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Number and Type of Complications Associated With Failure to Rescue in Trauma Patients
Adam Roussas1, Aaron Masjedi1, Kamil Hanna1
1Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of Surgical Research
|May 15, 2020
Summary
Failure to rescue (FTR) in trauma patients is significantly increased by complications like sepsis and cardiovascular issues. The more complications a patient has, the higher their risk of FTR.
Area of Science:
- Trauma care quality
- Patient outcomes research
Background:
- Failure to rescue (FTR) is a critical quality metric in healthcare.
- Understanding complications linked to FTR after trauma is essential.
Purpose of the Study:
- To identify specific complications associated with FTR in trauma patients.
- To quantify the impact of complication type and number on FTR.
Main Methods:
- Retrospective review of the Trauma Quality Improvement Program database.
- Analysis of 25,754 trauma patients, categorizing them as FTR (died) or rescued (survived).
- Logistic regression to determine predictors of FTR.
Main Results:
- Sepsis, pneumonia, ARDS, and cardiovascular complications were significant predictors of FTR.
- Odds ratios for FTR increased substantially with specific complications.
- Each additional complication linearly increased the odds of FTR by 8.8.
Conclusions:
- Certain complications markedly elevate the risk of FTR in trauma.
- The cumulative burden of complications directly correlates with increased FTR likelihood.
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