The Impact of Pre-Existing End-Stage Renal Disease on Survival in Acutely Injured Trauma Patients

Lorelli, David R.; Kralovich, Kurt A.; Seguin, Cara
July 2001
American Surgeon;Jul2001, Vol. 67 Issue 7, p693
Academic Journal
The average length of stay in the hospital was 55.3 per cent longer for patients with end-stage renal disease. Pre-existing end-stage renal disease negatively impacts survival after traumatic injury. A prospective multicentered study comparing renal patients with nonrenal patients is warranted. This would confirm the need for databases to account for the increased morbidity and mortality associated with end-stage renal disease when calculating probability of survival values for acutely injured trauma patients. Similarly future studies analyzing the affects of other comorbidities such as diabetes, chronic obstructive pulmonary disease, and hypertension on acutely injured trauma patients would help develop a more accurate method of predicting outcomes.


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