Table 2 Descriptive statistics of hospitalized adults admitted to the ICU versus not admitted to the ICU after trauma including those with hospital course complications, National Trauma Data Bank, 2013a
Admitted to ICU, weighted frequency (%) | Not admitted to ICU, weighted frequency (%) | |||||
|---|---|---|---|---|---|---|
Total | With Complications | p-value | Total | With Complications | p-valueb | |
Total | 1,028,817 (100) | 232,618 (22.6) | <0.001 | 1,075,393 (100) | 30,350 (2.8) | <0.001 |
Male | 712,904 (69.4) | 172,967 (74.5) | <0.001 | 681,396 (63.5) | 20,934 (69.1) | <0.001 |
Age, yearsa | 47 (30–63) | 50 (33–63) | <0.001 | 47 (31–64) | 56 (42–72) | <0.001 |
ACS Trauma Designation | <0.001 | <0.001 | ||||
Level 1 | 630,679 (61.3) | 152,942 (65.7) | 600,481 (55.8) | 19,634 (64.7) | ||
Level 2 | 398,138 (38.7) | 79,676 (34.3) | 474,912 (44.2) | 10,716 (35.3) | ||
Number of complications | NA | 1 (1–2) | NA | 1 (1–1) | <0.001 | |
Injury Class | 0.253 | <0.001 | ||||
Blunt | 905,149 (88.5) | 206,317 (89.1) | 949,370 (88.3) | 27,543 (90.8) | ||
Penetrating | 89,461 (8.7) | 18,693 (8.1) | 87,510 (8.1) | 1838 (6.1) | ||
Otherc | 28,239 (2.8) | 6626 (2.9) | 38,024 (3.5) | 942 (3.1) | ||
Intention | <0.001 | <0.001 | ||||
Assault | 115,665 (11.3) | 22,026 (9.5) | 139,440 (12.9) | 2669 (8.8) | ||
Self-harm | 23,860 (2.3) | 5787 (2.5) | 10.989 (1.0) | 373 (1.2) | ||
Unintentional | 875,604 (85.6) | 201.794 (87.1) | 919,374 (85.5) | 27,191 (89.7) | ||
Undetermined | 7720 (0.8) | 2028 (0.9) | 5102 (0.5) | 90 (0.3) | ||
ISSa | 17 (10–27) | 26 (17–34) | <0.001 | 9 (5–12) | 10 (5–17) | <0.001 |
GCS Score | 15 (10–15) | 13 (3–15) | <0.001 | 15 (15–15) | 15 (14–15) | <0.001 |
Hypotension on Admission (SBP < 90 mmHg) | 75,195 (7.4) | 27,310 (12.1) | <0.001 | 18,049 (1.7) | 2148 (7.1) | <0.001 |
Site of Injuryd | <0.001 | <0.001 | ||||
Head | 402,462 (39.3) | 80,917 (34.9) | 307,578 (28.7) | 7575 (25.0) | ||
Thorax | 150,598 (14.7) | 38,725 (16.7) | 114,816 (10.7) | 3692 (12.2) | ||
Spine | 118,202 (11.5) | 30,944 (13.3) | 92,583 (8.6) | 2368 (7.8) | ||
Abdomen | 75,112 (7.3) | 20,155 (8.7) | 41,600 (3.9) | 2018 (6.7) | ||
Extremity | 256,043 (25.0) | 57,498 (24.8) | 483,327 (45.1) | 14,056 (46.4) | ||
Other | 21,583 (2.1) | 3598 (1.6) | 31,794 (2.9) | 582 (1.9) | ||
Comorbidities | ||||||
Alcoholism | 135,774 (13.2) | 41,254 (17.7) | <0.001 | 105,255 (9.8) | 8066 (26.6) | <0.001 |
Cerebrovascular Accident | 21,504 (2.1) | 6718 (2.9) | <0.001 | 22,046 (2.1) | 1989 (6.6) | 0.603 |
Chronic Kidney Disease | 9808 (1.0) | 3877 (1.7) | <0.001 | 9878 (0.9) | 1551 (5.1) | 0.489 |
Congestive Heart Failure | 29,195 (2.8) | 8206 (3.5) | <0.001 | 32,259 (2.9) | 1881 (3.5) | 0.067 |
Coronary Artery Disease | 15,056 (1.5) | 4910 (2.1) | <0.001 | 15,327 (1.4) | 2368 (7.8) | 0.463 |
Current Smoker | 177,724 (17.3) | 40,623 (17.5) | 0.425 | 207,069 (19.3) | 7184 (23.7) | <0.001 |
Diabetes Mellitus | 111,095 (10.8) | 29,573 (12.7) | <0.001 | 116,138 (10.8) | 5905 (19.5) | 0.993 |
Peripheral Vascular Disease | 2815 (0.3) | 904 (0.4) | 0.002 | 2925 (0.3) | 344 (1.1) | 0.944 |
Pulmonary Disease | 1317 (0.1) | 717 (0.3) | <0.001 | 1021 (0.1) | 197 (0.6) | 0.060 |
Mechanical ventilation | 517,950 (50.3) | 193,722 (83.3) | <0.001 | 30,641 (2.8) | 2825 (9.3) | <0.001 |
Intensive Care Unit LOSa, days | 4 (2–8) | 12 (6–21) | <0.001 | NA | NA | <0.001 |
Hospital LOSa, days | 4 (2–8) | 12 (6–21) | <0.001 | 3 (2–6) | 7 (3–11) | <0.001 |
Hospital mortality | 109,580 (10.7) | 39,204 (16.9) | <0.001 | 15,716 (1.5) | 4991 (16.4) | <0.001 |