ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2009
The Severity of Injury and the Extent of Hemorrhagic Shock Predict the Incidence of Infectious Complications in Trauma Patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Observational
- Research and predictive analysis of the disease burden of bloodstream infectious diseases in China.BMC infectious diseases · 2025Article
- Evaluation of critical care burden following traumatic injury from two randomized controlled trials.Scientific reports · 2023Article
- Six-year national study of damage control laparotomy and the effect of repeat re-exploration on rate of infectious complications.Trauma surgery & acute care open · 2021Article
- Damage-associated molecular patterns in trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Review
- Predictive ability of the ISS, NISS, and APACHE II score for SIRS and sepsis in polytrauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2012Article
- Impact of advanced age on outcomes following damage control interventions for trauma.World journal of surgery · 2012Article
- Circulating leukotriene B4 identifies respiratory complications after trauma.Mediators of inflammation · 2012Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma patients are at high risk of developing systemic inflammatory response syndrome (SIRS) and infections. The aim of this study was to evaluate the influence of the severity of injury and the extent of hemorrhagic shock at admission on the incidence of SIRS, infection and septic complications.
methodsA total of 972 patients who had an injury severity score (ISS) of ≥ 17, survived more than 72 h, and were admitted to a level I trauma center within 24 h after trauma were included in this retrospective analysis. SIRS, sepsis and infection rates were measured in patientswith different severities of injury as assessed by ISS, or with various degrees of hemorrhagic shock according to ATLS(®) guidelines, andwere compared using both uni- and multivariate analysis.
resultsInfection rates and septic complications increase significantly (p < 0.001) with higher ISS. Severe hemorrhagic shock on admission is associated with a higher rate of infection (72.8%) and septic complications (43.2%) compared to mild hemorrhagic shock (43.4%, p < 0.001 and 21.7%, p < 0.001, respectively).
conclusionThe severity of injury and the severity of hemorrhagic shock are risk factors for infectious and septic complications. Early diagnostic and adequate therapeutic work up with planned early "second look" interventions in such high-risk patients may help to reduce these common posttraumatic complications.
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