Major blunt trauma causes increased mortality up to 12 years: Long-term survival in 3,557 patients compared with 35,502 control persons
Injury Aug 26, 2020
Kuorikoski J, Brinck T, Willa K, et al. - The long-term mortality of patients who sustained a major trauma was investigated via assessing patient with New Injury Severity Score ≥ 16 and blunt mechanism of injury using the Helsinki University Hospital's trauma registry from 2006 to 2015. For each trauma registry patient, they matched 10 control persons by age, gender, and county of residency from the Population Register Center of Finland. Assessment of, in total, 3,557 trauma registry patients and 35,502 control persons was performed. Follow-up period ranged from 1 year 7 months to 11 years 7 months. The trauma-patient group had 11 times higher 1-year mortality (22% vs 2%). Observations thereby suggest significantly higher long-term mortality among major trauma patients compared with controls. Age, male gender, long-term unemployment, ASA grade, head AIS 5-6 and transfer to another facility ICU/HDU were noted to be linked with raised and full insurance coverage was observed to be linked with reduced long-term mortality. This study seemed to be the first work on this topic with a follow up of this duration with cases this severely injured and a cohort this large.
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