Impact of blunt chest trauma on outcome after traumatic brain injury- a matched-pair analysis of the TraumaRegister DGU®.
Abbreviated Injury Scale
Adolescent
Adult
Aged
Brain Injuries, Traumatic
/ complications
Databases, Factual
Female
Humans
Male
Matched-Pair Analysis
Middle Aged
Respiration, Artificial
Statistics, Nonparametric
Survival Rate
Thoracic Injuries
/ complications
Wounds, Nonpenetrating
/ complications
Young Adult
Critical care
Glasgow Outcome Scale
Registry
Thoracic injury
Traumatic brain injury
Journal
Scandinavian journal of trauma, resuscitation and emergency medicine
ISSN: 1757-7241
Titre abrégé: Scand J Trauma Resusc Emerg Med
Pays: England
ID NLM: 101477511
Informations de publication
Date de publication:
12 Mar 2020
12 Mar 2020
Historique:
received:
02
10
2019
accepted:
05
02
2020
entrez:
14
3
2020
pubmed:
14
3
2020
medline:
22
9
2020
Statut:
epublish
Résumé
Traumatic brain injury (TBI) is associated with high rates of long-term disability and mortality. Our aim was to investigate the effects of thoracic trauma on the in-hospital course and outcome of patients with TBI. We performed a matched pair analysis of the multicenter trauma database TraumaRegisterDGU® (TR-DGU) in the 5-year period from 2012 to 2016. We included adult patients (≥18 years of age) with moderate to severe TBI (abbreviated injury scale (AIS)= 3-5). Patients with isolated TBI (group 1) were compared to patients with TBI and varying degrees of additional blunt thoracic trauma (AIS A total of 5414 matched pairs (10,828 patients) were included. The presence of additional thoracic injuries in patients with TBI was associated with a longer duration of mechanical ventilation and a prolonged ICU and hospital length of stay. Additional thoracic trauma was also associated with higher mortality rates. These effects were most pronounced in thoracic AIS subgroups 4 and 5. Additional thoracic trauma, regardless of its severity (AIS Chest trauma in general, regardless of its initial severity (AIS
Sections du résumé
BACKGROUND
BACKGROUND
Traumatic brain injury (TBI) is associated with high rates of long-term disability and mortality. Our aim was to investigate the effects of thoracic trauma on the in-hospital course and outcome of patients with TBI.
METHODS
METHODS
We performed a matched pair analysis of the multicenter trauma database TraumaRegisterDGU® (TR-DGU) in the 5-year period from 2012 to 2016. We included adult patients (≥18 years of age) with moderate to severe TBI (abbreviated injury scale (AIS)= 3-5). Patients with isolated TBI (group 1) were compared to patients with TBI and varying degrees of additional blunt thoracic trauma (AIS
RESULTS
RESULTS
A total of 5414 matched pairs (10,828 patients) were included. The presence of additional thoracic injuries in patients with TBI was associated with a longer duration of mechanical ventilation and a prolonged ICU and hospital length of stay. Additional thoracic trauma was also associated with higher mortality rates. These effects were most pronounced in thoracic AIS subgroups 4 and 5. Additional thoracic trauma, regardless of its severity (AIS
CONCLUSIONS
CONCLUSIONS
Chest trauma in general, regardless of its initial severity (AIS
Identifiants
pubmed: 32164757
doi: 10.1186/s13049-020-0708-1
pii: 10.1186/s13049-020-0708-1
pmc: PMC7069167
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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