Changes in the temporal distribution of in-hospital mortality in severely injured patients-An analysis of the TraumaRegister DGU

PloS One
Rauend RaufSection NIS of DGU

Abstract

The temporal distribution of trauma mortality has been classically described as a trimodal pattern with an immediate, early and late peak. In modern health care systems this time distribution has changed. Data from the TraumaRegister DGU was analysed retrospectively. Between 2002 and 2015, all registered in-hospital deaths with an Injury Severity Score (ISS) ≥ 16 were evaluated considering time of death, trauma mechanism, injured body area, age distribution, rates of sepsis and multiple organ failure. Pre-hospital and post-discharge trauma deaths were not considered. 78 310 severely injured patients were registered, non-survivors constituted 14 816, representing an in-hospital mortality rate of 18.9%. Mean ISS of non-survivors was 36.0±16.0, 66.7% were male, mean age was 59.5±23.5. Within the first hour after admission to hospital, 10.8% of deaths occurred, after 6 hours the percentage increased to 25.5%, after 12 hours 40.0%, after 24 hours 53.2% and within the first 48 hours 61.9%. Mortality showed a constant temporal decrease. Severe head injury (defined by Abbreviated Injury Scale, AIS-Head≥3) was found in 76.4% of non-survivors. Patients with an isolated head injury showed a more distinct decrease in survival rate, which w...Continue Reading

References

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Citations

Jun 20, 2019·World Journal of Surgery·Roman PfeiferHans-Christoph Pape
Mar 12, 2020·World Journal of Emergency Surgery : WJES·Stefano S GranieriOsvaldo O Chiara
Jan 10, 2021·Stem Cell Reviews and Reports·Lacy E LowryJames A Bynum
Jan 13, 2021·Journal of Clinical Medicine·Daniel PoppMaximilian Kerschbaum
May 1, 2021·Journal of Clinical Medicine·Maximilian KerschbaumDaniel Popp
Jul 6, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S FlohéS Ruchholtz
Sep 26, 2021·Journal of Medical Systems·Blanca Larraga-GarcíaÁlvaro Gutiérrez
Nov 6, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mustafa Sinan BakirUNKNOWN TraumaRegister DGU
Dec 1, 2021·Der Unfallchirurg·Peter Biberthaler
Dec 29, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Arne WilharmStefanie Sauer

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Methods Mentioned

BETA
ISS

Software Mentioned

TR
TraumaRegister
DGU

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