Defining polytrauma by abbreviated injury scale ≥ 3 for a least two body regions is insufficient in terms of short-term outcome: A cross-sectional study at a level I trauma center
| Autor: | Shiun-Yuan Hsu, Ching-Hua Hsieh, Hsiao-Yun Hsieh, Peng-Chen Chien, Yi-Chun Chen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Injury severity Comorbidity Abbreviated injury scale 03 medical and health sciences symbols.namesake 0302 clinical medicine Trauma Centers Risk of mortality medicine Humans Hospital Mortality Registries 030212 general & internal medicine Mortality lcsh:QH301-705.5 Fisher's exact test Aged Aged 80 and over lcsh:R5-920 Abbreviated Injury Scale business.industry Trauma center Glasgow Coma Scale Monotrauma Polytrauma Multiple trauma 030208 emergency & critical care medicine General Medicine Middle Aged medicine.disease Intensive Care Units Cross-Sectional Studies lcsh:Biology (General) Emergency medicine symbols Injury Severity Score Female Original Article Body region lcsh:Medicine (General) business |
| Zdroj: | Biomedical Journal, Vol 41, Iss 5, Pp 321-327 (2018) Biomedical Journal |
| ISSN: | 2319-4170 |
| DOI: | 10.1016/j.bj.2018.08.007 |
| Popis: | Background: Patients with polytrauma are expected to have a higher risk of mortality than the summation of expected mortality for their individual injuries. This study was designed to investigate the outcome of polytrauma patients, diagnosed by abbreviated injury scale (AIS) ≥ 3 for at least two body regions, at a level I trauma center. Methods: Detailed data of 694 polytrauma patients and 2104 non-polytrauma patients with an overall Injury Severity Score (ISS) ≥ 16 and hospitalized between January 1, 2009, and December 31, 2014 for treatment of all traumatic injuries, were retrieved from the Trauma Registry System. Two-sided Fisher exact or Pearson chi-square tests were used to compare categorical data. The unpaired Student t-test was used to analyze normally distributed continuous data, and the Mann–Whitney U-test was used to compare non-normally distributed data. Propensity-score matching in a 1:1 ratio was performed using NCSS software with logistic regression to evaluate the effect of polytrauma on in-hospital mortality. Results: There was no significant difference in short-term mortality between polytrauma and non-polytrauma patients, regardless of whether the comparison was made among the total patients (11.4% vs. 11.0%, respectively; p = 0.795) or among the selected propensity score-matched groups of patients following controlled covariates including sex, age, systolic blood pressure, co-morbidities, Glasgow Coma Scale scores, injury region based on AIS. Conclusions: Polytrauma defined by AIS ≥3 for at least two body regions failed to recognize a significant difference in short-term mortality among trauma patients. Keywords: Polytrauma, Abbreviated injury scale, Injury severity, Monotrauma, Multiple trauma, Mortality |
| Databáze: | OpenAIRE |
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