Factors affecting mortality of hospitalized chest trauma patients in United Arab Emirates

Journal of Cardiothoracic Surgery

Fikri M Abu-Zidan¹  Hani O Eid³  Amgad Elsherif²  Mariam J Al-Marashda²  Essa M AlEassa³ 

[1] Department of Surgery, Al-Ain Hospital, Al-Ain, United Arab Emirates;Cardiothoracic Surgery Division, Department of Surgery, Tawam Hospital, Al-Ain, United Arab Emirates;Trauma Group, Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, P.O. Box 17666, Al-Ain, United Arab Emirates

关键词: Mortality;    Injury;    Trauma;    Thorax;    Chest;   

Others  :  828321
DOI  :  10.1186/1749-8090-8-57

 received in 2012-08-06, accepted in 2013-03-25,  发布年份 2013

【 摘 要 】

Background

Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates.

Methods

The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model.

Results

474 patients having a median (range) age of 35 (1–90) years were studied. 90% were males and 18% were UAE citizens. The main mechanism of injury was road traffic collisions (66%) followed by falls (23.4%). Penetrating trauma occurred in 4 patients (0.8%). 88 patients (18.6%) were admitted to the ICU. The median (range) ISS was 5 (1–43). 173 patients (36.5%) had isolated chest injury. Overall mortality rate was 7.2%. Mortality was significantly increased by low GCS (p < 0.0001), high ISS (p = 0.025), and low systolic blood pressure on arrival (p = 0.027).

Conclusion

Chest trauma is associated with a significant mortality in Al-Ain City. This was significantly related to the severity of head injury, injury severity score, and hypotension on arrival.

【 授权许可】

   
2013 AlEassa et al.; licensee BioMed Central Ltd.

【 图 表 】

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