• Adam Roussas, Aaron Masjedi, Kamil Hanna, Muhammad Zeeshan, Narong Kulvatunyou, Lynn Gries, Andrew Tang, and Bellal Joseph.
• Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
• J. Surg. Res. 2020 Oct 1; 254: 41-48.

BackgroundFailure to rescue (FTR) is becoming a ubiquitous metric of quality care. The aim of our study is to determine the type and number of complications associated with FTR after trauma.MethodsWe reviewed the Trauma Quality Improvement Program including patients who developed complications after admission. Patients were divided as the following: "FTR" if the patient died or "rescued" if the patient did not die. Logistic regression was used to ascertain the effect of the type and number of complications on FTR.ResultsA total of 25,754 patients were included with 972 identified as FTR. Logistic regression identified sepsis (odds ratio [OR] = 6.61 [4.72-9.27]), pneumonia (OR = 2.79 [2.15-3.64]), acute respiratory distress syndrome (OR = 4.6 [3.17-6.69]), and cardiovascular complications (OR = 24.22 [19.39-30.26]) as predictors of FTR. The odds ratio of FTR increased by 8.8 for every single increase in the number of complications.ConclusionsSpecific types of complications increase the odds of FTR. The overall complication burden will also increase the odds of FTR linearly.Level Of EvidenceLevel III Prognostic.Copyright © 2020. Published by Elsevier Inc.

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