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Mortality in severely injured patients: Nearly one of five non-survivors have been already discharged alive from ICU

BMC Anesthesiology Sep 28, 2020

Hamsen U, Drotleff N, Lefering R, et al. - Given that a number of trauma patients pass away following discharge from the ICU during the initial hospital stay, and quality for trauma care on ICUs and surgical wards might be potentially indicated by a low rate of such patients, therefore, researchers performed this retrospective study of the TraumaRegister DGU with data from 2015 to 2017 in order to compare patients that died during the initial ICU stay vs patients who were discharged from the initial ICU stay for at least 24 h but died later on. Findings revealed that among all non-surviving severely injured trauma patients, 17.7% died within the hospital post-discharge from their initial ICU treatment. A limitation of therapy because of a living will can in part explain the death of these patients. Experts inferred that patients that died of potentially avoidable or treatable complications may partially be represented by the rate of such late deaths.

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