J Korean Soc Traumatol.  2015 Sep;28(3):134-143. 10.0000/jti.2015.28.3.134.

Evaluation the Usefulness of Individual factors for Determining the Severity and Predicting Prognosis of Trauma Victims

• Kim SY
• So BH
• Kim HM
• Jeong WJ
• Cha KM
• Choi SP

• KMID: 2224052
• DOI: http://doi.org/10.0000/jti.2015.28.3.134

Abstract

PURPOSE
Many patients are injured by trauma. And some of them expire due to severity of trauma. Various scoring systems have been introduced in grading severity and predicting mortality of trauma patients. This study is to evaluation the usefulness of factors for determining the severity and predicting the prognosis of the trauma victims.
METHODS
Data on the patients who visited our Emergency departments from January 2010 to December 2011 were retrospectively reviewed using electronic medical records. The patients were activated severe trauma team calling system. The patients were categorized as survivors and non-survivors. Univariated associations were calculated, and a multiple logistic regression analysis was used to determine variables associated with hospital mortality.
RESULTS
Two hundred sixty two(262) patients were enrolled, and the mortality rate was 25.6%. By multivariate analysis, lower respiration rate, lower Glasgow Coma Score, higher International Normalized Ratio and emergency transfusion within 6 hours were expected as severity and prognosis predict factors (each of odds ratio were 24.907, 14.282, 2.667 and 16.144).
CONCLUSION
As predict factors, respiration rate, Glasgow Coma Score, International Normalized Ratio and emergency transfusion, are useful determining the severity and predicting prognosis of trauma victims.

Keyword

Trauma; Injury severity score; Mortality

MeSH Terms

Coma
Electronic Health Records
Emergencies
Emergency Service, Hospital
Hospital Mortality
Humans
Injury Severity Score
International Normalized Ratio
Logistic Models
Mortality
Multivariate Analysis
Odds Ratio
Prognosis*
Respiratory Rate
Retrospective Studies
Survivors