ArticleJournal of clinical medicine2022
Multifactorial Shock: A Neglected Situation in Polytrauma Patients.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- The escalating burden of cyclist road injuries among reproductive-aged women in china: a longitudinal and gender-specific analysis of the global burden of disease study 1990-2021.BMC public health · 2025Article
- Risk factors for posttraumatic stress disorder in patients with multiple injuries and its relationship with anxiety and depression.World journal of psychiatry · 2025Article
- Early initiated noradrenaline versus fluid therapy for hypotension and shock in the emergency department (VASOSHOCK): a protocol for a pragmatic, multi-center, superiority, randomized controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Development of a nomogram for individualized prediction of acute gastrointestinal injury in polytrauma patients.BMC research notes · 2024Article
- Tim-3 pathway dysregulation and targeting in sepsis-induced immunosuppression.European journal of medical research · 2024Review
- Is polytrauma really just a simple accident? Recurrent characteristic of polytrauma.Archives of public health = Archives belges de sante publique · 2024Article
- The different paradigms of NK cell death in patients with severe trauma.Cell death & disease · 2024Article
- Airway breathing circulation dengue: a case of multifactorial shock due to major trauma and severe dengue infection.International journal of emergency medicine · 2024Article
- Evaluation of the role of repeated inferior vena cava sonography in estimating first 24 h fluid requirement in resuscitation of major blunt trauma patients in emergency department Suez Canal University Hospital.BMC emergency medicine · 2024Article
- Prevalence and Risk Factors of Deep Venous Thrombosis in Intensive Inpatient Neurorehabilitation Unit.Healthcare (Basel, Switzerland) · 2024Article
- Risk Estimation of Deep Venous Thrombosis in Polytrauma Patients with Traumatic Brain Injury: A Nomogram Approach.Risk management and healthcare policy · 2024Article
- Critical Care Echocardiography-A Driven Approach to Undifferentiated Shock.Texas Heart Institute journal · 2023Review
- Venous Thrombus Embolism in Polytrauma: Special Attention to Patients with Traumatic Brain Injury.Journal of clinical medicine · 2023Article
- Temporary intravascular shunts and limb salvage in civilian vascular trauma.Frontiers in surgery · 2023Article
- From trauma to chronicity: Understanding the incidence and early immune changes of chronic complications in polytrauma patients.Science progressObservational
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Authors and funding
17 authors at 4 institutions in 1 country.
Funding
Abstract
Background: Shock after traumatic injury is likely to be hypovolemic, but different types of shock (distributive shock, obstructive shock, or cardiogenic shock) can occur in combination, known as multifactorial shock. Multifactorial shock is a neglected area of study, and is only reported sporadically. Little is known about the incidence, characteristics, and outcomes of multifactorial shock after polytrauma. Methods: A retrospective, observational, multicenter study was conducted in four Level I trauma centers involving 1051 polytrauma patients from June 2020 to April 2022. Results: The mean Injury Severity Score (ISS) was 31.1, indicating a severely injured population. The most common type of shock in the early phase after polytrauma (≤48 h) is hypovolemic shock (83.2%), followed by distributive shock (14.4%), obstructive shock (8.7%), and cardiogenic shock (3.8%). In the middle phase after polytrauma (>48 h or ≤14 days), the most common type of shock is distributive shock (70.7%), followed by hypovolemic shock (27.2%), obstructive shock (9.9%), and cardiogenic shock (7.2%). Multifactorial shock accounted for 9.7% of the entire shock population in the early phase and 15.2% in the middle phase. In total, seven combinations of multifactorial shock were described. Patients with multifactorial shock have a significantly higher complication rate and mortality than those with single-factor shock. Conclusions: This study characterizes the incidence of various types of shock in different phases after polytrauma and emphasizes that different types of shock can occur simultaneously or sequentially in polytrauma patients. Multifactorial shock has a relatively high incidence and mortality in polytrauma patients, and trauma specialists should be alert to the possibility of their occurrence.
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