Risk factors of mortality in patients with severe chest trauma / 中华创伤杂志
Chinese Journal of Trauma
; (12): 529-532, 2012.
Article
in Zh
| WPRIM
| ID: wpr-426650
Responsible library:
WPRO
ABSTRACT
Objective To investigate the risk factors affecting the mortality in patients with severe chest trauma (SCT).Methods A total of 777 patients with SCT (AIS≥ 3) treated at Chongqing Emergency Medical Center from January 2006 to April 2009 were involved for retrospective study.Multivariate stepwise logistic regression analysis was used to analyze 15 possible risk factors affecting their mortality.Results The factors affecting mortality in patients with SCT included hemorrhagic shock (X6,B =1.710,OR =1.291,P<0.01),multiple organ dysfunction syndrome (MODS) (X7,B=3.453,OR =1.028,P<0.01 ),pulmonary infection ( X9,B =2.396,OR=10.941,P < 0.01 ),abdominal organ injury (X11,B=1.542,OR=1.210,P<0.01) and thoracic AIS ≥3 (X14,B =0.487,OR =1.622,P<0.01 ).While the protective factors affecting mortality in patients with SCT contained age ≤60 years old (X1,B =-0.035,OR =0.962,P<0.05) and GCS≥12 (X13,B=- 0.635,OR=0.530,P<0.05).Conclusions The age,posttraumatic complications (hemorrhagic shock,MODS,pulmonary infection)and accurate diagnosis and evaluation of trauma severity are the related factors to predict the prognosis.Development of effective treatment measures based on these risk factors plays a key role in the survival rate of patients with SCT.
Full text:
1
Index:
WPRIM
Type of study:
Etiology_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Language:
Zh
Journal:
Chinese Journal of Trauma
Year:
2012
Type:
Article