J 2022

Anatomical Injury Clusters in Polytrauma Patients

BIRRI, Tanja, Hans-Christoph PAPE, Cyrill DENNLER, Hans-Peter SIMMEN, Jindřich VOMELA et. al.

Basic information

Original name

Anatomical Injury Clusters in Polytrauma Patients

Authors

BIRRI, Tanja, Hans-Christoph PAPE, Cyrill DENNLER, Hans-Peter SIMMEN, Jindřich VOMELA, Richard CHALOUPKA and Ladislav MICA

Edition

Journal of Surgery and Research, Houston, USA, Fortune Journals, 2022, 2637-5079

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Organization unit

Faculty of Sports Studies

DOI

Keywords in English

Polytrauma, AIS, ISS, Truncal Trauma, Retrospective Cohort Study

Tags

International impact, Reviewed
Změněno: 1/3/2023 08:15, Kateřina Novotná

Abstract

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.