Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU

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dc.contributor.authorBarea-Mendoza, Jesús Abelardo
dc.contributor.authorChico-Fernández, Mario
dc.contributor.authorQuintana-Díaz, Manuel
dc.contributor.authorPérez-Bárcena, Jon
dc.contributor.authorServià Goixart, Lluís
dc.contributor.authorMolina-Díaz, Ismael
dc.contributor.authorBringas-Bollada, María
dc.contributor.authorRuiz-Aguilar, Antonio Luis
dc.contributor.authorBallesteros Sanz, María Ángeles
dc.contributor.authorLlompart-Pou, Juan Antonio
dc.date.accessioned2022-01-12T08:01:11Z
dc.date.available2022-01-12T08:01:11Z
dc.date.issued2022-01-05
dc.date.updated2022-01-12T08:01:12Z
dc.description.abstractOur objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015-December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample's characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68-0.89) and 0.43 (0.37-0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified.
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.3390/jcm11010266
dc.identifier.idgrec031950
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10459.1/72707
dc.language.isoeng
dc.publisherMDPI
dc.relation.isformatofReproducció del document publicat a: https://doi.org/10.3390/jcm11010266
dc.relation.ispartofJournal Of Clinical Medicine, 2022, vol. 11, núm. 1, p. 266
dc.rightscc-by (c) authors, 2022
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectChest trauma
dc.subjectThoracic trauma
dc.subjectSevere trauma
dc.subjectIntensive care
dc.subjectRisk factors
dc.subjectRETRAUCI
dc.titleRisk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
dc.typeinfo:eu-repo/semantics/article
dc.type.versionpublishedVersion
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