to home, 165 to acute care/
rehab, and 467 sent to skilled
nursing facilities; 88 died. Of
these patients, 50. 8 percent were
women, on average 79. 7 years
of age, had an average hospital
length of stay of 6. 8 days, an
intensive care unit length of stay
of 5. 2 days, an average injury
severity score of 10. 3, and were
on the ventilator for an average of
7. 4 days (see Figure 1, this page).
Afib is associated with a 1.5-
to 1.9-fold increase risk of death,
in part because of the association
with thromboembolic events.*
In a trauma setting, patients
arriving in Afib on anticoagulants
present a unique challenge
in treating their injuries,
status, and consideration for
reversal of their anticoagulation.
While there is nothing irregular
about their trauma, the presence
of Afib definitely complicates
management of these patients.
Throughout the year, we
will be highlighting NTDB data
through brief monthly reports in
the Bulletin. The NTDB Annual
Report 2016 is available on the
American College of Surgeons
website as a PDF file at facs.
ntdb. In addition, information is
available on the website about
how to obtain NTDB data for
more detailed study. If you are
interested in submitting your
trauma center’s data contact
Melanie L. Neal Manager,
NTDB at firstname.lastname@example.org. ♦
Statistical support for this
article was provided by Ryan
Murphy, Data Analyst, NTDB.
NTDB DATA POINTS
FIGURE 1. HOSPITAL DISCHARGE STATUS
Afib is the most frequently encountered cardiac arrhythmia,
affecting an estimated 2. 7 to 6. 1 million people in the U.S. There
is a strong age correlation affecting 4 percent of people ages 60
and older and 8 percent of persons older than 80 years old.
*Medscape. Atrial fibrillation: Practice
essentials. April 2017. Available at: http://
overview. Accessed August 1, 2017.