor of mortality in adult trauma patients
- Source :
- The American Journal of Surgery. 215:48-52
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
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.
- Subjects :
- Male
medicine.medical_specialty
Critical Care
Length of hospitalization
03 medical and health sciences
0302 clinical medicine
Risk Factors
mental disorders
Risk of mortality
Humans
Medicine
Dementia
Icu stay
030212 general & internal medicine
Aged
Retrospective Studies
Aged, 80 and over
Retrospective review
business.industry
Trauma center
General Medicine
Length of Stay
Prognosis
medicine.disease
Case-Control Studies
Emergency medicine
Wounds and Injuries
Female
Surgery
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 215
- Database :
- OpenAIRE
- Journal :
- The American Journal of Surgery
- Accession number :
- edsair.doi.dedup.....f543bcbc24f0a877f39f55960434e61a