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oai:repisalud.isciii.es:20.500.12105/235132024-11-28T22:00:33Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967col_20.500.12105_16986

00925njm 22002777a 4500 dc Barea-Mendoza, Jesus Abelardo author Chico-Fernandez, Mario author Quintana-Diaz, Manuel author Pérez-Bárcena, Jon author Servia-Goixart, Luis author Molina-Diaz, Ismael author Bringas-Bollada, Maria author Ruiz-Aguilar, Antonio Luis author Ballesteros-Sanz, Maria Angeles author Llompart-Pou, Juan Antonio author SEMICYU author 2022-01 Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015-December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample's characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68-0.89) and 0.43 (0.37-0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified. Barea-Mendoza JA, Chico-Fernandez M, Quintana-Diaz M, Perez-Barcena J, Servia-Goixart L, Molina-Diaz I, et al. Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU. J Clin Med. 2022 Jan;11(1):266. 10.3390/jcm11010266 2077-0383 Journal of Clinical Medicine https://hdl.handle.net/20.500.13003/19797 35012008 L2015197820 2-s2.0-85124007340 https://hdl.handle.net/20.500.12105/23513 751408300001 Chest trauma Thoracic trauma Severe trauma Intensive care Risk factors RETRAUCI Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU