Predictors of In-Hospital Mortality of Trauma Patients Injured in Vehicle Accidents

This article reports on study of the identification and assessment of factors that predict in-hospital mortality of trauma patients injured in vehicle accidents.The authors reviewed the Trauma Registry data of Herakleion University Hospital, a level I trauma center in Crete, Greece. All 730 consecutive, adult motor-vehicle trauma patients admitted to the hospital from 1997 to 2000 were included in the study. Variables included in the analysis were: sex, age, mechanism of injury, injuries per anatomic region, initial vital signs, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and the final outcome. The results demonstrated a mortality rate was 4.8% (n=35). Independent predictors of the in-hospital mortality of patients were age greater than or equal to 60 years, ISS greater than or equal to 18, being a pedestrian, and craniocerebral injuries, thoracic, or abdominal injuries. The authors conclude with a brief discussion of the importance of these findings in identifying those patients at higher risk of dying, to increase the pre-hospital, emergency departments, and in-hospital care of these patients. In addition, the authors call for local injury prevention programs to reduce accident rates.

• Authors:
  • Markogiannakis, Haridimos
  • Sanidas, Elias
  • Messaris, Evangelos
  • Koutentakis, Dimitrios
  • Alpantaki, Kalliopi
  • Kafetzakis, Alexandros
  • Tsiftsis, Dimitrios
• Publication Date: 2008

Language

• English

Media Info

• Media Type: Print
• Features: References; Tables;
• Pagination: pp 125-131
• Serial:
  • Turkish Journal of Trauma & Emergency Surgery
  • Volume: 14
  • Issue Number: 2
  • Publisher: Turkish Association of Trauma and Emergency Surgery

Subject/Index Terms

• TRT Terms: Age groups; Crash injuries; Crashes; Emergency medical services; Fatalities; Injury severity; Pedestrians; Traffic crashes
• Identifier Terms: Glasgow Coma Scale; Injury Severity Scale
• Uncontrolled Terms: Hospital care; Mortality
• Geographic Terms: Crete (Greece); Greece
• Subject Areas: Highways; Pedestrians and Bicyclists; Safety and Human Factors; Society; I84: Personal Injuries;

Filing Info

• Accession Number: 01105314
• Record Type: Publication
• Files: TRIS
• Created Date: Jul 30 2008 8:10AM