Predicting factors for major trauma patient mortality analyzed from trauma registry system
Objective: We investigated the predictors of mortality in major trauma patients using a trauma registry system database. Methods: Data were obtained from the trauma registry of a level I trauma center for all patients aged ≥18 years admitted to an intensive care unit (ICU) between January 1, 2006 an...
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doaj-d3106e2eb64d49579a7e71921117f5b82021-01-02T05:07:35ZengElsevierAsian Journal of Surgery1015-95842021-01-01441262268Predicting factors for major trauma patient mortality analyzed from trauma registry systemYueh-Tzu Chiang0Tzu-Hsin Lin1Rey-Heng Hu2Po-Chu Lee3Hsin-Chin Shih4Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taiwan, ROC; Department of Orthopedics, KuangTien General Hospital, Taiwan, ROC; Corresponding author. Department of Traumatology, National Taiwan University Hospital, and College of Medicine, National Taiwan University, Address: No.7, Chung-Shan South Road, Taipei, 10002, Taiwan, ROC.Department of Traumatology, National Taiwan University Hospital, And College of Medicine, National Taiwan University, Taiwan, ROC; Corresponding author.Department of Traumatology, National Taiwan University Hospital, And College of Medicine, National Taiwan University, Taiwan, ROCDepartment of Traumatology, National Taiwan University Hospital, And College of Medicine, National Taiwan University, Taiwan, ROCInstitute of Emergency and Critical Care Medicine, National Yang-Ming University, Taiwan, ROCObjective: We investigated the predictors of mortality in major trauma patients using a trauma registry system database. Methods: Data were obtained from the trauma registry of a level I trauma center for all patients aged ≥18 years admitted to an intensive care unit (ICU) between January 1, 2006 and December 31, 2013. Models were adjusted for patient demographics, injury mechanism, preexisting comorbidity, Glasgow coma scale (GCS), injury severity score (ISS), emergency department (ED) and ICU procedures, surgical procedures, and complications. Multivariate logistic regression analysis was used to determine predictors of mortality and odds ratios of its associated factors. Results: In total, 1561 patients met the inclusion criteria. The overall mortality rate was 13.4%. After controlling for all variables in a logistic regression model, the factors associated with increased mortality risk (P < 0.05) were age ≥ 45 years; ISS > 24; GCS score < 8 and 8–12; fall accident; preexisting comorbidity of renal insufficiency; ED cardiopulmonary resuscitation (CPR) procedures; ICU blood transfusion; and cardiovascular, respiratory, digestive system and infection complications. Conclusion: Our data showed some predictors of patient mortality after major trauma, most of which were determined during the trauma event. Only those treatment complications may be improved when performing the treatment procedures.http://www.sciencedirect.com/science/article/pii/S1015958420302190Major traumaMortalityTrauma registryTrauma center |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yueh-Tzu Chiang Tzu-Hsin Lin Rey-Heng Hu Po-Chu Lee Hsin-Chin Shih |
spellingShingle |
Yueh-Tzu Chiang Tzu-Hsin Lin Rey-Heng Hu Po-Chu Lee Hsin-Chin Shih Predicting factors for major trauma patient mortality analyzed from trauma registry system Asian Journal of Surgery Major trauma Mortality Trauma registry Trauma center |
author_facet |
Yueh-Tzu Chiang Tzu-Hsin Lin Rey-Heng Hu Po-Chu Lee Hsin-Chin Shih |
author_sort |
Yueh-Tzu Chiang |
title |
Predicting factors for major trauma patient mortality analyzed from trauma registry system |
title_short |
Predicting factors for major trauma patient mortality analyzed from trauma registry system |
title_full |
Predicting factors for major trauma patient mortality analyzed from trauma registry system |
title_fullStr |
Predicting factors for major trauma patient mortality analyzed from trauma registry system |
title_full_unstemmed |
Predicting factors for major trauma patient mortality analyzed from trauma registry system |
title_sort |
predicting factors for major trauma patient mortality analyzed from trauma registry system |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2021-01-01 |
description |
Objective: We investigated the predictors of mortality in major trauma patients using a trauma registry system database. Methods: Data were obtained from the trauma registry of a level I trauma center for all patients aged ≥18 years admitted to an intensive care unit (ICU) between January 1, 2006 and December 31, 2013. Models were adjusted for patient demographics, injury mechanism, preexisting comorbidity, Glasgow coma scale (GCS), injury severity score (ISS), emergency department (ED) and ICU procedures, surgical procedures, and complications. Multivariate logistic regression analysis was used to determine predictors of mortality and odds ratios of its associated factors. Results: In total, 1561 patients met the inclusion criteria. The overall mortality rate was 13.4%. After controlling for all variables in a logistic regression model, the factors associated with increased mortality risk (P < 0.05) were age ≥ 45 years; ISS > 24; GCS score < 8 and 8–12; fall accident; preexisting comorbidity of renal insufficiency; ED cardiopulmonary resuscitation (CPR) procedures; ICU blood transfusion; and cardiovascular, respiratory, digestive system and infection complications. Conclusion: Our data showed some predictors of patient mortality after major trauma, most of which were determined during the trauma event. Only those treatment complications may be improved when performing the treatment procedures. |
topic |
Major trauma Mortality Trauma registry Trauma center |
url |
http://www.sciencedirect.com/science/article/pii/S1015958420302190 |
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