Citation

Yun L, Ding-Yuan D, Xu H, Dao-Kui X, Xiao-Yong X, Ji-Hong Z, Chao-Bing L. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2013; 35(1): 74-79.

Affiliation

Department of Cardiothoracic Surgery, the First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei 443003, China.

Copyright

(Copyright © 2013, Zhongguo yi xue ke xue yuan)

DOI

10.3881/j.issn.1000-503X.2013.01.014

PMID

23469795

Abstract

Objective To investigate the risk factors of mortality in patients with severe chest trauma(SCT). Methods The clinical data of 777 SCT [abbreviated injury scale (AIS) ≥3] patients who were treated in the Chongqing Emergency Medical Center from January 2006 to April 2009 were retrospectively reviewed. Stepwise logistic regression analysis was used to explore 15 possible mortality-related risk factors. Results Seven factors were found to be correlated with the mortality of SCT: age, hemorrhagic shock, multiple organ dysfunction syndrome (MODS), pulmonary infection, abdominal organ injury, Glasgow coma scale (GCS) score, and thorax AIS score. Among them five factors were the independent factors that might increase the mortality of SCT: hemorrhagic shock (B=1.710, OR=1.291, P=0.001), MODS (B=3.453, OR=1.028, P<0.001), pulmonary infection (B=2.396, OR=10.941, P<0.001), abdominal organ injury (B=1.542, OR=1.210, P=0.005), and thorax AIS score ≥4 (B=0.487, OR=1.622, P<0.001). Two factors showed protective effects: age ≤60 years (B=-0.035, OR=0.962, P=0.01) and GCS score ≥12 (B=-0.635, OR=0.320, P<0.001). Conclusions Age, disease severity, and complications (hemorrhagic shock, MODS, and pulmonary infection) are independent risk factors of the mortality of SCT. Effective treatment programs targeting these risk factors may improve the outcomes of SCT patients.

Language: en