| Outcome and risk factors in severely traumatised patients. | |
| | |
MedLine Citation:
|
PMID: 6524857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study presents outcome and risk factors in 228 critically ill adult trauma patients treated in the ICU. Most of the patients had multiple traumas, the most common single trauma among them being brain injury. 23% of all patients died in the ICU and 37% by the end of the first year after intensive care. The mortality rate had not increased by the end of the second year. 9% of the patients remained disabled. The one-year mortality rate was highest (58%) in brain injury patients. On admission, before any treatment was given, disturbances in seven vital functions were classified into three grades according to their severity. An increase in the sum of these severity grades correlated well with eventual mortality. Of many biochemical parameters analysed, only hyperosmolality and hypernatremia were associated with increased mortality. Two logistic models, one for the whole patient material and another for those having no or only minor brain injury, were fitted in order to find risk factors characteristic of non-survivors. The following risk factors were obtained: increasing age, brain injury, deteriorating level of consciousness during intensive care, increasing serum osmolality and creatinine. These logistic models can be used prospectively to estimate the probability of death for an individual patient. |
| | |
Authors:
|
L Kaukinen; M Pasanen; S Kaukinen |
Related Documents
:
|
1271497 - Ninety-eight penetrating vascular injuries: a review of a two and one-half year experie... 15290587 - Reliability of vacuum phenomenon in the sacroiliac joint as a sign of traumatic injury. 8576587 - Posterior fossa extradural haematoma. 14563327 - Maxillofacial fractures resulting from falls. 8671907 - Brief report: evaluation of the upper gastrointestinal tract in uraemic patients underg... 21345337 - Kidney impairment in primary aldosteronism. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Annales chirurgiae et gynaecologiae Volume: 73 ISSN: 0355-9521 ISO Abbreviation: Ann Chir Gynaecol Publication Date: 1984 |
Date Detail:
|
Created Date: 1985-03-20 Completed Date: 1985-03-20 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7609767 Medline TA: Ann Chir Gynaecol Country: FINLAND |
Other Details:
|
Languages: eng Pagination: 261-7 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Brain Injuries / mortality Critical Care Female Follow-Up Studies Humans Intensive Care Units Male Middle Aged Models, Theoretical Prognosis Retrospective Studies Risk Spinal Cord Injuries / mortality Wounds and Injuries / mortality*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Predicting the prognosis with trauma indices in surgical patients treated in the intensive care unit...
Next Document: The clinical significance of contrast enhanced computed tomography in acute pancreatitis.