1 in 3 Trauma Patients Discharged to Nursing Homes Die Within Three Years

In-hospital deaths for trauma patients declined during a 13-year study, but after discharge, mortality rates rose, suggesting that while trauma care may have improved, care after acute hospitalization is lagging.

4 comments on "1 in 3 Trauma Patients Discharged to Nursing Homes Die Within Three Years"
A Nursing Perspective (3/9/2011 at 9:41 PM)

Having worked in level II trauma as a bedside RN in ICU and, later, as a discharge planner, this information as presented seems to reflect a ridiculous study that must have some type of ulterior [$] motive for that particular spin. The majority, if not all, of trauma patients who are so damaged that they require long term custodial SNF care of greater than 3 years are the severely brain injured patients who are unable to interact with their environment, are on tube feedings and long term trach care that can almost never be managed in the home. They are very high risk for mortality and are already under the umbrella of significant morbidity.
Tim Tarpey (3/9/2011 at 10:41 AM)

I supspect that mortality rates for those who enter the trauma center are greater than those who enter the walk-in clinic at the same hospital. Does that mean that the trauma center provides a lower quality of care than the walk-in clinic? And I suspect that patients discharged from a trauma center to an assisted living facility, to a home health agency, or any other level of care have a higher mortality rate than those who enter that same level of care without the trauma.
Laurie Hilyard RN, MSN (3/9/2011 at 9:43 AM)

Did it occur to anyone that those discharged to a skilled nursing facility are more physically compromised than those discharged to lesser care? Unless discharge destinations were randomized, comparing survival rates at a SNF to survival rates in less intense care settings is comparing apples to rocks.
Cindy Pawlak (3/9/2011 at 9:42 AM)

Wow !!! That is a sobering statistic, and, certainly confirms the experience we had with our father. He survived six months in ICU because of attentive care only to loose his fight for life when he became septic at a long-term care facility due to a urinary tract infection. When he returned to ICU, the staff had tears in their eyes and said, "We see this all the time." Organizations at all stages of care need to be held accountable to the same standards and the creed of "First Do No Harm."


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