AlEassa Essa M, Al-Marashda Mariam J, Elsherif Amgad, Eid Hani O, Abu-Zidan Fikri M
Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
J Cardiothorac Surg. 2013 Mar 30;8:57. doi: 10.1186/1749-8090-8-57.
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.
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.
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).
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.
胸部创伤死亡率的预测因素在全球范围内各不相同。我们旨在确定影响阿拉伯联合酋长国艾因市住院胸部创伤患者死亡率的因素。
前瞻性收集了艾因医院创伤登记处三年期间的数据。纳入在艾因医院住院超过24小时或入院后死亡的胸部创伤患者。采用单因素分析比较死亡患者和存活患者。研究了性别、年龄、国籍、损伤机制、入院时的收缩压和格拉斯哥昏迷评分、通气支持需求、头部损伤的存在、胸部和头部的简明损伤定级（AIS）、胸部以外损伤的存在以及损伤严重度评分（ISS）。然后将显著因素纳入向后逐步似然比逻辑回归模型。
研究了474例患者，年龄中位数（范围）为35岁（1 - 90岁）。90%为男性，18%为阿联酋公民。主要损伤机制是道路交通碰撞（66%），其次是跌倒（23.4%）。4例患者（0.8%）发生穿透性创伤。88例患者（18.6%）入住重症监护病房。ISS中位数（范围）为5（1 - 43）。173例患者（36.5%）有单纯胸部损伤。总体死亡率为7.2%。格拉斯哥昏迷评分低（p < 0.0001）、损伤严重度评分高（p = 0.025）和入院时收缩压低（p = 0.027）会显著增加死亡率。
在艾因市，胸部创伤与显著的死亡率相关。这与头部损伤的严重程度、损伤严重度评分和入院时的低血压显著相关。
