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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7600101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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