J Trauma Acute Care Surg 2020 10;89(4):743-751
From the Institute of Health Policy, Management, and Evaluation (M.P.G., B.W.T., B.H., A.B.N.), Department of Surgery (M.P.G., B.H., A.B.N.), Interdepartmental Division of Critical Care Medicine, Department of Medicine (B.W.T., B.H.), University of Toronto, Toronto, Ontario, Canada; and Sunnybrook Research Institute (B.H., A.B.N.), Toronto, Ontario, Canada.
Background: Mortality is an important trauma center outcome. With many patients initially surviving catastrophic injuries and a growing proportion of geriatric patients, many deaths might occur following withdrawal of life-sustaining therapy (WLST). We utilized the American College of Surgeons Trauma Quality Improvement Program database to explore whether deaths following WLST might be preventable and to evaluate the impact of excluding patients who died following WLST on hospital performance. Read More