2022
Anatomical Injury Clusters in Polytrauma Patients
BIRRI, Tanja; Hans-Christoph PAPE; Cyrill DENNLER; Hans-Peter SIMMEN; Jindřich VOMELA et al.Základní údaje
Originální název
Anatomical Injury Clusters in Polytrauma Patients
Autoři
BIRRI, Tanja; Hans-Christoph PAPE; Cyrill DENNLER; Hans-Peter SIMMEN; Jindřich VOMELA; Richard CHALOUPKA a Ladislav MICA
Vydání
Journal of Surgery and Research, Houston, USA, Fortune Journals, 2022, 2637-5079
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Označené pro přenos do RIV
Ne
Organizační jednotka
Fakulta sportovních studií
Klíčová slova anglicky
Polytrauma, AIS, ISS, Truncal Trauma, Retrospective Cohort Study
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 1. 3. 2023 08:15, Kateřina Novotná
Anotace
V originále
Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ≥ 16 and an age ≥ 16 years was included into this retrospective cohort study. Pearson’s correlation was performed amongst the AIS (Abbreviated Injury Scale) groups. The predictive quality was tested by ROC (Receiver Operating Curve) and their area under the curve. Independency was tested by the binary logistic regression , AIS ≥3 was taken as a significant injury. The analysis was conducted using IBM SPSS® 24.0. The highest predictive value was reached in the combination of thorax, abdomen, pelvis and spine injuries (ROC: abdomen for thorax 0.647, thorax for abdomen 0.621, pelvis for thorax 0.608, pelvis for abdomen 0.651, spine for thorax 0.617). The binary logistic regression revealed the anatomical regions thorax, abdomen pelvis and spine as per-mutative independent predictors for each other when a particular injury exceeded the AIS ≥3. The documented clusters of injuries in truncal trauma are crucial to define priorities in the polytrauma management.