Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score
Objective Multiple trauma is associated with a remarkable risk of in-hospital complications, which harm healthcare services and patients. This study aimed to assess the incidence of posttrauma complications, their relationship with poor outcomes, and the effect of the Injury Severity Score (ISS) on...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2023-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-23-053.pdf |
| _version_ | 1797354449322115072 |
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| author | Shayan Dasdar Mahmoud Yousefifard Mehri Farhang Ranjbar Mehdi Forouzanfar Hamid Mazloom Saeed Safari |
| author_facet | Shayan Dasdar Mahmoud Yousefifard Mehri Farhang Ranjbar Mehdi Forouzanfar Hamid Mazloom Saeed Safari |
| author_sort | Shayan Dasdar |
| collection | DOAJ |
| description | Objective Multiple trauma is associated with a remarkable risk of in-hospital complications, which harm healthcare services and patients. This study aimed to assess the incidence of posttrauma complications, their relationship with poor outcomes, and the effect of the Injury Severity Score (ISS) on their occurrence. Methods This retrospective cohort study was conducted at a pair of trauma centers, between January 2020 and December 2022. All hospitalized adult patients with multiple trauma were included in this study. Multivariable logistic regression was used to identify factors related to posttrauma complications. Results Among 727 multiple trauma patients, 90 (12.4%) developed in-hospital complications. The most frequent complications were pneumonia (4.8%), atelectasis (3.7%), and superficial surgical site infection (2.5%). According to multivariable logistic regression, ISS, the length of stay in the intensive care unit (ICU), the length of stay in the hospital, and mortality were significantly associated with complications. The complication rate increased by 17% with every single-unit increase in ISS (adjusted odds ratio [OR], 1.17; 95% confidence interval [CI], 1.00–1.38). Per every 1-day increase in the ICU or hospital stay, the complication rate increased by 65% (adjusted OR, 1.65; 95% CI, 1.00–2.73) and 20% (adjusted OR, 1.20; 95% CI, 1.03–1.41), respectively. Posttrauma complications were also significantly more common in patients with mortality (adjusted OR, 163.30; 95% CI, 3.04–8,779.32). In multiple trauma patients with a higher ISS, the frequency, severity, and number of complications were significantly increased. Conclusion In-hospital complications in multiple trauma patients are frequent and associated with poor outcomes and mortality. ISS is an important factor associated with posttrauma complications. |
| first_indexed | 2024-03-08T13:49:34Z |
| format | Article |
| id | doaj.art-b4caf2a97d414d7ba02ca683b89154f5 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-03-08T13:49:34Z |
| publishDate | 2023-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-b4caf2a97d414d7ba02ca683b89154f52024-01-16T06:04:49ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252023-12-0110441041710.15441/ceem.23.053482Frequency of posttrauma complications during hospital admission and their association with Injury Severity ScoreShayan Dasdar0Mahmoud Yousefifard1Mehri Farhang Ranjbar2Mehdi Forouzanfar3Hamid Mazloom4Saeed Safari5 Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran Research Center for Trauma in Police Operations, Directorate of Health, Rescue and Treatment, Police Headquarter, Tehran, Iran Department of Emergency, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Department of Emergency, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranObjective Multiple trauma is associated with a remarkable risk of in-hospital complications, which harm healthcare services and patients. This study aimed to assess the incidence of posttrauma complications, their relationship with poor outcomes, and the effect of the Injury Severity Score (ISS) on their occurrence. Methods This retrospective cohort study was conducted at a pair of trauma centers, between January 2020 and December 2022. All hospitalized adult patients with multiple trauma were included in this study. Multivariable logistic regression was used to identify factors related to posttrauma complications. Results Among 727 multiple trauma patients, 90 (12.4%) developed in-hospital complications. The most frequent complications were pneumonia (4.8%), atelectasis (3.7%), and superficial surgical site infection (2.5%). According to multivariable logistic regression, ISS, the length of stay in the intensive care unit (ICU), the length of stay in the hospital, and mortality were significantly associated with complications. The complication rate increased by 17% with every single-unit increase in ISS (adjusted odds ratio [OR], 1.17; 95% confidence interval [CI], 1.00–1.38). Per every 1-day increase in the ICU or hospital stay, the complication rate increased by 65% (adjusted OR, 1.65; 95% CI, 1.00–2.73) and 20% (adjusted OR, 1.20; 95% CI, 1.03–1.41), respectively. Posttrauma complications were also significantly more common in patients with mortality (adjusted OR, 163.30; 95% CI, 3.04–8,779.32). In multiple trauma patients with a higher ISS, the frequency, severity, and number of complications were significantly increased. Conclusion In-hospital complications in multiple trauma patients are frequent and associated with poor outcomes and mortality. ISS is an important factor associated with posttrauma complications.http://www.ceemjournal.org/upload/pdf/ceem-23-053.pdfwounds and injuriesmultiple traumatrauma severity indicescomplications |
| spellingShingle | Shayan Dasdar Mahmoud Yousefifard Mehri Farhang Ranjbar Mehdi Forouzanfar Hamid Mazloom Saeed Safari Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score Clinical and Experimental Emergency Medicine wounds and injuries multiple trauma trauma severity indices complications |
| title | Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score |
| title_full | Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score |
| title_fullStr | Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score |
| title_full_unstemmed | Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score |
| title_short | Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score |
| title_sort | frequency of posttrauma complications during hospital admission and their association with injury severity score |
| topic | wounds and injuries multiple trauma trauma severity indices complications |
| url | http://www.ceemjournal.org/upload/pdf/ceem-23-053.pdf |
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