Bundling Procedures in Critically Ill Trauma Patients and ICU LOS

journals.sagepub.com February 3, 2025

Intubated trauma patients who presented with certain mechanisms (gunshot wounds (GSW), pedestrian struck), received blood transfusions, or exhibited severe/profound ISS may be more likely to receive immediate bundled lines (IBL).

IBL is not superior to either immediate AL or to no lines in terms of mortality. No lines had a significant effect on ICU length of stay (LOS) or hospital LOS, except in the setting of severe head injury.

728 patients were included.

The majority received CVC and/or AL with 17.7% in a delayed fashion.

Severe head injury (AIS ≥3) most often had immediate AL or delayed bundled lines (P < 0.001). IBL were more common with gunshot wounds (GSW) (P < 0.001) and blood transfusions (P < 0.001).