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J Trauma Inj > Volume 28(3); 2015 > Article
Journal of Trauma and Injury 2015;28(3):134-143.
DOI: https://doi.org/10.20408/jti.2015.28.3.134    Published online September 30, 2015.
Evaluation the Usefulness of Individual factors for Determining the Severity and Predicting Prognosis of Trauma Victims
Sung Yoon Kim, Byung Hak So, Hyung Min Kim, Won Jung Jeong, Kyung Man Cha, Seung Pill Choi
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea. sohak@catholic.ac.kr
외상 환자의 중증도 판단과 예후 예측을 위한 개별 인자들의 유용성 평가
김성윤, 소병학, 김형민, 정원중, 차경만, 최승필
가톨릭대학교 의과대학 응급의학교실
Received: 30 July 2015   • Revised: 24 August 2015   • Accepted: 4 October 2015
Abstract
PURPOSE
Many patients are injured by trauma. And some of them expire due to severity of trauma. Various scoring systems have been introduced in grading severity and predicting mortality of trauma patients. This study is to evaluation the usefulness of factors for determining the severity and predicting the prognosis of the trauma victims.
METHODS
Data on the patients who visited our Emergency departments from January 2010 to December 2011 were retrospectively reviewed using electronic medical records. The patients were activated severe trauma team calling system. The patients were categorized as survivors and non-survivors. Univariated associations were calculated, and a multiple logistic regression analysis was used to determine variables associated with hospital mortality.
RESULTS
Two hundred sixty two(262) patients were enrolled, and the mortality rate was 25.6%. By multivariate analysis, lower respiration rate, lower Glasgow Coma Score, higher International Normalized Ratio and emergency transfusion within 6 hours were expected as severity and prognosis predict factors (each of odds ratio were 24.907, 14.282, 2.667 and 16.144).
CONCLUSION
As predict factors, respiration rate, Glasgow Coma Score, International Normalized Ratio and emergency transfusion, are useful determining the severity and predicting prognosis of trauma victims.
Key Words: Trauma; Injury severity score; Mortality


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