Research Article
ICU Length of Stay and Factors Associated with Longer Stay of Major Trauma Patients with Multiple Rib Fractures: A Retrospective Observational Study
Table 2
Comparison between patients with ICU LOS of less than 7 days and patients with ICU LOS of 7 or more days.
| | | ICU LOS <7 days
(N = 153) | ICU LOS ≥7 days
(N = 62) | P value and OR (95% CI) |
| | ICU LOS, median (IQR) | 3 (2–4) | 11 (8–17.3) | P < 0.0001 |
| | Nonmodifiable | | Age, median (IQR) | 57 (43–70) | 62 (48.3–70.3) | P = 0.16 | | Male gender | 106/153 (69.3%) | 44/62 (71%) | P = 0.87; OR: 0.92 (95% CI: 0.48 to 1.72) | | APACHE-II, median (IQR) | 9 (7–14) | 16 (11–21) | P < 0.0001 | | ISS, median (IQR) | 24 (17–29) | 29 (20–36) | P < 0.002 | | No. of rib fractures, median (IQR) | 6 (4–9) | 7 (5–10) | P = 0.02 | | Flail segments | 43/153 (30.1%) | 30/62 (48.4%) | P = 0.01; OR = 0.46 (95% CI: 0.26 to 0.86) | | Lung contusions | 75/153 (49%) | 30/62 (48.4%) | P > 0.99; OR: 1.03 (95% CI: 0.57 to 0.1.87) | | HAP/VAP | 3/153 (0.02%) | 23/62 (37.1%) | P ≤ 0.0001; OR: 0.05 (95% CI: 0.02 to 0.17) | | ICU mortality | 9/153 (0.06%) | 6/62 (0.1%) | P = 0.38; OR: 0.58 (95% CI: 0.21 to 1.74) |
| | Modifiable | | Regional block | 74/153 (48.4%) | 37/62 (60%) | P = 0.18; OR = 0.63 (95% CI: 0.35 to 1.15) | | HFNP | 69/153 (45.1%) | 43/62 (69.4%) | P = 0.005; OR: 0.42 (95% CI: 0.23 to 0.76) | | NIV | 25/153 (16.3%) | 18/62 (29%) | P = 0.04; OR: 0.48 (95% CI: 0.24 to 0.96) | | IMV | 42/153 (12.1%) | 55/62 (88.7%) | P ≤ 0.0001; OR: 0.05 (95% CI: 0.02 to 0.11) | | Surgical stabilization | 12/153 (7.8%) | 16/62 (25.8%) | P = 0.001; OR: 0.30 (95% CI: 0.14 to 0.60) | | Tracheostomy | 0/153 (0.5%) | 7/62 (11.3%) | P ≤ 0.0001; OR: 0.00 (95% CI: 0.00 to 0.21) |
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N: number; ICU: intensive care unit; LOS: length of stay; ISS: injury severity score; IQR: interquartile range; APACHE-II: acute physiology and chronic health evaluation II; IMV: invasive mechanical ventilation; NIV: noninvasive ventilation; HFNP: high-flow nasal prongs; CI: confidence interval; TBI: traumatic brain injury; HAP: hospital-acquired pneumonia; VAP: ventilator-associated pneumonia.
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