Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU
Our 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 pati...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/1/266 |
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| author | Jesús Abelardo Barea-Mendoza Mario Chico-Fernández Manuel Quintana-Díaz Jon Pérez-Bárcena Luís Serviá-Goixart Ismael Molina-Díaz María Bringas-Bollada Antonio Luis Ruiz-Aguilar María Ángeles Ballesteros-Sanz Juan Antonio Llompart-Pou on behalf of the Neurointensive Care and Trauma Working Group of the Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC) |
| author_facet | Jesús Abelardo Barea-Mendoza Mario Chico-Fernández Manuel Quintana-Díaz Jon Pérez-Bárcena Luís Serviá-Goixart Ismael Molina-Díaz María Bringas-Bollada Antonio Luis Ruiz-Aguilar María Ángeles Ballesteros-Sanz Juan Antonio Llompart-Pou on behalf of the Neurointensive Care and Trauma Working Group of the Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC) |
| author_sort | Jesús Abelardo Barea-Mendoza |
| collection | DOAJ |
| description | Our 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) (<i>p</i> < 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 (<i>p</i> < 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. |
| first_indexed | 2024-03-10T03:35:30Z |
| format | Article |
| id | doaj.art-30fa20e38c704e31a5916b9ba5e8713f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:35:30Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-30fa20e38c704e31a5916b9ba5e8713f2023-11-23T11:46:17ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111126610.3390/jcm11010266Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICUJesús Abelardo Barea-Mendoza0Mario Chico-Fernández1Manuel Quintana-Díaz2Jon Pérez-Bárcena3Luís Serviá-Goixart4Ismael Molina-Díaz5María Bringas-Bollada6Antonio Luis Ruiz-Aguilar7María Ángeles Ballesteros-Sanz8Juan Antonio Llompart-Pou9on behalf of the Neurointensive Care and Trauma Working Group of the Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC)UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainUCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainServicio de Medicina Intensiva, Hospital Universitario La Paz, 28046 Madrid, SpainServei de Medicina Intensiva, Hospital Universitari Son Espases, Institut d’Investigació Sanitària Illes Balears (IdISBa), 07120 Palma de Mallorca, SpainServei de Medicina Intensiva, Hospital Universitari Arnau de Vilanova, Universitat de Lleida, IRBLleida, 25198 Lleida, SpainServicio de Medicina Intensiva, Hospital Universitario Nuestra Señora de la Candelaria, 38010 Santa Cruz de Tenerife, SpainServicio de Medicina Intensiva, Hospital Clínico Universitario San Carlos, 28040 Madrid, SpainServicio de Medicina Intensiva, Hospital Universitario Miguel Servet, 50009 Zaragoza, SpainServicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, 39008 Santander, SpainServei de Medicina Intensiva, Hospital Universitari Son Espases, Institut d’Investigació Sanitària Illes Balears (IdISBa), 07120 Palma de Mallorca, SpainOur 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) (<i>p</i> < 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 (<i>p</i> < 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.https://www.mdpi.com/2077-0383/11/1/266chest traumathoracic traumasevere traumaintensive carerisk factorsRETRAUCI |
| spellingShingle | Jesús Abelardo Barea-Mendoza Mario Chico-Fernández Manuel Quintana-Díaz Jon Pérez-Bárcena Luís Serviá-Goixart Ismael Molina-Díaz María Bringas-Bollada Antonio Luis Ruiz-Aguilar María Ángeles Ballesteros-Sanz Juan Antonio Llompart-Pou on behalf of the Neurointensive Care and Trauma Working Group of the Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC) Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU Journal of Clinical Medicine chest trauma thoracic trauma severe trauma intensive care risk factors RETRAUCI |
| title | Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU |
| title_full | Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU |
| title_fullStr | Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU |
| title_full_unstemmed | Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU |
| title_short | Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU |
| title_sort | risk factors associated with mortality in severe chest trauma patients admitted to the icu |
| topic | chest trauma thoracic trauma severe trauma intensive care risk factors RETRAUCI |
| url | https://www.mdpi.com/2077-0383/11/1/266 |
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