Morbidity and Mortality of Congestive Heart Failure in Trauma Patients

Alkhawam, Hassan; Madanieh, Raef; El-Hunjul, Mohammed; Madanieh, Abed; Syed, Umer; Ahmad, Sumair; Lieber, Joseph; Vittorio, Timothy J.

doi:10.1016/j.amjms.2016.04.006

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Stroke (OR=1.677, 95% CI 1.190 to 2.364) was also associated with increased mortality. Our findings are very similar to those in the current published literature 55–58. However, the number of pre-existing chronic conditions failed to demonstrate a significant relationship with mortality in this study.…”

Section: Discussionsupporting

confidence: 91%

Inequality of trauma care under a single-payer universal coverage system in Taiwan: a nationwide cohort study from the National Health Insurance Research Database

Kuo

Liao

et al. 2019

BMJ Open

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ObjectivesTo assess the impact of lower socioeconomic status on the outcome of major torso trauma patients under the single-payer system by the National Health Insurance (NHI) in Taiwan.DesignA nationwide, retrospective cohort study.SettingAn observational study from the NHI Research Database (NHIRD), involving all the insurees in the NHI.ParticipantsPatients with major torso trauma (injury severity score ≥16) from 2003 to 2013 in Taiwan were included. International Classification of Disease, Ninth Revision, Clinical Modification codes were used to identify trauma patients. A total of 64 721 patients were initially identified in the NHIRD. After applying the exclusion criteria, 20 009 patients were included in our statistical analysis.Primary and secondary outcome measuresThe primary outcome measure was in-hospital mortality, and we analysed patients with different income levels and geographic regions. Multiple logistic regression was used to control for confounding variables.ResultsIn univariate analysis, geographic disparities and low-income level were both risk factors for in-hospital mortality for patients with major torso trauma (p=0.002 and <0.001, respectively). However, in multivariate analysis, only a low-income level remained an independent risk factor for increased in-hospital mortality (p<0.001).ConclusionEven with the NHI, wealth inequity still led to different outcomes for major torso trauma in Taiwan. Health policies must focus on this vulnerable group to eliminate inequality in trauma care.

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Section: Discussionsupporting

confidence: 91%

Inequality of trauma care under a single-payer universal coverage system in Taiwan: a nationwide cohort study from the National Health Insurance Research Database

Kuo

Liao

et al. 2019

BMJ Open

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“…This increased cardiovascular risk may be explained by the older age of those admitted for cardiovascular diseases, indicative of early aging. There is some evidence linking trauma and heart failure ( Alkhawam et al, 2016 ; Mehrotra, Dalley, & Mahon, 2012 ; Namai, Sakurai, & Fujiwara, 2007 ). The results of increased risk of cardiovascular readmission were similarly demonstrated in a study of 30-day readmission after cranial neurosurgery, where there was an increased risk of congestive heart failure hospitalizations ( Moghavem, Morrison, Ratliff, & Hernandez-Boussard, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

“…The results of increased risk of cardiovascular readmission were similarly demonstrated in a study of 30-day readmission after cranial neurosurgery, where there was an increased risk of congestive heart failure hospitalizations ( Moghavem, Morrison, Ratliff, & Hernandez-Boussard, 2015 ). A retrospective evaluation of trauma patients reported that among those trauma patients with prior history of heart failure, 24% were readmitted due to heart failure complications ( Alkhawam et al, 2016 ). However, neither sex differences nor firearm-related cardiovascular risk was reported.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in Early Cardiovascular and All-Cause Hospitalization Outcomes After Surviving Firearm Injury

et al. 2018

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The majority of the burden of firearm injury in the United States is on men as compared to women. There is limited evidence regarding sex differences in short-term hospitalization outcomes after surviving firearm injury. The risk of cardiovascular and all-cause hospital readmission, length of stay (LOS), and costs within 180 days after surviving an index firearm injury was compared between males and females. A claims-based, retrospective, cohort study was performed using Nationwide Readmission Database (2013–2014) to obtain a cohort of patients who survived an index hospitalization of firearm injury. The analysis was performed in August 2017. Cox proportional hazard regression models were used to estimate hazard ratio (HR) and 95% confidence intervals (95% CIs). Among 17,594 males and 2,289 females discharged alive after index firearm injury hospitalization, 14.4% and 13.2% were readmitted within 180 days. Within 180 days, the risk of cardiovascular readmission was 3.3 times greater among males versus females (HR = 3.34, 95% CI [1.18, 9.44]. Risk of all-cause readmission among males was greater at 90 days (HR = 1.40, 95% CI [1.04, 1.87]. Patients surviving a firearm injury have a substantial risk of subsequent hospitalizations. Cardiovascular readmissions are greater among males than females during the first 6 months after injury and may be indicative of a continuing long-term risk of health and patient outcomes that contributes to the overall burden of firearm injury.

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Helicopter Transport Has Decreased Over Time and Transport From Scene or Hospital Matters

Dominguez

Grigorian

Lekawa

et al. 2020

Air Medical Journal

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Morbidity and Mortality of Congestive Heart Failure in Trauma Patients

Cited by 7 publications

References 15 publications

Inequality of trauma care under a single-payer universal coverage system in Taiwan: a nationwide cohort study from the National Health Insurance Research Database

Inequality of trauma care under a single-payer universal coverage system in Taiwan: a nationwide cohort study from the National Health Insurance Research Database

Sex Differences in Early Cardiovascular and All-Cause Hospitalization Outcomes After Surviving Firearm Injury

Helicopter Transport Has Decreased Over Time and Transport From Scene or Hospital Matters

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