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Independent Predictors of Mortality in Torso Trauma Injuries

Noncompressible torso injuries (NCTIs) represent a trauma-related condition with high lethality. This study’s aim was to identify potential prediction factors of mortality in this group of trauma patients at a Level 1 trauma center in Italy. Materials and Methods: A total of 777 patients who had sus...

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Autores principales: Bini, Roberto, Accardo, Caterina, Granieri, Stefano, Sammartano, Fabrizio, Cimbanassi, Stefania, Renzi, Federica, Bindi, Francesca, Briani, Laura, Chiara, Osvaldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600101/
https://www.ncbi.nlm.nih.gov/pubmed/33023012
http://dx.doi.org/10.3390/jcm9103202
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author Bini, Roberto
Accardo, Caterina
Granieri, Stefano
Sammartano, Fabrizio
Cimbanassi, Stefania
Renzi, Federica
Bindi, Francesca
Briani, Laura
Chiara, Osvaldo
author_facet Bini, Roberto
Accardo, Caterina
Granieri, Stefano
Sammartano, Fabrizio
Cimbanassi, Stefania
Renzi, Federica
Bindi, Francesca
Briani, Laura
Chiara, Osvaldo
author_sort Bini, Roberto
collection PubMed
description Noncompressible torso injuries (NCTIs) represent a trauma-related condition with high lethality. This study’s aim was to identify potential prediction factors of mortality in this group of trauma patients at a Level 1 trauma center in Italy. Materials and Methods: A total of 777 patients who had sustained a noncompressible torso injury (NCTI) and were admitted to the Niguarda Trauma Center in Milan from 2010 to 2019 were included. Of these, 166 patients with a systolic blood pressure (SBP) <90 mmHg were considered to have a noncompressible torso hemorrhage (NCTH). Demographic data, mechanism of trauma, pre-hospital and in-hospital clinical conditions, diagnostic/therapeutic procedures, and survival outcome were retrospectively recorded. Results: Among the 777 patients, 69% were male and 90.2% sustained a blunt trauma with a median age of 43 years. The comparison between survivors and non-survivors pointed out a significantly lower pre-hospital Glasgow coma scale (GCS) and SBP (p < 0.001) in the latter group. The multivariate backward regression model identified age, pre-hospital GCS and injury severity score (ISS) (p < 0.001), pre-hospital SBP (p = 0.03), emergency department SBP (p = 0.039), performance of torso contrast enhanced computed tomography (CeCT) (p = 0.029), and base excess (BE) (p = 0.008) as independent predictors of mortality. Conclusions: Torso trauma patients who were hemodynamically unstable in both pre- and in-hospital phases with impaired GCS and BE had a greater risk of death. The detection of independent predictors of mortality allows for the timely identification of a subgroup of patients whose chances of survival are reduced.
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spelling pubmed-76001012020-11-01 Independent Predictors of Mortality in Torso Trauma Injuries Bini, Roberto Accardo, Caterina Granieri, Stefano Sammartano, Fabrizio Cimbanassi, Stefania Renzi, Federica Bindi, Francesca Briani, Laura Chiara, Osvaldo J Clin Med Article Noncompressible torso injuries (NCTIs) represent a trauma-related condition with high lethality. This study’s aim was to identify potential prediction factors of mortality in this group of trauma patients at a Level 1 trauma center in Italy. Materials and Methods: A total of 777 patients who had sustained a noncompressible torso injury (NCTI) and were admitted to the Niguarda Trauma Center in Milan from 2010 to 2019 were included. Of these, 166 patients with a systolic blood pressure (SBP) <90 mmHg were considered to have a noncompressible torso hemorrhage (NCTH). Demographic data, mechanism of trauma, pre-hospital and in-hospital clinical conditions, diagnostic/therapeutic procedures, and survival outcome were retrospectively recorded. Results: Among the 777 patients, 69% were male and 90.2% sustained a blunt trauma with a median age of 43 years. The comparison between survivors and non-survivors pointed out a significantly lower pre-hospital Glasgow coma scale (GCS) and SBP (p < 0.001) in the latter group. The multivariate backward regression model identified age, pre-hospital GCS and injury severity score (ISS) (p < 0.001), pre-hospital SBP (p = 0.03), emergency department SBP (p = 0.039), performance of torso contrast enhanced computed tomography (CeCT) (p = 0.029), and base excess (BE) (p = 0.008) as independent predictors of mortality. Conclusions: Torso trauma patients who were hemodynamically unstable in both pre- and in-hospital phases with impaired GCS and BE had a greater risk of death. The detection of independent predictors of mortality allows for the timely identification of a subgroup of patients whose chances of survival are reduced. MDPI 2020-10-03 /pmc/articles/PMC7600101/ /pubmed/33023012 http://dx.doi.org/10.3390/jcm9103202 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bini, Roberto
Accardo, Caterina
Granieri, Stefano
Sammartano, Fabrizio
Cimbanassi, Stefania
Renzi, Federica
Bindi, Francesca
Briani, Laura
Chiara, Osvaldo
Independent Predictors of Mortality in Torso Trauma Injuries
title Independent Predictors of Mortality in Torso Trauma Injuries
title_full Independent Predictors of Mortality in Torso Trauma Injuries
title_fullStr Independent Predictors of Mortality in Torso Trauma Injuries
title_full_unstemmed Independent Predictors of Mortality in Torso Trauma Injuries
title_short Independent Predictors of Mortality in Torso Trauma Injuries
title_sort independent predictors of mortality in torso trauma injuries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600101/
https://www.ncbi.nlm.nih.gov/pubmed/33023012
http://dx.doi.org/10.3390/jcm9103202
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