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. Author manuscript; available in PMC: 2026 Jun 6.
Published in final edited form as: J Trauma Acute Care Surg. 2025 Jun 6;99(4):588–596. doi: 10.1097/TA.0000000000004694

Table 2: Cox proportional hazard ratios, 95% confidence intervals, and p-values for all variables included in the models of mortality at 4 hours, 24 hours, and 30 days.

HR = Hazard Ratio; GCS = Glasgow Coma Scale; ISS = Injury Severity Score. For variables with groups in parentheses, the former was compared with the latter (the reference).

Variable HR (95% CI),
4-hour
mortality
P-value,
4-hour
mortality
HR (95% CI),
24-hour
mortality
P-value,
24-hour
mortality
HR (95% CI),
30-day
mortality
P-value,
30-day
mortality
Received Plasma in 4 hours 0.610 (0.430-0.864) 0.005 0.894 (0.706-1.131) 0.350 1.132 (0.961 - 1.334) 0.138
Received blood product transfusion in 4 hours
Red blood cells 2.190 (1.524-3.147) < 0.001 2.068 (1.634-2.617) < 0.001 1.458 (1.255 - 1.693) < 0.001
Platelets 0.892 (0.598-1.330) 0.575 1.004 (0.789-1.279) 0.972 1.149 (0.980 - 1.347) 0.088
Whole blood 0.999 (0.629-1.586) 0.995 0.917 (0.662-1.270) 0.600 1.117 (0.900 - 1.387) 0.317
Total transfusion requirement in 4 hours 1.000 (1.000-1.000) 0.696 1.000 (1.000-1.000) 0.718 1.000 (1.000 - 1.000) 0.821
Age 0.936 (0.908-0.965) < 0.001 0.976 (0.958-0.995) 0.015 0.977 (0.966 - 0.988) < 0.001
Sex (Female vs. Male) 0.937 (0.683-1.287) 0.688 0.891 (0.742-1.071) 0.218 0.929 (0.828 - 1.043) 0.215
Mechanism of injury
Blunt Reference n/a Reference n/a Reference n/a
Penetrating 6.873 (5.044-9.366) < 0.001 4.477 (3.620-5.537) < 0.001 3.779 (3.307 - 4.318) < 0.001
Mixed 3.754 (0.754-18.697) 0.106 2.983 (1.178-7.552) 0.021 1.744 (0.805 - 3.778) 0.158
Other 0.987 (0.534-1.823) 0.967 1.334 (0.991-1.798) 0.058 1.293 (1.061 - 1.576) 0.011
Interfacility (Transferred vs. Not transferred) 0.685 (0.499-0.940) 0.019 0.823 (0.685-0.989) 0.037 0.866 (0.777 - 0.964) 0.009
Shock (Present vs. Absent) 1.222 (0.911-1.640) 0.181 1.513 (1.258-1.820) < 0.001 1.468 (1.310 - 1.645) < 0.001
Total GCS 0.628 (0.549-0.720) < 0.001 0.667 (0.628-0.707) < 0.001 0.686 (0.666 - 0.707) < 0.001
ISS 1.022 (1.011-1.034) < 0.001 1.018 (1.010-1.027) < 0.001 1.017 (1.013 - 1.022) < 0.001
Pediatric trauma center level verification
Level 1 Reference n/a Reference n/a Reference n/a
Level 2 0.947 (0.624-1.438) 0.798 0.979 (0.716-1.337) 0.892 1.015 (0.864 - 1.193) 0.856
Level 3 1.286 (0.964-1.717) 0.087 1.505 (1.227-1.847) < 0.001 1.304 (1.154 - 1.472) < 0.001
Insurance Status, no (%)
Governmental Reference n/a Reference n/a Reference n/a
Private 1.162 (0.846-1.597) 0.354 1.180 (0.991-1.404) 0.063 1.021 (0.915 - 1.139) 0.707
Other 2.134 (1.554-2.930) <0.001 1.956 (1.569-2.438) < 0.001 1.749 (1.501 - 2.037) < 0.001