ArticleScientific reports2018
Mechanical complications and outcomes following invasive emergency procedures in severely injured trauma patients.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Closed Tube Thoracostomy Morbidity Rate in a Philippine Tertiary Government Hospital: 6-Year Review.Acta medica Philippina · 2025Article
- In-hospital mortality after prehospital endotracheal intubation versus alternative methods of airway management in trauma patients. A cohort study from the TraumaRegister DGU®.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Epidemiological Analysis of the Emergency Vascular Access in Pediatric Trauma Patients: Single-Center Experience of Intravenous, Intraosseous, Central Venous, and Arterial Line Placements.Children (Basel, Switzerland) · 2023Article
- Post-mortem computed tomography assessment of medical support device position following fatal trauma: a single-center experience.Emergency radiology · 2022Article
- Risk factors and outcomes of unrecognised endobronchial intubation in major trauma patients.Emergency medicine journal : EMJ · 2022Article
- Nonocclusive mesenteric ischemia secondary to spinal cord injury: an autopsy case.Spinal cord series and cases · 2021Article
- Risk of contrast extravasation with vascular access in computed tomography.Emergency radiology · 2020Article
- [Resuscitation room management for trauma patients].Der Anaesthesist · 2019Article
- [Relevant incidental findings and iatrogenic injuries : A retrospective analysis of 1165 resuscitation room patients].Der Anaesthesist · 2018Article
- Airway management in pre-hospital critical care: a review of the evidence for a 'top five' research priority.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Review
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimes to determine the complication rates, possible risk factors and outcomes of emergency procedures performed during resuscitation of severely injured patients. The medical records of patients with an injury severity score (ISS) >15 admitted to the University Hospital Leipzig from 2010 to 2015 were reviewed. Within the first 24 hours of treatment, 526 patients had an overall mechanical complication rate of 26.2%. Multivariate analysis revealed out-of-hospital airway management (OR 3.140; 95% CI 1.963-5.023; p < 0.001) and ISS (per ISS point: OR 1.024; 95% CI 1.003-1.045; p = 0.027) as independent predictors of any mechanical complications. Airway management complications (13.2%) and central venous catheter complications (11.4%) were associated with ISS >32.5 (p < 0.001) and ISS >33.5 (p = 0.005), respectively. Chest tube complications (15.8%) were associated with out-of-hospital insertion (p = 0.002) and out-of-hospital tracheal intubation (p = 0.033). Arterial line complications (9.4%) were associated with admission serum lactate >4.95 mmol/L (p = 0.001) and base excess <-4.05 mmol/L (p = 0.008). In multivariate analysis, complications were associated with an increased length of stay in the intensive care unit (p = 0.019) but not with 24 hour mortality (p = 0.930). Increasing injury severity may contribute to higher complexity of the individual emergency treatment and is thus associated with higher mechanical complication rates providing potential for further harm.
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