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Table 4 Physiology and duration of damage control surgery (DCS) in patients who died and who survived

From: Outcome of severely injured patients in a unique trauma system with 24/7 double trauma surgeon on-call service

OR-1 DCS

Mortality

(n = 28)

Survival

(n = 133)

P-value

Age (years)

52 (32–72)

34 (24–52)

< 0.001*

ISS

41 (30–50)

29 (22–38)

0.006*

AIS head

3 (0–4)

2 (0–3)

0.27

AIS face

0 (0–1)

0 (0–1)

0.69

AIS chest

4 (3–4)

3 (0–3)

0.002*

AIS abdomen

4 (2–4)

3 (0–4)

0.003*

AIS pelvis/extremities

3 (2–3)

3 (2–3)

0.59

AIS external

0 (0–1)

0 (0–1)

0.47

Time from ED to OR (h:mm)

0:57 (0:28–1:29)

1:00 (0:39–1:17)

0.58

Duration of surgery (h:mm)

2:00 (1:21–2:52)

1:50 (1:20–2:35)

0.77

BD_OR (mEq/L)

−12.0 (–20.5–7.0)

−6.0 (−9.0–3.1)

 < 0.001*

Hb_OR (mmol/L)

6.4 (5.2–7.2)

6.8 (5.7–7.6)

0.15

Temperature_OR (°C)

33.7 (32.9–35.3)

34.8 (34.0–35.4)

0.04*

Crystalloids_OR (L)

3.0 (2.0–3.8)

3.0 (2.0–5.0)

0.28

PRBC_OR (U)

8 (3–15)

3 (1–5)

 < 0.001*

FFP_OR (U)

8 (4–15)

3 (0–6)

 < 0.001*

PLT_OR (U)#

2 (0–3)

0 (0–1)

 < 0.001*

Surgical procedure**

  

Total

Thoracotomy

3 (8)

4 (2)

7 (3)

Laparotomy

21 (54)

70 (34)

91 (37)

Craniotomy

2 (5)

3 (1)

5 (2)

Spine fixation

0

4 (2)

4 (2)

Fracture fixation

0

9 (4)

9 (4)

External fixator extremities/pelvis

12 (31)

92 (45)

104 (42)

Vascular procedure

1 (3)

9 (4)

10 (4)

Miscellaneous§

0

15 (7)

15 (6)

Total

39

206

245

  1. Data are expressed in median (IQR) or absolute numbers (%), * statistically significant
  2. ISS injury severity score, AIS abbreviated injury scale, ED emergency department, OR operating room, Hb hemoglobin, BD base deficit, PRBC packed red blood cells, FFP fresh frozen plasma, PLT platelets
  3. #1 unit of platelets contains 5 donors
  4. **Several patients had more than one surgical procedure
  5. §Miscellaneous procedures included insertion of ICP meter, extraventricular drain, haloframe, amputation extremity, fasciotomy, debridement of soft tissue injuries, neck exploration