Article TitlesDoes the Presence of an Upper-Extremity Injury Affect Outcomes after Major Trauma?Dowrick, Adam S. MAppSc; Gabbe, Belinda J. MAppSc, PhD; Williamson, Owen D. MBBS, FRACSAuthor Information From the Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Submitted for publication January 19, 2004. Accepted for publication December 23, 2004. The Victorian State Trauma Registry is a Department of Human Services and Victorian Trauma Foundation–funded and –approved initiative. Belinda Gabbe was supported by a Public Health Research Fellowship from the National Health and Medical Research Council, Australia. Address for reprints: Adam Dowrick, MAppSc, Department of Epidemiology and Preventive Medicine, Monash University Central and Eastern Clinical School, Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia; email: email@example.com. The Journal of Trauma: Injury, Infection, and Critical Care: June 2005 - Volume 58 - Issue 6 - p 1175-1178 doi: 10.1097/01.TA.0000169930.79684.4E Buy Metrics Abstract Background: There is a paucity of information about the impact of upper-extremity (UE) injuries on patient outcomes, particularly after major trauma. Methods: Data were obtained from a statewide trauma registry. Cases were defined as major trauma cases (Injury Severity Score > 15) with (UE group) and without (no-UE group) an associated UE injury. Multivariate analysis was performed to identify independent predictors of outcome. Results: Major trauma patients with UE injury were 1.5 times (p = 0.011) more likely than the no-UE group to have a length of stay greater than 7 days. After adjustment for age, mechanism of injury, and Injury Severity Score, UE injury was not an independent predictor of discharge destination. Conclusion: In major trauma patients, the presence of UE injury is a significant predictor of length of stay, indicating a greater complexity and cost of care. © 2005 Lippincott Williams & Wilkins, Inc.