Table 1 Overview of all included parameters of patients after major trauma 2000–2005 comparing both groups, ISS ≥ 50 and ISS < 50
From: Outcome after severe multiple trauma: a retrospective analysis
ISS ≥ 50 vs. ISS < 50 | ISS < 50 | ISS ≥ 50 | Chi-squared test or t-test | ||||
|---|---|---|---|---|---|---|---|
1435 patients | number | mean | % | number | mean | % | significance (p) |
Total | 1347 | 93.9% | 88 | 6.1% | |||
Male | 1004 | 74.5% | 68 | 77.3% | 0.83 | ||
Female | 343 | 25.5% | 20 | 22.7% | 0.66 | ||
ISS | |||||||
< 20 | 556 | 41.3% | |||||
21–40 | 688 | 51.1% | |||||
41–49 | 103 | 7.6% | |||||
Mechanism of trauma | |||||||
Car/truck | 365 | 27.1% | 31 | 35.2% | 0.23 | ||
Motor cycle | 212 | 15.7% | 24 | 27.3% | 0.023 | ||
Bicycle | 96 | 7.1% | 4 | 4.5% | 0.39 | ||
Pedestrian | 44 | 3.3% | 7 | 8.0% | 0.029 | ||
Fall > 3 m | 198 | 14.7% | 14 | 15.9% | 0.79 | ||
Fall < 3 m | 195 | 14.5% | 1 | 1.1% | 0.0012 | ||
Other | 237 | 17.6% | 7 | 8.0% | |||
Pattern of injury | |||||||
Head/brain | 689 | 51.2% | 48 | 54.5% | 0.73 | ||
Face | 252 | 18.7% | 19 | 21.6% | 0.58 | ||
Chest | 450 | 33.4% | 49 | 55.7% | 0.0057 | ||
Abdomen | 211 | 15.7% | 30 | 34.1% | 0.00039 | ||
Spinal cord | 360 | 26.7% | 30 | 34.1% | 0.27 | ||
Pelvis | 179 | 13.3% | 27 | 30.7% | 0.00025 | ||
Upper limb | 311 | 23.1% | 25 | 28.4% | 0.38 | ||
Lower limb | 315 | 23.4% | 27 | 30.7% | 0.23 | ||
Soft tissues | 266 | 19.7% | 25 | 28.4% | 0.12 | ||
Primarily unconscious patients (GCS <= 8) | 245 | 18.2% | 41 | 46.6% | 0.0000015 | ||
Intubation rate | 648 | 48.1% | 66 | 75.0% | 0.0084 | ||
Reanimation rate | 18 | 1.3% | 8 | 9.1% | 0.0000005 | ||
Secondarily transferred patients | 548 | 40.7% | 36 | 40.9% | 0.98 | ||
Preclinical shock (BP systolic < 90 mmHg) | 73 | 5.4 % | 16 | 18.2% | 0,000017 | ||
Duration until organ failure | days | days | |||||
Lung | 209 | 9.5 | 15.5% | 27 | 9.1 | 30.7% | 0.0028 |
Coagulation/Blood | 44 | 3.5 | 3.3% | 11 | 1.7 | 12.5% | 0.000051 |
Liver | 30 | 11.6 | 2.2% | 2 | 2 | 2.3% | 0.98 |
Circulation | 178 | 8.1 | 13.2% | 31 | 8.1 | 35.2% | 0.0000058 |
Central nervous system | 156 | 14.9 | 11.6% | 27 | 20 | 30.7% | 0.000019 |
Kidney | 66 | 8.9 | 4.9% | 4 | 5 | 4.5% | 0.89 |
SIRS | 51 | 8.7 | 3.8% | 11 | 11.5 | 12.5% | 0.00032 |
Duration of intubation | 944 | 13.4 | 77 | 20.3 | 0.0000094 | ||
Lethality/Dead | 179 | 13.3% | 32 | 36.4% | 0.0000024 | ||
Early lethality (< 24 h after hospital admission) | 46 | 3.4% | 12 | 13.6% | 0.000014 | ||
Time in hospital | 49.1 | 73.4 | 0.0002158 | ||||
Time on intensive care unit | 14.4 | 25.9 | 0.0000057 | ||||
Involved body regions | 2.3 | 3.8 | 3.09444E-29 | ||||
Operations per patient | 3.6 | 5.7 | 6.25E-08 | ||||
Aim of discharge | |||||||
Home | 512 | 38.0% | 23 | 26.1% | 0.12 | ||
Rehabilitation hospital | 449 | 33.3% | 20 | 22.7% | 0.13 | ||
Other hospital | 184 | 13.7% | 11 | 12.5% | 0.79 | ||
Other | 7 | 0.5% | 0 | 0% | |||
Dead | 179 | 13.3% | 32 | 36.4% | |||
Unknown | 16 | 1.2% | 2 | 2.3% | |||
Status after discharge due to GOS | |||||||
Well recovered | 509 | 37.8% | 20 | 22.7% | 0.036 | ||
Moderately affected | 92 | 6.8% | 3 | 3.4% | 0.21 | ||
Heavily affected | 125 | 9.3% | 13 | 14.8% | 0.07 | ||
Unconscious | 29 | 2.2% | 2 | 2.3% | 0.98 | ||
Dead | 106 | 7.9% | 20 | 22.7% | 0.00013 | ||
Unknown | 53 | 3.9% | 4 | 4.5% |