Predictors of mortality of trauma patients admitted to the ICU: a retrospective observational study☆

Papadimitriou-Olivgeris, Matthaios; Panteli, Eleftheria S; Koutsileou, Kyriaki; Boulovana, Maria; Ζώτου, Αναστασία; Marangos, Markos; Fligou, Fotini

doi:10.1016/j.bjane.2020.12.006

Cited by 13 publications

(20 citation statements)

References 28 publications

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“…A few studies also showed that violence/assault was a major cause of trauma, as is confirmed by this study. 4 , 13 Blunt trauma was more common than penetrating, and this data is similar to other studies. 4 , 10 , 13 , 15 – 17 , 20 Regarding the part of body injured, head injury accounted for the highest number of patients (65.83%), and also lead to the highest number of deaths.…”

Section: Discussionsupporting

confidence: 90%

“…These data are similar to other studies conducted on this topic. 4 , 6 , 10 , 12 – 19 There is a clear majority of male patients suffering from traumatic events (82.08%), which can also be seen in several other studies. 4 , 6 , 9 , 10 , 12 – 18 , 20 – 22 …”

Section: Discussionsupporting

confidence: 65%

“…The sample size was calculated from a previous study based on a similar topic, using the formula for sample size calculation by comparing means. 4 We enrolled individuals, regardless of gender, aged from 15 to 65, who were admitted from the Emergency Department following blunt and/or penetrating trauma incidents from September 2023 to December 2023. We excluded individuals who were admitted to the trauma center beyond 24 hours following the traumatic incident or those who sustained injuries from burns or poisoning.…”

Section: Ethodsmentioning

confidence: 99%

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Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores

Gupta,

Kshirsagar,

Naik

et al. 2024

Indian Journal of Critical Care Medicine

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Aim This prospective cohort study aimed to compare the predictive accuracy of outcome (survival/death) among trauma patients using various prognostic scores. Methods Over 3 months, 240 trauma patients in a tertiary care hospital were assessed for demographic details, trauma characteristics, vital signs, Glasgow coma scale, arterial blood gas values, and lab markers. Injury severity score (ISS), revised trauma score (RTS), trauma and injury severity score (TRISS), and acute physiology and chronic health evaluation II (APACHE II) were applied at admission, 24 hours, and 48 hours post-admission. Results Road traffic accidents (55.83%) were the primary cause of trauma, followed by falls (33.75%) and violence (10.41%). The all-cause mortality rate was 23.33%, with 34.16% requiring ICU admission. Head injuries (65.83%) were both the most frequent injury site and cause of mortality. Conclusion Analysis indicated that APACHE II outperformed other scores in predicting outcomes, with ISS following closely. The study concludes that trauma severity correlates with ICU admission and mortality, emphasizing APACHE II as a superior predictor, particularly for traumatic brain injuries leading to ICU admission and mortality. Clinical significance This study contributes to the existing body of knowledge by addressing the gap in comparing prognostic abilities among scoring systems for trauma patients. The unexpected superiority of APACHE II suggests its potential as a valuable tool in predicting outcomes in this specific patient population. How to cite this article Gupta J, Kshirsagar S, Naik S, Pande A. Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores. Indian J Crit Care Med 2024;28(5):475–482.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 65%

Section: Ethodsmentioning

confidence: 99%

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Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores

Gupta,

Kshirsagar,

Naik

et al. 2024

Indian Journal of Critical Care Medicine

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“…The management of head injuries should start from the scene of the incident, during transportation, in the Emergency Department, to definitive therapy. Right, and fast treatment will affect the patient's survival rate (Dixon et al, 2020). The ability to predict head injury patients' mortality at an early stage can provide good information for the treatment in later stages (HoonLee et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…The ability to predict head injury patients' mortality at an early stage can provide good information for the treatment in later stages (HoonLee et al, 2018). Head injury management's main goals are to optimize recovery from primary head injuries and prevent secondary head injuries (Dixon et al, 2020). In the primary survey treatment, the prioritized matters include Airway, Breathing, Circulation, Disability, and Exposure, followed by resuscitation (Dixon et al, 2020 (Sumarno, 2016).…”

Section: Introductionmentioning

confidence: 99%

Survival Rate Prediction of Head Injury Patients with Peripheral Oxygen Saturation

Afiani

Qodir

Widyawati³

et al. 2021

jitek

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Good management of head injuries can improve patient survival. Examination of peripheral oxygen saturation (SpO2) is a procedure performed at the primary survey. This study aims to predict the survival rate of head injury patients with the SpO2 value. The method used was a prospective study with a cohort design. Samples were head injury patients who came to the ER without comorbidities. The instruments used were the Revised Trauma Score (RTS) and Oximetry. Patients who arrived at the ER were measured for their SpO2 levels, treated according to SOP, and 6 hours later, the survival rates were assessed. The sampling technique used was purposive sampling. The statistical test used is Somers’d Correlation Test. The sample consisted of 46 head injury patients with SpO2 in a good category of 30 (65.2%) and good survival of 32 (69.6%). SpO2 had a strong correlation with survival (p = 0.00; r = 0.846; RR = 8.16). Patients with good SpO2 were 8.16 times more survive than others. Low SpO2 can be used as an early indicator of tissue hypoxia and related to mortality. The ER nurse should be concerned about the patient's oxygen saturation and ensure that the SpO2 level is in the 95% -100% range.

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Time and Risk Factors of Trauma-Related Mortality: A 5-Year Retrospective Analysis From a National Level I Trauma Center

Asim,

El-Menyar,

Abdelrahman

et al. 2024

J Intensive Care Med

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Background: We aimed to analyze in-hospital timing and risk factors for mortality in a level 1 trauma center. Methods: This is a retrospective analysis of all trauma-related mortality between 2013 and 2018. Patients were divided and analyzed based on the time of mortality (early (≤48 h) vs late (>48 h)), and within different age groups. Multivariate regression analysis was performed to predict in-hospital mortality. Results: 8624 trauma admissions and 677 trauma-related deaths occurred (47.7% at the scene and 52.3% in-hospital). Among in-hospital mortality, the majority were males, with a mean age of 35.8 ± 17.2 years. Most deaths occurred within 3–7 days (35%), followed by 33% after 1 week, 20% on the first day, and 12% on the second day of admission. Patients with early mortality were more likely to have a lower Glasgow coma scale, a higher shock index, a higher chest and abdominal abbreviated injury score, and frequently required exploratory laparotomy and massive blood transfusion ( P < .005). The injury severity scores and proportions of head injuries were higher in the late mortality group than in the early group. The severity of injuries, blood transfusion, in-hospital complications, and length of intensive care unit stay were comparable among the age groups, whereas mortality was higher in the age group of 19 to 44. The higher proportions of early and late in-hospital deaths were evident in the age group of 24 to 29. In multivariate analysis, the shock index (OR 2.26; 95%CI 1.04-4.925; P = .04) was an independent predictor of early death, whereas head injury was a predictor of late death (OR 4.54; 95%CI 1.92-11.11; P = .001). Conclusion: One-third of trauma-related mortalities occur early after injury. The initial shock index appears to be a reliable hemodynamic indicator for predicting early mortality. Therefore, timely hemostatic resuscitation and appropriate interventions for bleeding control may prevent early mortality.

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Predictors of mortality of trauma patients admitted to the ICU: a retrospective observational study☆

Cited by 13 publications

References 28 publications

Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores

Comparative Evaluation of Mortality Predictors in Trauma Patients: A Prospective Single-center Observational Study Assessing Injury Severity Score Revised Trauma Score Trauma and Injury Severity Score and Acute Physiology and Chronic Health Evaluation II Scores

Survival Rate Prediction of Head Injury Patients with Peripheral Oxygen Saturation

Time and Risk Factors of Trauma-Related Mortality: A 5-Year Retrospective Analysis From a National Level I Trauma Center

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