Hemodialysis Outcomes Score In Trauma (HOST): A novel and easy model for predicting death in patients receiving pre-injury hemodialysis

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-01-12 DOI:10.1016/j.amjsurg.2024.116176

Gregory R. Stettler , Hannah L. Carroll , Heidi L. Roeber , Martin D. Avery , Mohamed-Omar S. Arafeh , Gregory B. Russell , J Jason Hoth , Nathan T. Mowery , Andrew M. Nunn

{"title":"Hemodialysis Outcomes Score In Trauma (HOST): A novel and easy model for predicting death in patients receiving pre-injury hemodialysis","authors":"Gregory R. Stettler , Hannah L. Carroll , Heidi L. Roeber , Martin D. Avery , Mohamed-Omar S. Arafeh , Gregory B. Russell , J Jason Hoth , Nathan T. Mowery , Andrew M. Nunn","doi":"10.1016/j.amjsurg.2024.116176","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>We sought to construct a simple clinical mortality prediction model in trauma patients that required pre-injury hemodialysis: Hemodialysis Outcomes Score in Trauma (HOST).</div></div><div><h3>Methods</h3><div>Trauma patients on pre-injury hemodialysis admitted between July 2013 to December 2021 were reviewed. Univariate and multivariable analysis was used to determine independent predictors of mortality and construct the HOST score.</div></div><div><h3>Results</h3><div>There were 663 patients identified as receiving pre-injury hemodialysis. Most patients were male (54.6 %), suffered a blunt mechanism (97.4 %), and were severely injured (median ISS 21). Mortality at 28-days for patients receiving pre-injury hemodialysis was 6.8 % compared to 4.8 % in injured patients that did not require pre-injury hemodialysis (p = 0.03). Multivariate logistic regression identified GCS, HR, and hematocrit to be associated with 28-day mortality.</div></div><div><h3>Conclusion</h3><div>HOST may serve as a tool with readily accessible input variables that is able to predict 28-day mortality.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"242 ","pages":"Article 116176"},"PeriodicalIF":2.7000,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002961024007281","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

We sought to construct a simple clinical mortality prediction model in trauma patients that required pre-injury hemodialysis: Hemodialysis Outcomes Score in Trauma (HOST).

Methods

Trauma patients on pre-injury hemodialysis admitted between July 2013 to December 2021 were reviewed. Univariate and multivariable analysis was used to determine independent predictors of mortality and construct the HOST score.

Results

There were 663 patients identified as receiving pre-injury hemodialysis. Most patients were male (54.6 %), suffered a blunt mechanism (97.4 %), and were severely injured (median ISS 21). Mortality at 28-days for patients receiving pre-injury hemodialysis was 6.8 % compared to 4.8 % in injured patients that did not require pre-injury hemodialysis (p = 0.03). Multivariate logistic regression identified GCS, HR, and hematocrit to be associated with 28-day mortality.

Conclusion

HOST may serve as a tool with readily accessible input variables that is able to predict 28-day mortality.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.