入院期间创伤后并发症的发生频率及其与受伤严重程度评分的关系。

IF 1.9 Q2 EMERGENCY MEDICINE
Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI:10.15441/ceem.23.053
Shayan Dasdar, Mahmoud Yousefifard, Mehri Farhang Ranjbar, Mehdi Forouzanfar, Hamid Mazloom, Saeed Safari
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引用次数: 0

摘要

目的:多发性创伤与院内并发症的显著风险相关,而院内并发症会对医疗服务和患者造成损害。本研究旨在评估创伤后并发症的发生率、并发症与不良预后的关系以及损伤严重程度评分(ISS)对并发症发生的影响:这项回顾性队列研究于 2020 年 1 月至 2022 年 12 月期间在一对创伤中心进行。所有住院的多发性创伤成人患者均被纳入研究范围。研究采用多变量逻辑回归法确定与创伤后并发症相关的因素:在 727 名多发性创伤患者中,有 90 人(12.4%)出现了院内并发症。最常见的并发症是肺炎(4.8%)、肺不张(3.7%)和浅表手术部位感染(2.5%)。多变量逻辑回归显示,ISS、重症监护室(ICU)住院时间、住院时间和死亡率与并发症有显著相关性。ISS每增加一个单位,并发症发生率就会增加17%(调整后的几率比[OR]为1.17;95%置信区间[CI]为1.00-1.38)。重症监护室或住院时间每增加 1 天,并发症发生率分别增加 65%(调整后 OR,1.65;95% CI,1.00-2.73)和 20%(调整后 OR,1.20;95% CI,1.03-1.41)。在死亡率较高的患者中,创伤后并发症的发生率也明显更高(调整后 OR,163.30;95% CI,3.04-8779.32)。在ISS较高的多发性创伤患者中,并发症的频率、严重程度和数量都明显增加:结论:多发性创伤患者院内并发症频发,且与不良预后和死亡率相关。ISS是与创伤后并发症相关的一个重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Frequency of posttrauma complications during hospital admission and their association with Injury Severity Score.

Objective: Multiple trauma is associated with a remarkable risk of in-hospital complications, which harm healthcare services and patients. This study aimed to assess the incidence of posttrauma complications, their relationship with poor outcomes, and the effect of the Injury Severity Score (ISS) on their occurrence.

Methods: This retrospective cohort study was conducted at a pair of trauma centers, between January 2020 and December 2022. All hospitalized adult patients with multiple trauma were included in this study. Multivariable logistic regression was used to identify factors related to posttrauma complications.

Results: Among 727 multiple trauma patients, 90 (12.4%) developed in-hospital complications. The most frequent complications were pneumonia (4.8%), atelectasis (3.7%), and superficial surgical site infection (2.5%). According to multivariable logistic regression, ISS, the length of stay in the intensive care unit (ICU), the length of stay in the hospital, and mortality were significantly associated with complications. The complication rate increased by 17% with every single-unit increase in ISS (adjusted odds ratio [OR], 1.17; 95% confidence interval [CI], 1.00-1.38). Per every 1-day increase in the ICU or hospital stay, the complication rate increased by 65% (adjusted OR, 1.65; 95% CI, 1.00-2.73) and 20% (adjusted OR, 1.20; 95% CI, 1.03-1.41), respectively. Posttrauma complications were also significantly more common in patients with mortality (adjusted OR, 163.30; 95% CI, 3.04-8,779.32). In multiple trauma patients with a higher ISS, the frequency, severity, and number of complications were significantly increased.

Conclusion: In-hospital complications in multiple trauma patients are frequent and associated with poor outcomes and mortality. ISS is an important factor associated with posttrauma complications.

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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
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