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 4 Characteristics comparison of geriatric and non-geriatric patients with unplanned intensive care unit admissions, n (%)

Variable	Geriatric (n = 141)	Non-geriatric (n = 62)	P value
Age (years) (mean)	81.8	45.5	< 0.001^a
Sex (male/female)	89 (63.1)/52 (36.9)	49 (79.0)/13 (21.0)	0.03^a
Comorbidities	139 (98.6)	47 (75.8)	< 0.001^a
Mechanism of injury	-	-	< 0.001^a
Fall	114 (80.9)	25 (40.3)	-
Motor vehicle	25 (17.7)	34 (54.8)	-
Other (assault, accident, and burn)	2 (1.4)	3 (4.8)	-
Glasgow Coma Scale	14.4	12.6	0.1
ISS (mean)	12.4	13.6	0.4
ISS ≥ 16	46 (32.6)	26 (41.9)	0.2
Upgrade/bounce back	99 (70.2)/42 (29.8)	35 (56.5)/27 (44.5)	0.1
Main injury-admission	-	-	0.005^a
Head-traumatic brain injury	56 (39.7)	20 (32.3)	-
Thorax	31 (22.0)	13 (21.0)	-
Spine	22 (15.6)	4 (6.5)	-
Hip/pelvis	14 (9.9)	8 (12.9)	-
Abdominal	2 (1.4)	9 (14.5)	-
Extremities	4 (2.8)	3 (4.8)	-
Facial	4 (2.8)	4 (6.5)	-
Cardiac	6 (4.3)	0 (0.0)	-
Pulmonary contusion	7 (5.0)	7 (11.3)	0.1
Pneumothorax	11 (7.8)	7 (11.3)	0.4
Hemothorax	22 (15.6)	4 (6.5)	0.1
Pneumohemothorax	8 (5.7)	3 (4.8)	0.8
Any blood transfusion	67 (47.5)	31 (50.0)	0.7
Any surgical procedure	52 (36.9)	44 (71.0)	< 0.001^a
Number of consultations (mean)	3.5	3.9	0.4
Mechanical ventilation requirement	52 (36.9)	43 (69.4)	< 0.001^a
Endotracheal intubation	51 (36.2)	43 (69.4)	< 0.001^a
Tracheostomy	7 (5.0)	7 (11.3)	0.1
ICU length of stay (days) (mean)	6.8	13.1	0.02^a
Hospital length of stay (days) (mean)	13.1	27.9	< 0.001^a
Mortality	45 (31.9)	7 (11.3)	0.002^a
Time: Floor-ICU admission (days) (mean)	2.1	4.7	0.2

^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