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Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU

Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015–December 2019) was utilized to collect the pati...

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Autores principales: Barea-Mendoza, Jesús Abelardo, Chico-Fernández, Mario, Quintana-Díaz, Manuel, Pérez-Bárcena, Jon, Serviá-Goixart, Luís, Molina-Díaz, Ismael, Bringas-Bollada, María, Ruiz-Aguilar, Antonio Luis, Ballesteros-Sanz, María Ángeles, Llompart-Pou, Juan Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745825/
https://www.ncbi.nlm.nih.gov/pubmed/35012008
http://dx.doi.org/10.3390/jcm11010266
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author Barea-Mendoza, Jesús Abelardo
Chico-Fernández, Mario
Quintana-Díaz, Manuel
Pérez-Bárcena, Jon
Serviá-Goixart, Luís
Molina-Díaz, Ismael
Bringas-Bollada, María
Ruiz-Aguilar, Antonio Luis
Ballesteros-Sanz, María Ángeles
Llompart-Pou, Juan Antonio
author_facet Barea-Mendoza, Jesús Abelardo
Chico-Fernández, Mario
Quintana-Díaz, Manuel
Pérez-Bárcena, Jon
Serviá-Goixart, Luís
Molina-Díaz, Ismael
Bringas-Bollada, María
Ruiz-Aguilar, Antonio Luis
Ballesteros-Sanz, María Ángeles
Llompart-Pou, Juan Antonio
author_sort Barea-Mendoza, Jesús Abelardo
collection PubMed
description Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015–December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample’s characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68–0.89) and 0.43 (0.37–0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified.
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spelling pubmed-87458252022-01-11 Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU Barea-Mendoza, Jesús Abelardo Chico-Fernández, Mario Quintana-Díaz, Manuel Pérez-Bárcena, Jon Serviá-Goixart, Luís Molina-Díaz, Ismael Bringas-Bollada, María Ruiz-Aguilar, Antonio Luis Ballesteros-Sanz, María Ángeles Llompart-Pou, Juan Antonio J Clin Med Article Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015–December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample’s characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68–0.89) and 0.43 (0.37–0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified. MDPI 2022-01-05 /pmc/articles/PMC8745825/ /pubmed/35012008 http://dx.doi.org/10.3390/jcm11010266 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Barea-Mendoza, Jesús Abelardo
Chico-Fernández, Mario
Quintana-Díaz, Manuel
Pérez-Bárcena, Jon
Serviá-Goixart, Luís
Molina-Díaz, Ismael
Bringas-Bollada, María
Ruiz-Aguilar, Antonio Luis
Ballesteros-Sanz, María Ángeles
Llompart-Pou, Juan Antonio
Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title_full Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title_fullStr Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title_full_unstemmed Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title_short Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
title_sort risk factors associated with mortality in severe chest trauma patients admitted to the icu
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745825/
https://www.ncbi.nlm.nih.gov/pubmed/35012008
http://dx.doi.org/10.3390/jcm11010266
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