Table 6.
Early clinical management: subgroups according to thoracic trauma severity
| Controls | AIS-2 | AIS-3 | AIS-4 | AIS-5/6 | All patients | |
|---|---|---|---|---|---|---|
| Systolic BP ≤ 90 mmHg | 582 (4399) | 187 (1797) | 865 (7291) | 895 (4934) | 599 (1971) | 3128 (20392) |
| 13% | 10% | 12% | 18% | 30% | 15% | |
| PRBC | 1332 (4844) | 457 (1971) | 1786 (8016) | 1408 (5366) | 760 (2172) | 5743 (22369) |
| 27% | 23% | 22% | 26% | 35% | 26% | |
| Massive transfusion | 353 (4844) | 105 (1971) | 384 (8016) | 380* (5366) | 264* (2172) | 1486 (22369) |
| 7% | 5% | 5% | 7%* | 12%* | 7% | |
| Emergency surgery | 213 (3277) | 43 (1303) | 243 (5170) | 255* (3592) | 230* (1337) | 984 (14687) |
| 6% | 3% | 5% | 7%* | 17%* | 7% | |
| Early surgery | 1796 (3295) | 696 (1299) | 2444 (5211) | 1396 (3579) | 473 (1336) | 6805 (14729) |
| 55% | 54% | 47% | 39% | 35% | 46% | |
| WB-MSCT | 2898 (4795) | 1443 (1958) | 5868 (7956) | 3737 (5365) | 1479 (2189) | 15425 (22263) |
| 60% | 74%% | 74% | 70% | 68% | 69% | |
| Chest tube | 84 (3581) | 147 (1414) | 1338 (5634) | 1814 (3945) | 958 (1545) | 4341 (16119) |
| 2% | 10% | 24% | 46% | 62% | 27% |
Total numbers and percentages of each group are given with the total number of available datasets for each characteristic in parenthesis
Total patient numbers may vary for each procedure and characteristic because of incomplete data transmission or transmission of basic datasets. Basic datasets do not include information on emergency/early surgery and chest tube placement
Massive transfusion: ≥ 10 units of packed red blood cells
Emergency surgery: immediate surgery requiring cessation of the implemented trauma resuscitation algorithm
Early surgery: surgery performed prior to ICU admission
*: The presence of thoracic trauma was significantly associated with the need for massive transfusion or emergency surgery in the indicated AIS groups; adjusted for relevant (AIS ≥ 3) trauma to the head, abdomen and extremities
BP blood pressure, PRBC packed red blood cells, WB-MSCT whole-body multi-slice computed tomography