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213304

Early predictors of mortality in polytrauma patients in intensive care units

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Neurosurgery

Abstract

Background: Trauma is a leading cause of morbidity and mortality worldwide. The traumatized patient outcome is multi-factorial through combination of clinical diagnosis and severity of comorbidities. Aim: This study aimed to enhance the outcome of polytrauma patients admitted to intensive care unit through construct a predictive model for mortality on the basis of easily available parameters. Methods: Our cohort prospective study consisted of 60 Egyptian patients from January2020 to January2021 over 16 years old with Glasgow coma scale (GCS) 4-14 followed traumatic brain injury and full clinical evaluation on admission was done including a full history, clinical examination, radiological and laboratory investigations. All patients were evaluated according to GCS, APACHE II and RTS scores. In addition, all patients were followed-up for 2weeks from the day of admission .The primary outcome assessed the mortality with analysis of different clinical and lab parameters for detection of predictors of mortality. Results: Sixty patients were with mean age/year was 40.43 ± 16.9. A mortality rate of 45% as non-survivor was detected with a predominance of road traffic accidents as a mode of injury (51.7%). There is statistically significance of lower scores of GCS and RTS but higher scores of APACHE II in non- survivors than survivors. Multivariate logistic regression detects that diabetes mellitus (DM) is the most significant predictor of non survivors. Conclusion: Multiple significant predictors of mortality were found as: advanced age, low PLT count, high renal function tests and radiological CT brain findings. DM is the most significant mortality predictor.

DOI

10.21608/zumj.2022.102365.2380

Keywords

predictors, mortality, polytrauma, ICU

Authors

First Name

Khaled

Last Name

Moselhi

MiddleName

-

Affiliation

Neurology and psychiatry department, Benha Faculty of Medicine, Benha University, Benha, Egypt.

Email

sallamk1@hotmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Elmaghrabi

MiddleName

-

Affiliation

Neurosurgery, Benha faculty of Medicine, Benha University, Benha, Egypt.

Email

dr_elmaghrabi@yahoo.com

City

Benha

Orcid

0000000349606700

First Name

Mohamed

Last Name

El-Gazzar

MiddleName

Ahmed

Affiliation

Cardiothoracic surgery Department, Benha Faculty of Medicine, Benha University, Benha, Egypt.

Email

elsatoor@hotmail.com

City

-

Orcid

-

First Name

Abd-Elrahman

Last Name

El-Zefzaf

MiddleName

Mohamed Sobhy

Affiliation

Intensive care unit department, Shebin Elkom Teacing hospital, Menoufia, Egypt

Email

abdelrahmanelzefzaf@gmail.com

City

-

Orcid

-

Volume

30

Article Issue

1.3

Related Issue

47218

Issue Date

2024-04-01

Receive Date

2021-10-23

Publish Date

2024-04-01

Page Start

198

Page End

206

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_213304.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=213304

Order

24

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Early predictors of mortality in polytrauma patients in intensive care units

Details

Type

Article

Created At

30 Dec 2024