ICU Bouncebacks (ICUBBs) are associated with worse outcomes and are disproportionately burdened by respiratory complications.

These findings emphasize the importance of the TQIP Collaborative in identifying statewide issues in need of performance improvement within mature trauma systems.

58,013 ICU admissions were identified from 2012-2015.

From these, 53,715 survived their ICU index admission.

The ICUBB rate was determined to be 3.82%.

Compared to the non-ICUBB population, ICUBB patients had a significantly higher mortality rate.

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