Cargando…
Anatomical Injury Clusters in Polytrauma Patients
Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ≥ 16 and an age ≥ 16 years was includ...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912614/ https://www.ncbi.nlm.nih.gov/pubmed/36777917 http://dx.doi.org/10.26502/jsr.10020270 |
_version_ | 1784885243443937280 |
---|---|
author | Birri, Tanja Pape, Hans-Christoph Dennler, Cyrill Simmen, Hans-Peter Vomela, Jindrich Chaloupka, Richard Mica, Ladislav |
author_facet | Birri, Tanja Pape, Hans-Christoph Dennler, Cyrill Simmen, Hans-Peter Vomela, Jindrich Chaloupka, Richard Mica, Ladislav |
author_sort | Birri, Tanja |
collection | PubMed |
description | Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ≥ 16 and an age ≥ 16 years was included into this retrospective cohort study. Pearson’s correlation was performed amongst the AIS (Abbreviated Injury Scale) groups. The predictive quality was tested by ROC (Receiver Operating Curve) and their area under the curve. Independency was tested by the binary logistic regression, AIS ≥3 was taken as a significant injury. The analysis was conducted using IBM SPSS(®) 24.0. The highest predictive value was reached in the combination of thorax, abdomen, pelvis and spine injuries (ROC: abdomen for thorax 0.647, thorax for abdomen 0.621, pelvis for thorax 0.608, pelvis for abdomen 0.651, spine for thorax 0.617). The binary logistic regression revealed the anatomical regions thorax, abdomen pelvis and spine as per-mutative independent predictors for each other when a particular injury exceeded the AIS ≥3. The documented clusters of injuries in truncal trauma are crucial to define priorities in the polytrauma management. |
format | Online Article Text |
id | pubmed-9912614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
record_format | MEDLINE/PubMed |
spelling | pubmed-99126142023-02-10 Anatomical Injury Clusters in Polytrauma Patients Birri, Tanja Pape, Hans-Christoph Dennler, Cyrill Simmen, Hans-Peter Vomela, Jindrich Chaloupka, Richard Mica, Ladislav J Surg Res (Houst) Article Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ≥ 16 and an age ≥ 16 years was included into this retrospective cohort study. Pearson’s correlation was performed amongst the AIS (Abbreviated Injury Scale) groups. The predictive quality was tested by ROC (Receiver Operating Curve) and their area under the curve. Independency was tested by the binary logistic regression, AIS ≥3 was taken as a significant injury. The analysis was conducted using IBM SPSS(®) 24.0. The highest predictive value was reached in the combination of thorax, abdomen, pelvis and spine injuries (ROC: abdomen for thorax 0.647, thorax for abdomen 0.621, pelvis for thorax 0.608, pelvis for abdomen 0.651, spine for thorax 0.617). The binary logistic regression revealed the anatomical regions thorax, abdomen pelvis and spine as per-mutative independent predictors for each other when a particular injury exceeded the AIS ≥3. The documented clusters of injuries in truncal trauma are crucial to define priorities in the polytrauma management. 2022 2022-12-15 /pmc/articles/PMC9912614/ /pubmed/36777917 http://dx.doi.org/10.26502/jsr.10020270 Text en https://creativecommons.org/licenses/by/4.0/This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license 4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Article Birri, Tanja Pape, Hans-Christoph Dennler, Cyrill Simmen, Hans-Peter Vomela, Jindrich Chaloupka, Richard Mica, Ladislav Anatomical Injury Clusters in Polytrauma Patients |
title | Anatomical Injury Clusters in Polytrauma Patients |
title_full | Anatomical Injury Clusters in Polytrauma Patients |
title_fullStr | Anatomical Injury Clusters in Polytrauma Patients |
title_full_unstemmed | Anatomical Injury Clusters in Polytrauma Patients |
title_short | Anatomical Injury Clusters in Polytrauma Patients |
title_sort | anatomical injury clusters in polytrauma patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912614/ https://www.ncbi.nlm.nih.gov/pubmed/36777917 http://dx.doi.org/10.26502/jsr.10020270 |
work_keys_str_mv | AT birritanja anatomicalinjuryclustersinpolytraumapatients AT papehanschristoph anatomicalinjuryclustersinpolytraumapatients AT dennlercyrill anatomicalinjuryclustersinpolytraumapatients AT simmenhanspeter anatomicalinjuryclustersinpolytraumapatients AT vomelajindrich anatomicalinjuryclustersinpolytraumapatients AT chaloupkarichard anatomicalinjuryclustersinpolytraumapatients AT micaladislav anatomicalinjuryclustersinpolytraumapatients |