Table 1 Complications of trauma patients according to the hospital ranking (hospital performance)
From: Trauma complications and in-hospital mortality: failure-to-rescue
Hospital outlier status | P value | |||
|---|---|---|---|---|
Low-mortality | Average-mortality | High-mortality | ||
Number of institutions | 39 | 72 | 40 | |
Number of patients | 37,073 | 102,368 | 44,773 | |
CNS | ||||
Diabetes insipidus | 89 (0.2) | 226 (0.2) | 139 (0.31) | < 0.01 |
Hydrencephalus | 53 (0.1) | 261 (0.3) | 104 (0.2) | < 0.01 |
Fat embolism | 22 (0.1) | 189 (0.2) | 32 (0.1) | < 0.01 |
Cerebrospinal fluid leakage | 115 (0.3) | 178 (1.2) | 98 (0.2) | < 0.01 |
Meningitis | 56 (0.2) | 213 (0.2) | 54 (0.1) | < 0.01 |
Higher brain dysfunction | 765 (2.1) | 2006 (2.0) | 940 (2.1) | 0.16 |
Mental disorders (PTSD et al.) | 129 (0.4) | 544 (0.5) | 167 (0.4) | < 0.01 |
Others | 315 (0.9) | 1232 (1.2) | 746 (1.7) | < 0.01 |
Circulation | ||||
Acute coronary syndrome | 10 (0.03) | 78 (0.1) | 35 (0.1) | < 0.01 |
Lethal arrhythmia | 36 (0.1) | 175 (0.2) | 75 (0.2) | < 0.01 |
Acute kidney injury | 86 (0.2) | 286 (0.3) | 160 (0.4) | < 0.01 |
Abdominal compartment syndrome | 12 (0.03) | 63 (0.1) | 28 (0.1) | 0.10 |
Others | 251 (0.7) | 580 (0.6) | 327 (0.7) | < 0.01 |
Respiratory | ||||
Lung edema | 40 (0.1) | 182 (0.2) | 99 (0.2) | < 0.01 |
Atelectasis | 466 (1.3) | 1064 (1.0) | 583 (1.3) | < 0.01 |
Pneumonia | 990 (2.7) | 3286 (3.2) | 1572 (3.5) | < 0.01 |
Pulmonary embolism | 88 (0.2) | 640 (0.6) | 72 (0.2) | < 0.01 |
Pyothorax | 26 (0.1) | 74 (0.1) | 45 (0.1) | 0.17 |
ARDS and respiratory failure | 166 (0.5) | 620 (0.6) | 268 (0.6) | < 0.01 |
Others | 137 (0.4) | 354 (0.4) | 206 (0.5) | < 0.01 |
Gastroenterology and hepato-biliary | ||||
Ulcer and upper GI bleeding | 87 (0.2) | 573 (0.6) | 157 (0.4) | < 0.01 |
Ileus | 71 (0.2) | 220 (0.2) | 105 (0.2) | 0.42 |
Pancreatitis | 25 (0.1) | 68 (0.1) | 35 (0.1) | 0.72 |
Cholecystitis | 49 (0.1) | 159 (0.2) | 69 (0.2) | 0.60 |
Hyperbilirubinemia and liver failure | 48 (0.1) | 175 (0.2) | 79 (0.2) | 0.18 |
Others | 209 (0.6) | 559 (0.6) | 225 (0.5) | 0.44 |
Bone and joint | ||||
Compartment syndrome | 63 (0.2) | 411 (0.4) | 126 (0.3) | < 0.01 |
Osteomyelitis | 23 (0.1) | 450 (0.4) | 34 (0.1) | < 0.01 |
Refracture | 17 (0.1) | 376 (0.4) | 14 (0.03) | < 0.01 |
Pseudoarthrosis | 23 (0.1) | 393 (0.4) | 24 (0.1) | < 0.01 |
Others | 75 (0.2) | 336 (0.3) | 160 (0.4) | < 0.01 |
Coagulation | ||||
DIC and coagulation disorder | 248 (0.7) | 934 (0.9) | 538 (1.2) | < 0.01 |
Thrombopenia (< 50,000) | 93 (0.3) | 383 (0.4) | 284 (0.6) | < 0.01 |
Others | 51 (0.1) | 176 (0.2) | 261 (0.6) | < 0.01 |
Infection et al. | ||||
Bacteremia | 120 (0.3) | 379 (0.4) | 192 (0.4) | 0.05 |
Sepsis or MOF | 152 (0.4) | 745 (0.7) | 332 (0.7) | < 0.01 |
Abdominal abscess | 35 (0.1) | 115 (0.1) | 37 (0.1) | 0.23 |
UTI | 582 (1.6) | 1532 (1.5) | 601 (1.3) | 0.02 |
Infectious colitis | 26 (0.1) | 101 (0.1) | 62 (0.1) | < 0.01 |
Wound infection | 333 (0.9) | 1528 (1.5) | 464 (1.0) | < 0.01 |
Wound disruption | 89 (0.2) | 323 (0.3) | 102 (0.2) | < 0.01 |
Decubitus | 158 (0.4) | 411 (0.4) | 282 (0.6) | < 0.01 |
Hypothermia (< 35 °C) | 49 (0.1) | 173 (0.2) | 203 (0.5) | < 0.01 |
Drug allergy | 41 (0.1) | 117 (0.1) | 51 (0.1) | 0.98 |
Others | 232 (0.6) | 972 (1.0) | 442 (1.0) | < 0.01 |
Any complications | 4164/37,073 (11.2) | 12,838/102,368 (12.5) | 6346/44,773 (14.2) | < 0.01 |