ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
The most critically injured polytrauma patient mortality: should it be a measurement of trauma system performance?
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- The outcomes of the most severe polytrauma patients: a systematic review of the use of high ISS cutoffs for performance measurement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Association between sustained moderate hyperglycemia within first 48 hours and poor functional outcome after polytrauma: A retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Development of a nomogram to predict in-hospital mortality of trauma patients in the ICU: an analysis of the MIMIC-IV database.Scientific reports · 2026Article
- Trends in Etiology and Mortality in Severe Polytrauma Patients with Traumatic Brain Injury: A 25-Year Retrospective Analysis.Journal of clinical medicine · 2025Article
- Injury severity-based discrepancies in severe trauma survival improvement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- TERMINAL-24 Score in Predicting Early and In-hospital Mortality of Trauma Patients; a Cross-sectional.Archives of academic emergency medicine · 2025Article
- Association of trauma classifications to long-term outcome in blunt trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Evaluation of IL-33R and Galectin-3 as New Biomarkers of Cardiac Damage after Polytrauma-Association with Cardiac Comorbidities and Risk Factors.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe risk of death after traumatic injury in developed trauma systems is at an all-time low. Among 'major trauma' patients (injury severity score, ISS > 15), the risk of dying is less than 10%. This group contains critical polytrauma patients (ISS 50-75), with high risks of death. We hypothesized that the reduction in trauma mortality was driven by reduction in moderate injury severity and that death from critical polytrauma remained persistently high.
methodsA 20-year retrospective analysis ending December 2021 of a Level-1 trauma center's registry was performed on all trauma patients admitted with ISS > 15. Patients' demographics, injury severity and outcomes were collected. Multivariate logistic regression analysis was performed. Mortality was examined for the entire study group and separately for the subset of critical polytrauma patients (ISS 50-75).
resultsA total of 8462 severely injured (ISS > 15) trauma patients were identified during the 20-year period. Of these 238 (2.8%) were critical polytrauma patients (ISS 50-75). ISS > 15 mortality decreased from 11.3 to 9.4% over the study period (Adjusted OR 0.98, 0.97-0.99). ISS 50-75 mortality did not change significantly (46.2-60.0%), adjusted OR 0.96, 0.92-1.00).
conclusionThe improvement in trauma mortality over the past 20 years has not been experienced equally. The ISS50-75 critical polytrauma mortality is a practical group to capture. It could be a group for deeper study and reporting to drive improvement.
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