In Search of Benchmarking for Mortality Following Multiple Trauma: A Swiss Trauma Center Experience

Füglistaler-Montali, Ida; Attenberger, Corinna; Füglistaler, Philipp; Jacob, Augustinus Ludwig; Amsler, Felix; Groß, Thomas

doi:10.1007/s00268-009-0193-1

Cited by 15 publications

(4 citation statements)

References 123 publications

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“…In the present study, the overall mortality of patients with multiple traumas was 18.8%, which is similar to the findings of previous studies in which the mortality of patients with multiple traumas was 18.7%-22.8% [ 1 11 13 21 ]. Comparatively, in patients with trauma in one body region, global mortality is reportedly 0.5%-6% [ 22 ]; these results collectively indicate higher mortality in patients with multiple traumas.…”

Section: Discussionsupporting

confidence: 91%

Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution

Sim

Lee

et al. 2015

Ann Surg Treat Res

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PurposeThis study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea.MethodsWe reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity Score (ISS) > 15 between January 2010 and December 2012. Pearson chi-square tests and Student t-tests were conducted to examine the differences between the survived and deceased groups. To identify factors associated with mortality after severe trauma, multivariate logistic regression was performed.ResultsThere were 915 (743 survived and 172 deceased) enrolled patients with overall mortality of 18.8%. Age, blunt trauma, systolic blood pressure (SBP) at admission, Glasgow Coma Scale (GCS) at admission, head or neck Abbreviated Injury Scale (AIS) score, and ISS were significantly different between the groups. Age by point increase (odds ratio [OR], 1.016; P = 0.001), SBP ≤ 90 mmHg (OR, 2.570; P < 0.001), GCS score ≤ 8 (OR, 6.229; P < 0.001), head or neck AIS score ≥ 4 (OR, 1.912; P = 0.003), and ISS by point increase (OR, 1.042; P < 0.001) were significant risk factors.ConclusionIn severe trauma patients, age, initial SBP, GCS score, head or neck AIS score, and ISS were associated with mortality.

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Section: Discussionsupporting

confidence: 91%

Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution

Sim

Lee

et al. 2015

Ann Surg Treat Res

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“…Our series comprised 898 multiple trauma patients with a mean ISS of 21.3 and a mortality of 10.7 %. These figures are similar to those published in previous studies, which record mortality rates of 10 % for ISS B 15 and up to 20 % for ISS C 15 [16][17][18][19]. Patients who died had significantly higher mean ISS than the series as a whole (42 vs 21.3), but the ISS did not differ significantly between the different types of mortality (preventable, potentially preventable, and nonpreventable; see Table 1).…”

Section: Discussionsupporting

confidence: 89%

Impact of ATLS Training on Preventable and Potentially Preventable Deaths

et al. 2014

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“…Одним из лучших подходов к оказанию медицинской помощи больным с травмами является наличие травматологической команды в приемном отделении, действующей по стандартному алгоритму [33,34]. Объем действий должен включать в себя верную оценку тяжести состояния пациента, проведение реанимационных мероприятий и определение необходимой оперативной тактики [35,36].…”

Section: оценка степени тяжести политравмы и ортохирургический подходunclassified

Polytrauma: Definition of the Problem and Management Strategy (Review)

Prokazyuk

Жанаспаев

Aubakirova

et al. 2022

Obŝaâ reanimatologiâ

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Polytrauma is a highly relevant problem from both scientific and clinical perspectives due to its high mortality rate (>20% in young and middle-aged individuals and >45% in the elderly). The lack of consensus in the definition of polytrauma complicates data collection and comparison of available datasets. In addition, selection of the most appropriate management strategy determining the quality of medical care and magnitude of invested resources can be challenging.Aim of the review. To revisit the current definition of polytrauma and define the perspective directions for the diagnosis and management of patients with polytrauma.Material and methods. Based on the data of 93 selected publications, we studied the mortality trends in the trauma and main causes of lethal outcomes, analyzed the polytrauma severity scales and determined their potential flaws, examined the guidelines for choosing the orthosurgical strategy according to the severity of the patient’s condition.Results. The pattern of mortality trends in trauma directly depends on the adequacy of severity assessment and the quality of medical care. The Berlin definition of polytrauma in combination with a mCGS/PTGS scale most accurately classifies polytrauma into four severity groups. For the «stable» patients, the use of primary definitive osteosynthesis with internal fixation (early total care, or ETC) is the gold standard of treatment. For the «borderline» and «unstable» groups, no definitive unified strategy has been adopted. Meanwhile, in «critical» patients, priority is given to general stabilization followed by delayed major surgery (damage control orthopaedics, or DCO), which increases survival.Conclusion. The use of artificial intelligence and machine learning, which have been employed for more specific goals (predicting mortality and several common complications), seems reasonable for planning the management strategy in the «controversial» groups. The use of a clinical decision support system based on a unified patient registry could improve the quality of care for polytrauma, even by less experienced physicians.

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In Search of Benchmarking for Mortality Following Multiple Trauma: A Swiss Trauma Center Experience

Cited by 15 publications

References 123 publications

Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution

Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution

Impact of ATLS Training on Preventable and Potentially Preventable Deaths

Polytrauma: Definition of the Problem and Management Strategy (Review)

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