TY  - JOUR
PY  - 2020//
TI  - Independent predictors of mortality in torso trauma injuries
JO  - Journal of clinical medicine
A1  - Bini, Roberto
A1  - Accardo, Caterina
A1  - Granieri, Stefano
A1  - Sammartano, Fabrizio
A1  - Cimbanassi, Stefania
A1  - Renzi, Federica
A1  - Bindi, Francesca
A1  - Briani, Laura
A1  - Chiara, Osvaldo
SP  - e3202
EP  - e3202
VL  - 9
IS  - 10
N2  - Noncompressible torso injuries (NCTIs) represent a trauma-related condition with high lethality. This study's aim was to identify potential prediction factors of mortality in this group of trauma patients at a Level 1 trauma center in Italy.     MATERIALS AND METHODS: A total of 777 patients who had sustained a noncompressible torso injury (NCTI) and were admitted to the Niguarda Trauma Center in Milan from 2010 to 2019 were included. Of these, 166 patients with a systolic blood pressure (SBP) <90 mmHg were considered to have a noncompressible torso hemorrhage (NCTH). Demographic data, mechanism of trauma, pre-hospital and in-hospital clinical conditions, diagnostic/therapeutic procedures, and survival outcome were retrospectively recorded.     RESULTS: Among the 777 patients, 69% were male and 90.2% sustained a blunt trauma with a median age of 43 years. The comparison between survivors and non-survivors pointed out a significantly lower pre-hospital Glasgow coma scale (GCS) and SBP (p < 0.001) in the latter group. The multivariate backward regression model identified age, pre-hospital GCS and injury severity score (ISS) (p < 0.001), pre-hospital SBP (p = 0.03), emergency department SBP (p = 0.039), performance of torso contrast enhanced computed tomography (CeCT) (p = 0.029), and base excess (BE) (p = 0.008) as independent predictors of mortality.     CONCLUSIONS: Torso trauma patients who were hemodynamically unstable in both pre- and in-hospital phases with impaired GCS and BE had a greater risk of death. The detection of independent predictors of mortality allows for the timely identification of a subgroup of patients whose chances of survival are reduced.<p />  <p>Language: en</p>
LA  - en
SN  - 2077-0383
UR  - http://dx.doi.org/10.3390/jcm9103202
ID  - ref1
ER  -