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Risk factors of mortality in severe chest trauma patients / 中国医学科学院学报
Acta Academiae Medicinae Sinicae ; (6): 74-79, 2013.
Article in Chinese | WPRIM | ID: wpr-284301
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the risk factors of mortality in patients with severe chest trauma (SCT).</p><p><b>METHODS</b>The clinical data of 777 SCT [abbreviated injury scale (AIS) ≥3] patients who were treated in the Chongqing Emergency Medical Center from January 2006 to April 2009 were retrospectively reviewed. Stepwise logistic regression analysis was used to explore 15 possible mortality-related risk factors.</p><p><b>RESULTS</b>Seven factors were found to be correlated with the mortality of SCT age, hemorrhagic shock, multiple organ dysfunction syndrome (MODS), pulmonary infection, abdominal organ injury, Glasgow coma scale (GCS) score, and thorax AIS score. Among them five factors were the independent factors that might increase the mortality of SCT hemorrhagic shock (B=1.710, OR=1.291, P=0.001), MODS (B=3.453, OR=1.028, P<0.001), pulmonary infection (B=2.396, OR=10.941, P<0.001), abdominal organ injury (B=1.542, OR=1.210, P=0.005), and thorax AIS score ≥4 (B=0.487, OR=1.622, P<0.001). Two factors showed protective effects age ≤60 years (B=-0.035, OR=0.962, P=0.01) and GCS score ≥12 (B=-0.635, OR=0.320, P<0.001).</p><p><b>CONCLUSIONS</b>Age, disease severity, and complications (hemorrhagic shock, MODS, and pulmonary infection) are independent risk factors of the mortality of SCT. Effective treatment programs targeting these risk factors may improve the outcomes of SCT patients.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Thoracic Injuries / Logistic Models / Retrospective Studies / Risk Factors / Mortality Type of study: Etiology study / Observational study / Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Language: Chinese Journal: Acta Academiae Medicinae Sinicae Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thoracic Injuries / Logistic Models / Retrospective Studies / Risk Factors / Mortality Type of study: Etiology study / Observational study / Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Language: Chinese Journal: Acta Academiae Medicinae Sinicae Year: 2013 Type: Article