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Trauma and co-morbidity--a pilot study.

A Mittal¹, P Blyth, I Civil

¹University of Auckland.

The New Zealand Medical Journal

|July 17, 2001

Summary

Adult trauma patients at Auckland Hospital often have co-morbid conditions, increasing hospital stays. This finding highlights the need for better prognostic scoring systems for trauma care.

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Area of Science:

Trauma care research
Geriatric medicine
Public health

Background:

Adult trauma patient demographics require study.
Co-morbidities impact patient outcomes.
Auckland Hospital's trauma population is under-researched.

Purpose of the Study:

Determine age distribution of trauma.
Assess co-morbidity prevalence and significance.
Evaluate co-morbidities' effect on hospital length of stay.

Main Methods:

Collected data on 78 consecutive trauma admissions.
Data sources included patient interviews, medical records, and Trauma Registry.
Study period: December 1999 - January 2000.

Main Results:

Co-morbidity prevalence was 14.7%.
Co-morbidity increased with age, absent below 40.
Co-morbid patients had a 29% longer hospital stay (24.5 vs. 19 days).

Conclusions:

Significant co-morbidity exists in Auckland's trauma patients.
Co-existing conditions may prolong hospital stays.
Further research is needed for improved prognostic scoring.

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