NEW STUDY: People who suffer serious injuries are more likely to die than others in the coming years, even if they survive their initial hospital stays

View all news posts

Even if they survive the initial hospitalization, those who suffer a traumatic injury are more likely to die within the next three years than people in the general population, a newly released study shows.

Among the 120,000-plus patients treated at trauma centers in Washington State, the cumulative three-year mortality rate was 16 percent -- substantially higher than the 5.9 percent expected in the general population after controlling for age and sex, reported Dr. Saman Arbabi, the co-author of the study in the March 9 issue of the Journal of the American Medical Association.

"This information can help guide clinician and family decision making for the adult trauma patient," the study noted. "These results suggest that in an adult trauma patient, acute injury is not just a brief physiological setback to a healthy life, but rather signals significant long-term mortality in a large number of patients."

For their study, Arbabi and his colleagues examined mortality rates among 124,421 patients over age 18 admitted to any one of the state's 78 designated trauma centers from January 1995 to December 2008.

The mean age of the patients was 53 and almost 59 percent were male.

Overall, 5.8 percent of trauma patients died before leaving the hospital -- although that rate dropped from 8 percent in 1995 to 4.9 percent in 2008, possibly "due to maturation of the trauma system in Washington State," the researchers noted.

However, despite the improvement in hospital mortality, the percentage of patients who died within one year of discharge increased from 4.7 percent to 7.4 percent.

Most patients were discharged to home, with or without assistance, and another 24.7 percent were discharged to a skilled nursing facility.

The patients discharged to a nursing facility had a higher three-year mortality rate (34 percent) than those discharged elsewhere -- the next highest was among those discharged to home with assistance (15.9 percent).

After adjustment for confounders, including functional status, age ≥31 was the strongest predictor of death Discharge to a skilled nursing facility was a strong predictor of death as well, a finding consistent across all age groups, except for patients ages 18 to 30.

"Our results indicate that skilled nursing facility discharge status may at least be a marker for significantly higher risk of subsequent mortality and may be the focus for future research and intervention, especially in the age group of 31- to 80-year-olds," Arbabi and his colleagues wrote.

"Further investigation is needed to determine if more health clinician oversight, funding, or rehabilitation therapy is needed to improve the care of the patients at skilled nursing facilities following discharge for injury," they added.

Attorneys at Ross Feller Casey, LLP have built a nationally recognized reputation for their impressive track record of victories in personal injury cases.

Noteworthy examples include:
$85 million for a man who fractured his spine after falling through an open manhole
$51 million verdict for a 4-year-old boy whose foot was torn off in a SEPTA escalator
$36.4 million recovery for the family of a man killed in a Delaware oil refinery explosion
$30 million recovery for a 10-year-old girl paralyzed by a defectively designed lap belt
$29.5 million recovery in the Pier 34 collapse case
$22.9 million recovery in a spinal cord injury case
$22 million medical malpractice verdict for a brain injury during child birth
$20.8 million verdict for an amputation injury
$18.4 million verdict for a child who suffered a stroke
$13 million recovery for a man who suffered a brain injury in a truck accident
To learn more, click Firm Overview

Disclaimer - Ross Feller Casey, LLP provides legal advice only after an attorney-client relationship is formed. Our website is an introduction to the firm and does not create a relationship between our attorneys and clients. An attorney-client relationship is formed only after a written agreement is signed by the client and the firm. Because every case is unique, the description of awards and summary of cases successfully handled are not intended to imply or guarantee that same success in other cases. Ross Feller Casey, LLP represents catastrophically injured persons and their families in injury and wrongful death cases, providing legal representation in Pennsylvania and New Jersey.


  • NBC
  • CNN
  • ABC
  • CBS
  • AP
  • The Philadelphia Inquirer

Contact us for an initial consultation

If you would like a member of our staff to contact you for a free initial consultation on your case, please complete this form, or call us toll-free at 215-515-4401.

  • Ross Feller Casey, LLP One Liberty Place 1650 Market St, Suite 3450 Philadelphia, PA 19103

    This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship.

    Because every case is different, the description of awards and cases previously handled do not guarantee a similar outcome in current or future cases.

    Copyright © 2016 Ross Feller Casey, LLP