Table 1.
Overview of all included parameters of patients after major trauma 2000–2005 comparing both groups, ISS ≥ 50 and ISS < 50
|
ISS ≥ 50 vs. ISS < 50 |
ISS < 50 |
|
|
ISS ≥ 50 |
|
|
Chi-squared test or t-test |
|---|---|---|---|---|---|---|---|
| 1435 patients | number | mean | % | number | mean | % | significance (p) |
| Total |
1347 |
|
93.9% |
88 |
|
6.1% |
|
| Male |
1004 |
|
74.5% |
68 |
|
77.3% |
0.83 |
| Female |
343 |
|
25.5% |
20 |
|
22.7% |
0.66 |
| ISS |
|
|
|
|
|
|
|
| < 20 |
556 |
|
41.3% |
|
|
|
|
| 21–40 |
688 |
|
51.1% |
|
|
|
|
| 41–49 |
103 |
|
7.6% |
|
|
|
|
|
Mechanism of trauma |
|
|
|
|
|
|
|
| Car/truck |
365 |
|
27.1% |
31 |
|
35.2% |
0.23 |
| Motor cycle |
212 |
|
15.7% |
24 |
|
27.3% |
0.023 |
| Bicycle |
96 |
|
7.1% |
4 |
|
4.5% |
0.39 |
| Pedestrian |
44 |
|
3.3% |
7 |
|
8.0% |
0.029 |
| Fall > 3 m |
198 |
|
14.7% |
14 |
|
15.9% |
0.79 |
| Fall < 3 m |
195 |
|
14.5% |
1 |
|
1.1% |
0.0012 |
| Other |
237 |
|
17.6% |
7 |
|
8.0% |
|
|
Pattern of injury |
|
|
|
|
|
|
|
| Head/brain |
689 |
|
51.2% |
48 |
|
54.5% |
0.73 |
| Face |
252 |
|
18.7% |
19 |
|
21.6% |
0.58 |
| Chest |
450 |
|
33.4% |
49 |
|
55.7% |
0.0057 |
| Abdomen |
211 |
|
15.7% |
30 |
|
34.1% |
0.00039 |
| Spinal cord |
360 |
|
26.7% |
30 |
|
34.1% |
0.27 |
| Pelvis |
179 |
|
13.3% |
27 |
|
30.7% |
0.00025 |
| Upper limb |
311 |
|
23.1% |
25 |
|
28.4% |
0.38 |
| Lower limb |
315 |
|
23.4% |
27 |
|
30.7% |
0.23 |
| Soft tissues |
266 |
|
19.7% |
25 |
|
28.4% |
0.12 |
|
Primarily unconscious patients (GCS <= 8) |
245 |
|
18.2% |
41 |
|
46.6% |
0.0000015 |
|
Intubation rate |
648 |
|
48.1% |
66 |
|
75.0% |
0.0084 |
|
Reanimation rate |
18 |
|
1.3% |
8 |
|
9.1% |
0.0000005 |
|
Secondarily transferred patients |
548 |
|
40.7% |
36 |
|
40.9% |
0.98 |
|
Preclinical shock (BP systolic < 90 mmHg) |
73 |
|
5.4 % |
16 |
|
18.2% |
0,000017 |
|
Duration until organ failure |
|
days |
|
|
days |
|
|
| Lung |
209 |
9.5 |
15.5% |
27 |
9.1 |
30.7% |
0.0028 |
| Coagulation/Blood |
44 |
3.5 |
3.3% |
11 |
1.7 |
12.5% |
0.000051 |
| Liver |
30 |
11.6 |
2.2% |
2 |
2 |
2.3% |
0.98 |
| Circulation |
178 |
8.1 |
13.2% |
31 |
8.1 |
35.2% |
0.0000058 |
| Central nervous system |
156 |
14.9 |
11.6% |
27 |
20 |
30.7% |
0.000019 |
| Kidney |
66 |
8.9 |
4.9% |
4 |
5 |
4.5% |
0.89 |
| SIRS |
51 |
8.7 |
3.8% |
11 |
11.5 |
12.5% |
0.00032 |
|
Duration of intubation |
944 |
13.4 |
|
77 |
20.3 |
|
0.0000094 |
|
Lethality/Dead |
179 |
|
13.3% |
32 |
|
36.4% |
0.0000024 |
|
Early lethality (< 24 h after hospital admission) |
46 |
|
3.4% |
12 |
|
13.6% |
0.000014 |
|
Time in hospital |
|
49.1 |
|
|
73.4 |
|
0.0002158 |
|
Time on intensive care unit |
|
14.4 |
|
|
25.9 |
|
0.0000057 |
|
Involved body regions |
|
2.3 |
|
|
3.8 |
|
3.09444E-29 |
|
Operations per patient |
|
3.6 |
|
|
5.7 |
|
6.25E-08 |
|
Aim of discharge |
|
|
|
|
|
|
|
| Home |
512 |
|
38.0% |
23 |
|
26.1% |
0.12 |
| Rehabilitation hospital |
449 |
|
33.3% |
20 |
|
22.7% |
0.13 |
| Other hospital |
184 |
|
13.7% |
11 |
|
12.5% |
0.79 |
| Other |
7 |
|
0.5% |
0 |
|
0% |
|
| Dead |
179 |
|
13.3% |
32 |
|
36.4% |
|
| Unknown |
16 |
|
1.2% |
2 |
|
2.3% |
|
|
Status after discharge due to GOS |
|
|
|
|
|
|
|
| Well recovered |
509 |
|
37.8% |
20 |
|
22.7% |
0.036 |
| Moderately affected |
92 |
|
6.8% |
3 |
|
3.4% |
0.21 |
| Heavily affected |
125 |
|
9.3% |
13 |
|
14.8% |
0.07 |
| Unconscious |
29 |
|
2.2% |
2 |
|
2.3% |
0.98 |
| Dead |
106 |
|
7.9% |
20 |
|
22.7% |
0.00013 |
| Unknown | 53 | 3.9% | 4 | 4.5% |