ArticleTrauma surgery & acute care open2017
Prognostic predictors of early mortality from exsanguination in adult trauma: a Malaysian trauma center experience.
Article in Trauma surgery & acute care open, 2017. 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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11 citing papers in PubMed, 21 citations in OpenAlex.
- Incidence and predictors of early mortality among trauma patients visiting emergency departments of referral hospitals in west Amhara region, Ethiopia.Scientific reports · 2026Observational
- Prehospital care utilization and associated factors among trauma patients during armed conflict: A mixed-methods study in west Amhara, Ethiopia referral hospitals.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- High trauma mortality and severe injury burden in Pakistan: epidemiology, surgical interventions, and in-hospital care from a digital hospital-based trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Evaluating the Shock Index, Revised Assessment of Bleeding and Transfusion (RABT), Assessment of Blood Consumption (ABC) and novel PTTrauma score to predict critical transfusion threshold (CAT) in penetrating thoracic trauma.Scientific reports · 2024Observational
- 24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study.BMC surgery · 2023Article
- Incidence and predictors of mortality among adult trauma patients admitted to the intensive care units of comprehensive specialized hospitals in Northwest Ethiopia.European journal of medical research · 2023Article
- Shock index as a prognosticator for emergent surgical intervention and mortality in trauma patients in Johannesburg: A retrospective cohort study.Annals of medicine and surgery (2012) · 2021Article
- Quality Improvement Project of a Massive Transfusion Protocol (MTP) to Reduce Wastage of Blood Components.International journal of environmental research and public health · 2021Review
- Critical adjustments and trauma surgery trends in adaptation to COVID-19 pandemic in Malaysia.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Article
- Clinical characteristics of 1653 injured motorcyclists and factors that predict mortality from motorcycle crashes in Malaysia.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2019Article
- Validation of the trauma mortality prediction scores from a Malaysian population.Burns & trauma · 2017Article
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5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma mortality due to exsanguination is the second most common cause of death. The objective of this study is to investigate the predictors for early death from exsanguination.
methodsA prognostic study was done to identify predictors of early mortality due to exsanguination. Data were extracted from our Trauma Surgery Registry database of Sultanah Aminah Hospital, Johor Bahru, Malaysia. All patients who were treated from May 1, 2011 to April 31, 2014 by the trauma team were included. Adult trauma patients included from the Trauma Surgery Registry were divided into two groups for analysis: early death from exsanguination and death from non-exsanguination/survivors. Univariate and multivariate analysis was performed to look for significant predictors of death from exsanguination. Variables analyzed were demography, mechanism of injury, organ injury scale, physiological parameters (systolic blood pressure (SBP), respiratory rate, heart rate, temperature), Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), New Injury Severity Score (NISS), Trauma and Injury Severity Score (TRISS) and cause of death.
resultsA total of 2208 patients with an average age of 36 (±16) years were included. Blunt trauma was the majority with 90.5%, followed by penetrating injuries (9.2%). The overall mortality is 239 out of 2208 (10.8%). Seventy-eight patients (32.6%) died due to central nervous system injury, 69 due to sepsis (28.9%) and 58 due to exsanguination (24.3%). After multivariate analysis, age (OR 1.026 (1.009 to 1.044), p=0.002), SBP (OR 0.985 (0.975 to 0.995), p=0.003) and temperature (OR 0.203 (0.076 to 0.543), p=0.001) were found to be the significant physiological parameters. Intra-abdominal injury and NISS were significant anatomic mortality predictors from exsanguination (p<0.001). Patients with intra-abdominal injury had four times higher risk of mortality from exsanguination (OR 3.948 (2.331 to 6.686), p<0.001). DISCUSSION: In a Malaysian trauma center, age, SBP, core body temperature, intra-abdominal injury and NISS were significant predictors of early death from exsanguination. LEVEL OF EVIDENCE: II.
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