ArticleAnnals of surgical treatment and research2015
Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution.
Article in Annals of surgical treatment and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of "hypotension on arrival" on required surgical disciplines and usage of damage control protocols in severely injured patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Investigating Factors Affecting Mortality Due to Spinal Cord Trauma in Patients Admitted to the Intensive Care Unit.Bulletin of emergency and trauma · 2024Article
- The efficacy of the "no zone" approach for the assessment of traumatic neck injury: a case-control study.Annals of surgical treatment and research · 2020Article
- Obese trauma patients have increased need for dialysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- A course on endovascular training for resuscitative endovascular balloon occlusion of the aorta: a pilot study for residents and specialists.Annals of surgical treatment and research · 2020Article
- Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea.Archives of plastic surgery · 2020Article
- Risk factors for death of trauma patients admitted to an Intensive Care Unit.Revista latino-americana de enfermagem · 2020Article
- A study of mortality risk factors among trauma referrals to trauma center, Shiraz, Iran, 2017.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2019Article
- Outcomes of selective surgery in patients with suspected small bowel injury from blunt trauma.Annals of surgical treatment and research · 2018Article
- The Epidemiology of Emergency Department Trauma Discharges in the United States.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Observational
- The Applicability of Trauma and Injury Severity Score for a Blunt Trauma Population in Korea and a Proposal of New Models Using Score Predictors.Yonsei medical journal · 2016Article
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Authors and funding
6 authors.
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Abstract
purposeThis study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea.
methodsWe reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity Score (ISS) > 15 between January 2010 and December 2012. Pearson chi-square tests and Student t-tests were conducted to examine the differences between the survived and deceased groups. To identify factors associated with mortality after severe trauma, multivariate logistic regression was performed.
resultsThere were 915 (743 survived and 172 deceased) enrolled patients with overall mortality of 18.8%. Age, blunt trauma, systolic blood pressure (SBP) at admission, Glasgow Coma Scale (GCS) at admission, head or neck Abbreviated Injury Scale (AIS) score, and ISS were significantly different between the groups. Age by point increase (odds ratio [OR], 1.016; P = 0.001), SBP ≤ 90 mmHg (OR, 2.570; P < 0.001), GCS score ≤ 8 (OR, 6.229; P < 0.001), head or neck AIS score ≥ 4 (OR, 1.912; P = 0.003), and ISS by point increase (OR, 1.042; P < 0.001) were significant risk factors.
conclusionIn severe trauma patients, age, initial SBP, GCS score, head or neck AIS score, and ISS were associated with mortality.
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