Title of article :
Does a given abbreviated injury scale value in different body regions contribute to the same risks of in-hospital mortality and ICU admission in trauma patients?
Author/Authors :
Khavandegar ، Armin Sina Trauma and Surgery Research Center - Tehran University of Medical Science , Miratashi Yazdi ، Amir Department of General Surgery - Sina Hospital - Tehran University of Medical Sciences , Salamati ، Payman Sina Trauma and Surgery Research Center - Tehran University of Medical Science , Zafarghandi ، Mohammadreza Sina Trauma and Surgery Research Center - Tehran University of Medical Science , Rahimi-Movaghar ، Vafa Sina Trauma and Surgery Research Center - Tehran University of Medical Science , Fakharian ، Esmaeil Trauma Research Center - Kashan University of Medical Sciences , Saeed-Banadaky ، Houssein Trauma Research Center, Rahnemoon Hospital, School of Medicine - Shahid Sadoughi University of Medical Sciences , Hoseinpour ، Vahid Department of Emergency Medicine - School of Medicine - Urmia University of Medical Sciences , Sadeghian ، Farideh Center for Health-related Social and Behavioral Sciences Research - Shahroud University of Medical Sciences Shahroud , Nasr Isfahani ، Mehdi Department of Emergency Medicine - Faculty of Medicine - Isfahan University of Medical Sciences , Rahmanian ، Vahid Research Center for Social Determinants of Health - Jahrom University of Medical Sciences , Ghadiphasha ، Amir Shahid Modarres Hospital - Saveh University of Medical Sciences , Pourmasjedi ، Sobhan Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences , Aali ، Rahim Department of Environmental Health - School of Health Research Center for Environmental Pollutants - Qom University of Medical Sciences qom , Kogani ، Mohamad Research Center for Environmental Contaminants (RCEC) - Abadan University of Medical Sciences , Sadeghi-Bazargani ، Homayoun Road Traffic Injury Research Center - Tabriz University of Medical Sciences , Farahmand Rad ، Reza Clinical Research Development Center, Imam Ali and Taleghani Hospital - Kermanshah University of Medical Sciences , Piri ، Mohammad Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences , Mirzamohamadi ، Sara Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences , Hasanzadeh Tabatabaei ، Mahgol Sadat Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences , Naghdi ، Khatereh Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences , Baigi ، Vali Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences
Abstract :
Objective: We aimed to investigate the hypothesis that identical abbreviated injury scale (AIS) scores may lead to varying risks of in-hospital mortality and admission to the intensive care unit (ICU) depending on the specific body region affected. Methods: This study focused on hospitalized trauma patients with moderate to serious injuries (AIS=2, 3). The final sample was stratified based on the injured body regions. To determine the impact of these injuries on mortality and ICU admission, we conducted binary logistic regression after adjusting for confounding factors. Results: Overall, 16,040 trauma patients with moderate injury (AIS=2) and 1,338 trauma patients with serious injury (AIS=3) were included in this study. When comparing outcome of trauma patients in different body region, there was no significant difference in the odds of two main outcomes in various injury sites, except for extremities (P values 0.05). When the AIS=2 patients were controlled for confounding factors, the adjusted odds of mortality were significantly higher for head, face, and neck injuries, as well as spine/back, thoracic, and abdominal injuries, compared to extremity injuries (adjusted odds ratio (aOR)s=9.81,8.78, 8.11, and 3.96, respectively; P-values 0.05). Among those with AIS=3, the odds of mortality were significantly greater for abdominal (aOR=7.05, P-value=0.009) and head, face, and neck injuries (aOR=2.73, P-value=0.001) than for extremity injuries. Conclusion: Injuries with the same AIS (=2, 3) value almost indistinguishably confer the same mortality risk and ICU admission, except for extremities. The unique AIS value assigned to various body sites almost consistently indicate the same likelihood of negative outcomes
Keywords :
Abbreviated Injury Scale (AIS) , Injury Severity Score (ISS) , Mortality , Trauma , Wound and Injury , Scoring System
Journal title :
Frontiers in Emergency Medicine
Journal title :
Frontiers in Emergency Medicine
