Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution
Annals of Surgical Treatment and Research
;
: 215-219, 2015.
Article
in English
| WPRIM
| ID: wpr-204413
ABSTRACT
PURPOSE:
This study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea.METHODS:
We reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity Score (ISS) > 15 between January 2010 and December 2012. Pearson chi-square tests and Student t-tests were conducted to examine the differences between the survived and deceased groups. To identify factors associated with mortality after severe trauma, multivariate logistic regression was performed.RESULTS:
There were 915 (743 survived and 172 deceased) enrolled patients with overall mortality of 18.8%. Age, blunt trauma, systolic blood pressure (SBP) at admission, Glasgow Coma Scale (GCS) at admission, head or neck Abbreviated Injury Scale (AIS) score, and ISS were significantly different between the groups. Age by point increase (odds ratio [OR], 1.016; P = 0.001), SBP or = 4 (OR, 1.912; P = 0.003), and ISS by point increase (OR, 1.042; P < 0.001) were significant risk factors.CONCLUSION:
In severe trauma patients, age, initial SBP, GCS score, head or neck AIS score, and ISS were associated with mortality.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Trauma Centers
/
Wounds and Injuries
/
Blood Pressure
/
Abbreviated Injury Scale
/
Glasgow Coma Scale
/
Injury Severity Score
/
Logistic Models
/
Medical Records
/
Risk Factors
/
Mortality
Type of study:
Etiology study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2015
Type:
Article
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