Prognostic predictors of early mortality from exsanguination in adult trauma: a Malaysian trauma center experience

Trauma Surgery & Acute Care Open
Tan Jih HueiRizal Imran Alwi

Abstract

Trauma mortality due to exsanguination is the second most common cause of death. The objective of this study is to investigate the predictors for early death from exsanguination. A prognostic study was done to identify predictors of early mortality due to exsanguination. Data were extracted from our Trauma Surgery Registry database of Sultanah Aminah Hospital, Johor Bahru, Malaysia. All patients who were treated from May 1, 2011 to April 31, 2014 by the trauma team were included. Adult trauma patients included from the Trauma Surgery Registry were divided into two groups for analysis: early death from exsanguination and death from non-exsanguination/survivors. Univariate and multivariate analysis was performed to look for significant predictors of death from exsanguination. Variables analyzed were demography, mechanism of injury, organ injury scale, physiological parameters (systolic blood pressure (SBP), respiratory rate, heart rate, temperature), Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), New Injury Severity Score (NISS), Trauma and Injury Severity Score (TRISS) and cause of death. A total of 2208 patients with an average age of 36 (±16) years were included. Blunt trauma was the majority with 90.5%, followed by pen...Continue Reading

References

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Aug 12, 2016·Journal of Emergencies, Trauma, and Shock·Kirsten BalversNicole P Juffermans

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Citations

Jan 5, 2018·Burns and Trauma·Jih Huei TanRizal Imran Alwi
Jan 7, 2021·International Journal of Environmental Research and Public Health·Matteo PaganiniEnrico Camporesi

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