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Identify 5-year mortality rates in trauma patients greater than 18 years old who undergo tracheostomy and/or gastrostomy tube placement. Retrospective convenience sample with two cohorts. Academic level 1 trauma center. Hospitalized patients admitted to the trauma service from July 2008 to December 2012 who underwent tracheostomy and/or gastrostomy tube placement. Patients were placed into two cohorts adult 18-64 and geriatric greater than or equal to 65; mortality data were obtained from the National Death Index. The primary outcome was 5