Risk factors of mortality in patients with severe chest trauma
10.3760/cma.j.issn.1001-8050.2012.05.013
- VernacularTitle:严重胸部创伤患者死亡危险因素分析
- Author:
Yun LIU
;
Xiaoyong XIANG
;
Dingyuan DU
;
Jihong ZHOU
;
Weimin ZHANG
;
Lingwen KONG
- Publication Type:Journal Article
- Keywords:
Thorax;
Mortality;
Risk factors
- From:
Chinese Journal of Trauma
2012;28(6):529-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors affecting the mortality in patients with severe chest trauma (SCT).Methods A total of 777 patients with SCT (AIS≥ 3) treated at Chongqing Emergency Medical Center from January 2006 to April 2009 were involved for retrospective study.Multivariate stepwise logistic regression analysis was used to analyze 15 possible risk factors affecting their mortality.Results The factors affecting mortality in patients with SCT included hemorrhagic shock (X6,B =1.710,OR =1.291,P＜0.01),multiple organ dysfunction syndrome (MODS) (X7,B=3.453,OR =1.028,P＜0.01 ),pulmonary infection ( X9,B =2.396,OR=10.941,P ＜ 0.01 ),abdominal organ injury (X11,B=1.542,OR=1.210,P＜0.01) and thoracic AIS ≥3 (X14,B =0.487,OR =1.622,P＜0.01 ).While the protective factors affecting mortality in patients with SCT contained age ≤60 years old (X1,B =-0.035,OR =0.962,P＜0.05) and GCS≥12 (X13,B=- 0.635,OR=0.530,P＜0.05).Conclusions The age,posttraumatic complications (hemorrhagic shock,MODS,pulmonary infection)and accurate diagnosis and evaluation of trauma severity are the related factors to predict the prognosis.Development of effective treatment measures based on these risk factors plays a key role in the survival rate of patients with SCT.
