Preinjury ASA score as an independent predictor of readmission after major traumatic injury

Trauma Surgery & Acute Care Open
Alexandre TranMaher Matar

Abstract

Patients with trauma have a high predisposition for readmission after discharge. Unplanned solicitation of medical services is a validated quality of care indicator and is associated with considerable economic costs. While the existing literature emphasizes the severity of the injury, there is heterogeneity in defining preinjury health status. We evaluate the validity of the American Society of Anesthesiologists (ASA) Physical Status score as an independent predictor of readmission and compare it to the Charlson Comorbidity Index (CCI). This is a single center, retrospective cohort study based on adult patients (>18 years of age) with trauma admitted to the Ottawa Hospital from January 1, 2004 to November 1, 2014. A multivariate logistic regression model is used to control for confounding and assess individual predictors. Outcome is readmission to hospital within 30 days, 3 months and 6 months. A total of 4732 adult patients were included in this analysis. Readmission rates were 6.5%, 9.6% and 11.8% for 30 days, 3 months and 6 months, respectively. Higher preinjury ASA scores demonstrated significantly increased risk of readmission across all levels in a dose-dependent manner for all time frames. The effect of preinjury ASA sco...Continue Reading

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Citations

Oct 12, 2018·Current Opinion in Critical Care·Somnath Bose, Daniel Talmor
May 7, 2019·World Journal of Gastrointestinal Surgery·Varut Lohsiriwat
Apr 22, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Roos Johanna Maria HavermansKoen Willem Wouter Lansink
Apr 27, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Kei Ching Kevin HungColin Alexander Graham
Dec 18, 2021·The Annals of Otology, Rhinology, and Laryngology·Parisorn ThepmankornJean Anderson Eloy
Jan 13, 2022·Orthopedics·Nishant SunejaAhmed Saleh

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