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Table 4 Risk and protective factors of impaired consciousness at 14 days (N = 411, 19 patients without evaluation)

From: Prehospital risk factors of mortality and impaired consciousness after severe traumatic brain injury: an epidemiological study

 

Univariate model

Multivariate model

 

OR (95% CI)

P value

OR (95% CI)

P value

Patient-related risks

    

Age

0.99 (0.98-1.00)

0.024

1.00 (0.98; 1.01)

0.837

GCS ≥9 in ED

1

 

1

 

GCS <9 in ED

9.57 (5.34-17.14)

<0.0001

7.01 (3.64; 13.53)

<0.0001

Normal pupil reaction in ED

1

 

1

 

Abnormal pupil reaction in ED

3.07 (1.78-5.29)

<0.0001

1.29 (0.68-2.45)

0.442

ISS <25

1

 

1

 

ISS ≥25

4.54 (2.51-8.20)

<0.0001

2.79 (1.43-5.44)

0.0003

Falls

1

 

1

 

Road traffic accidents

2.05 (1.26; 3.33)

0.004

1.35 (0.72; 2.53)

0.348

Others mechanisms

1.03 (0.52; 2.02)

0.943

0.69 (0.30; 1.63)

0.398

Treatable prehospital risks

    

Hypotension (syst BP <90)

2.16 (0.67-6.97)

0.196

1.38 (0.29; 6.58)

0.688

Hypoxemia (SpO2 <90%)

5.54 (2.71-11.30)

<0.0001

4.11 (1.72-9.84)

0.001

Hypothermia (<35.0°C)

2.23 (1.33-3.73)

0.002

1.43 (0.77-2.68)

0.259

Intervention-related risks

    

Prehospital time

1.00 (0.99-1.00)

0.296

  

Direct admission

1

 

1

 

Indirect admission

0.37 (0.20-0.68)

0.001

0.47 (0.23-0.97)

0.041