Factors affecting mortality of critical care trauma patients
Background: Critically-ill trauma patients have a high mortality. Objective: To study the factors affecting the mortality of ICU trauma patients treated at Al-Ain Hospital, United Arab Emirates (UAE). Methods: All trauma patients who were admitted to the ICU were prospectively collected over three y...
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Veröffentlicht in: | African health sciences 2013-09, Vol.13 (3), p.731-735 |
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Sprache: | eng |
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Zusammenfassung: | Background: Critically-ill trauma patients have a high mortality.
Objective: To study the factors affecting the mortality of ICU trauma
patients treated at Al-Ain Hospital, United Arab Emirates (UAE).
Methods: All trauma patients who were admitted to the ICU were
prospectively collected over three years (2003-2006). Univariate and
multivariate analysis were used to compare patients who died and who
did not. Gender, age, nationality,mechanism of injury, systolic blood
pressure and GCS on arrival, the need for ventilation, presence of head
or chest injuries,AIS for the chest and head injuries and the ISS were
studied. Results: There were 202 patients (181 males). The most common
mechanism of injury was road traffic collisions (72.3 %).The overall
mortality was 13.9%. A direct logistic regression model has shown that
factors that affected mortality were decreased GCS (p < 0.0001),
mechanism of injury (p = 0.004) with burns having the highest
mortality, increased age (p =0.004), and increased ISS (p = 0.02). The
best GCS that predicted mortality was 5.5 while the best ISS that
predicted mortality was 13.5. Conclusion: Road traffic collision is the
most common cause of serious trauma in UAE followed by falls. Decreased
GCS was the most significant factor that predicted mortality in the ICU
trauma patients. |
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ISSN: | 1680-6905 1729-0503 1680-6905 |
DOI: | 10.4314/ahs.v13i3.30 |