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.
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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
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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