Characteristics and outcomes of trauma patients with unplanned intensive care unit admissions: Bounce backs and upgrades comparison

doi:10.5492/wjccm.v14.i2.101957

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Jun 9, 2025 (publication date) through Mar 2, 2025

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Crit Care Med. Jun 9, 2025; 14(2): 101957
Published online Jun 9, 2025. doi: 10.5492/wjccm.v14.i2.101957

Table 2 Characteristics comparison of upgrades and bounce backs, n (%)

Variable	Upgrades (n = 134)	Bounce backs (n = 69)	P value
Age (years) (mean)	72.4	67.5	0.1
Geriatric	99 (73.9)	42 (60.9)	0.1
Sex (male/female)	86 (64.2)/48 (35.8)	52 (75.4)/17 (24.6)	0.1
Comorbidities	126 (94.0)	60 (87.0)	0.1
Mechanism of injury	-	-	0.2
Fall	96 (71.6)	43 (62.3)	-
Motor vehicle	34 (25.4)	25 (36.2)	-
Other (assault, accident, and burn)	4 (3.0)	1 (1.4)	-
Glasgow Coma Scale (mean)	14.6	12.4	< 0.001^a
ISS (mean)	11.2	15.8	< 0.001^a
ISS ≥ 16	37 (27.6)	35 (50.7)	0.001^a
Main injury	-	-	0.003^a
Head-traumatic brain injury	42 (31.3)	34 (49.3)	-
Thorax	25 (18.7)	19 (27.5)	-
Spine	23 (17.2)	3 (4.3)	-
Hip/pelvis	17 (12.7)	5 (7.2)	-
Abdominal	5 (3.7)	6 (8.7)	-
Extremities	7 (5.2)	0 (0.0)	-
Facial	8 (6.0)	0 (0.0)	-
Cardiac	5 (3.7)	1 (1.4)	-
Pulmonary contusion	5 (3.7)	9 (13.0)	0.01^a
Pneumothorax	7 (5.2)	11 (15.9)	0.01^a
Hemothorax	12 (9.0)	14 (20.3)	0.02^a
Pneumohemothorax	4 (3.0)	7 (10.1)	0.03^a
Any blood transfusion	54 (40.3)	44 (63.8)	0.002^a
Any surgical procedure	60 (44.8)	36 (52.2)	0.3
Number of consultations (mean)	3.0	4.8	< 0.001^a
Mechanical ventilation requirement	51 (38.1)	44 (63.8)	0.001^a
Endotracheal intubation	50 (37.3)	44 (63.8)	< 0.001^a
Tracheostomy	6 (4.5)	8 (11.6)	0.1
ICU length of stay (days) (mean)	6.4	13.2	< 0.001^a
Hospital Length of Stay (days) (mean)	13.0	26.7	< 0.001^a
Mortality	28 (20.9)	24 (34.8)	0.03^a
Time: Floor-ICU admission (days) (mean)	2.0	4.5	< 0.001^a

^aDenotes a statistically significant difference (P < 0.05).

ICU: Intensive care unit; ISS: Injury severity score.

Citation: Fokin AA, Wycech Knight J, Gallagher PK, Xie JF, Brinton KC, Tharp ME, Puente I. Characteristics and outcomes of trauma patients with unplanned intensive care unit admissions: Bounce backs and upgrades comparison. World J Crit Care Med 2025; 14(2): 101957
URL: https://www.wjgnet.com/2220-3141/full/v14/i2/101957.htm
DOI: https://dx.doi.org/10.5492/wjccm.v14.i2.101957