Table 1.
Nonsevere chest injury | Severe chest injuryc | P-value | |
---|---|---|---|
n | 8249 | 542 | |
Age, median (IQR) | 47 (30–65) | 42 (27–60) | <.001 |
Sex, n (%) | <.001 | ||
Male | 5459 (66.2) | 406 (74.9) | |
Female | 2790 (33.8) | 136 (25.1) | |
Race, n (%) | .026 | ||
White | 4683 (56.8) | 282 (52.0) | |
Black | 1922 (23.3) | 153 (28.2) | |
Othera | 1644 (19.9) | 107 (19.7) | |
Admitting service, n (%) | <.001 | ||
Trauma | 3992 (48.3) | 483 (89.1) | |
Burns | 1499 (18.2) | 29 (5.4) | |
Orthopedic surgery | 834 (10.1) | 0 (0.0) | |
Other | 1924 (23.3) | 30 (5.5) | |
Operative intervention, n (%) | 2101 (25.5) | 194 (35.8) | <.001 |
OR time (mins), median (IQR) | 185 (116–270) | 167 (104–274) | .31 |
Comorbidities, n (%) | |||
CHF | 213 (2.6) | 12 (2.2) | .70 |
Hypertension | 1428 (17.3) | 111 (20.5) | .068 |
Pulmonary disease | 468 (5.7) | 74 (18.2) | <.001 |
Diabetes | 523 (6.3) | 44 (8.1) | .12 |
Renal disease | 210 (2.5) | 19 (3.5) | .22 |
Liver disease | 192 (2.3) | 25 (4.6) | .001 |
Coagulopathy | 257 (3.1) | 57 (10.5) | <.001 |
Alcohol misuse | 592 (7.2) | 65 (12.0) | <.001 |
Drug misuse | 441 (5.3) | 55 (10.1) | <.001 |
Elixhauser scores, median (IQR)c | |||
Readmission score | 8 (0–21) | 13 (4–22) | .002 |
Mortality score | 0 (−1–10) | 4 (0–13) | <.001 |
Length of stay, median (IQR) | 2.3 (0.7–5.9) | 5.4 (1.6–13.4) | <.001 |
Disposition, n (%) | <.001 | ||
Home | 5831 (70.7) | 246 (45.4) | |
Discharge to HC facility | 1822 (22.1) | 146 (26.9) | |
AMA | 163 (2.0) | 3 (0.6) | |
In-hospital death | 342 (4.1) | 145 (26.8) | |
Otherb | 91 (1.1) | 2 (0.4) |
AMA: against medical advice; HC: healthcare; IQR: interquartile range; OR: operating room.
Other Race = American Indian, Asian, Hispanic, Multiracial, Hawaiian, Pacific Islander, Unknown.
Other Disposition = Hospice, law enforcement, unknown.
Elixhauser Scores calculated using diagnosis codes from the entire encounter.23