The Epidemiology of Chronic Critical Illness After Severe Traumatic Injury at Two Level-One Trauma Centers.

ABSTRACT:

Objective

To determine the incidence and risk factors of chronic critical illness after severe blunt trauma.

Design

Prospective observational cohort study (NCT01810328).

Setting

Two level-one trauma centers in the United States.

Patients

One hundred thirty-five adult blunt trauma patients with hemorrhagic shock who survived beyond 48 hours after injury.

Interventions

None.

Measurements and main results

Chronic critical illness was defined as an ICU stay lasting 14 days or more with evidence of persistent organ dysfunction. Three subjects (2%) died within the first 7 days, 107 (79%) exhibited rapid recovery and 25 (19%) progressed to chronic critical illness. Patients who developed chronic critical illness were older (55 vs 44-year-old; p = 0.01),

SUBMITTER: Mira JC 

PROVIDER: S-EPMC5693769 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature