Potential Risk Factors for In-Hospital Mortality in Patients with Moderate-to-Severe Blunt Multiple Trauma Who Survive Initial Resuscitation
Table 7
Results of logistic regression analysis of risk factors for 2, 7, and 28 or more days in-hospital mortality for the patients with multiple trauma.
Between admission and 2 days in-hospital mortality (early phase)
Between 3 and 7 days in-hospital mortality (acute phase)
Between 8 and 28 or more days in-hospital mortality (late phase)
OR (95% CI)
p
OR (95% CI)
p
OR (95% CI)
p
pH ↓
6.580 (1.12-38.51)
<0.001
5.664 (1.65-19.40)
0.006
Lactate ↑
1.041 (1.01-1.07)
0.014
1.025 (1.00-1.05)
0.046
ISS
1.109 (1.06-1.16)
<0.001
1.089 (1.05-1.13)
<0.001
1.047 (1.02-1.08)
0.003
Higher GCS
0.708 (0.56-0.09)
0.004
0.835 (0.73-0.95)
0.007
0.798 (0.71-0.90)
<0.001
APACHE II
1.189 (1.07-1.33)
0.002
1.172 (1.07-1.26)
<0.001
Traumatic brain injury
4.358 (0.76-24.86)
0.098
3.789 (1.17-12.24)
0.026
8.922 (2.57-31.00)
0.001
Severe hemorrhage
5.314 (1.07-26.49)
0.042
5.370 (1.76-16.7)
0.003
Coagulopathy
5.916 (1.17-29.90)
0.006
7.455 (1.95-26.53)
0.003
Respiratory failure
20.380 (3.26-127.53)
0.001
9.630 (2.64-35.14)
0.001
Renal failure
6.745 (2.36-19.31)
<0.001
74.803 (11.34-493.43)
<0.001
Multiple organ failure
3.366 (1.24-9.17)
0.018
10.415 (4.48-24.24)
<0.001
Sepsis
4.956 (1.99-12.36)
0.001
ARDS
8.036 (1.85-34.84)
0.005
Positive predictor factor for survival. OR: odds ratios; 95% CI: 95% confidence intervals; p: p value. Stage 3 and stage 4 hemorrhagic shock defined as severe hemorrhage.
