Predictors of in-hospital mortality of trauma patients injured in vehicle accidents

Haridimos Markogiannakis, Elias Sanidas, Evangelos Messaris, Dimitrios Koutentakis, Kalliopi Alpantaki, Alexandros Kafetzakis, Dimitrios Tsiftsis

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

OBJECTIVES: Identification and assessment of predictive factors of in-hospital mortality of trauma patients injured in vehicle accidents. METHODS: We reviewed the Trauma Registry data of Herakleion University Hospital, a level I trauma center in Crete, Greece. All 730 consecutive, adult motor-vehicle trauma patients admitted to our hospital from 1997 to 2000 were included in the study. Variables included in the analysis were: sex, age, mechanism of injury, injuries per anatomic region, initial vital signs, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and the final outcome. In order to better describe continuous variables, two categories were created: age ≥60 and <60; ISS ≥18 and <18. RESULTS: Mortality rate was 4.8% (n=35). Multivariate survival analysis showed that age greater than or equal to 60 years (p=0.0002), ISS greater than or equal to 18 (p=0.003), being a pedestrian (p=0.007), craniocerebral injuries (p=0.01), thoracic (p=0.01), and abdominal injuries (p=0.01) are independent predictors of the in-hospital mortality of the patients. CONCLUSION: Trauma patients after vehicle accidents aged ≥60, pedestrians, those with an ISS ≥18 and craniocerebral, thoracic or abdominal injuries are at higher risk of an in-hospital fatal outcome.

Original languageEnglish (US)
Pages (from-to)125-131
Number of pages7
JournalUlusal Travma ve Acil Cerrahi Dergisi
Volume14
Issue number2
StatePublished - Apr 15 2008

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Hospital Mortality
Accidents
Injury Severity Score
Wounds and Injuries
Abdominal Injuries
Greece
Craniocerebral Trauma
Thoracic Injuries
Glasgow Coma Scale
Fatal Outcome
Vital Signs
Trauma Centers
Motor Vehicles
Survival Analysis
Registries
Thorax
Multivariate Analysis
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Anesthesiology and Pain Medicine

Cite this

Markogiannakis, H., Sanidas, E., Messaris, E., Koutentakis, D., Alpantaki, K., Kafetzakis, A., & Tsiftsis, D. (2008). Predictors of in-hospital mortality of trauma patients injured in vehicle accidents. Ulusal Travma ve Acil Cerrahi Dergisi, 14(2), 125-131.
Markogiannakis, Haridimos ; Sanidas, Elias ; Messaris, Evangelos ; Koutentakis, Dimitrios ; Alpantaki, Kalliopi ; Kafetzakis, Alexandros ; Tsiftsis, Dimitrios. / Predictors of in-hospital mortality of trauma patients injured in vehicle accidents. In: Ulusal Travma ve Acil Cerrahi Dergisi. 2008 ; Vol. 14, No. 2. pp. 125-131.
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Markogiannakis, H, Sanidas, E, Messaris, E, Koutentakis, D, Alpantaki, K, Kafetzakis, A & Tsiftsis, D 2008, 'Predictors of in-hospital mortality of trauma patients injured in vehicle accidents', Ulusal Travma ve Acil Cerrahi Dergisi, vol. 14, no. 2, pp. 125-131.

Predictors of in-hospital mortality of trauma patients injured in vehicle accidents. / Markogiannakis, Haridimos; Sanidas, Elias; Messaris, Evangelos; Koutentakis, Dimitrios; Alpantaki, Kalliopi; Kafetzakis, Alexandros; Tsiftsis, Dimitrios.

In: Ulusal Travma ve Acil Cerrahi Dergisi, Vol. 14, No. 2, 15.04.2008, p. 125-131.

Research output: Contribution to journalArticle

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T1 - Predictors of in-hospital mortality of trauma patients injured in vehicle accidents

AU - Markogiannakis, Haridimos

AU - Sanidas, Elias

AU - Messaris, Evangelos

AU - Koutentakis, Dimitrios

AU - Alpantaki, Kalliopi

AU - Kafetzakis, Alexandros

AU - Tsiftsis, Dimitrios

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N2 - OBJECTIVES: Identification and assessment of predictive factors of in-hospital mortality of trauma patients injured in vehicle accidents. METHODS: We reviewed the Trauma Registry data of Herakleion University Hospital, a level I trauma center in Crete, Greece. All 730 consecutive, adult motor-vehicle trauma patients admitted to our hospital from 1997 to 2000 were included in the study. Variables included in the analysis were: sex, age, mechanism of injury, injuries per anatomic region, initial vital signs, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and the final outcome. In order to better describe continuous variables, two categories were created: age ≥60 and <60; ISS ≥18 and <18. RESULTS: Mortality rate was 4.8% (n=35). Multivariate survival analysis showed that age greater than or equal to 60 years (p=0.0002), ISS greater than or equal to 18 (p=0.003), being a pedestrian (p=0.007), craniocerebral injuries (p=0.01), thoracic (p=0.01), and abdominal injuries (p=0.01) are independent predictors of the in-hospital mortality of the patients. CONCLUSION: Trauma patients after vehicle accidents aged ≥60, pedestrians, those with an ISS ≥18 and craniocerebral, thoracic or abdominal injuries are at higher risk of an in-hospital fatal outcome.

AB - OBJECTIVES: Identification and assessment of predictive factors of in-hospital mortality of trauma patients injured in vehicle accidents. METHODS: We reviewed the Trauma Registry data of Herakleion University Hospital, a level I trauma center in Crete, Greece. All 730 consecutive, adult motor-vehicle trauma patients admitted to our hospital from 1997 to 2000 were included in the study. Variables included in the analysis were: sex, age, mechanism of injury, injuries per anatomic region, initial vital signs, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and the final outcome. In order to better describe continuous variables, two categories were created: age ≥60 and <60; ISS ≥18 and <18. RESULTS: Mortality rate was 4.8% (n=35). Multivariate survival analysis showed that age greater than or equal to 60 years (p=0.0002), ISS greater than or equal to 18 (p=0.003), being a pedestrian (p=0.007), craniocerebral injuries (p=0.01), thoracic (p=0.01), and abdominal injuries (p=0.01) are independent predictors of the in-hospital mortality of the patients. CONCLUSION: Trauma patients after vehicle accidents aged ≥60, pedestrians, those with an ISS ≥18 and craniocerebral, thoracic or abdominal injuries are at higher risk of an in-hospital fatal outcome.

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Markogiannakis H, Sanidas E, Messaris E, Koutentakis D, Alpantaki K, Kafetzakis A et al. Predictors of in-hospital mortality of trauma patients injured in vehicle accidents. Ulusal Travma ve Acil Cerrahi Dergisi. 2008 Apr 15;14(2):125-131.