Skip to main content

Advertisement

Table 6 Early clinical management: subgroups according to thoracic trauma severity

From: Severity-dependent differences in early management of thoracic trauma in severely injured patients - Analysis based on the TraumaRegister DGU®

  Controls AIS-2 AIS-3 AIS-4 AIS-5/6 All patients
Systolic BP ≤ 90 mmHg 582 (4399) 187 (1797) 865 (7291) 895 (4934) 599 (1971) 3128 (20392)
13% 10% 12% 18% 30% 15%
PRBC 1332 (4844) 457 (1971) 1786 (8016) 1408 (5366) 760 (2172) 5743 (22369)
27% 23% 22% 26% 35% 26%
Massive transfusion 353 (4844) 105 (1971) 384 (8016) 380* (5366) 264* (2172) 1486 (22369)
7% 5% 5% 7%* 12%* 7%
Emergency surgery 213 (3277) 43 (1303) 243 (5170) 255* (3592) 230* (1337) 984 (14687)
6% 3% 5% 7%* 17%* 7%
Early surgery 1796 (3295) 696 (1299) 2444 (5211) 1396 (3579) 473 (1336) 6805 (14729)
55% 54% 47% 39% 35% 46%
WB-MSCT 2898 (4795) 1443 (1958) 5868 (7956) 3737 (5365) 1479 (2189) 15425 (22263)
60% 74%% 74% 70% 68% 69%
Chest tube 84 (3581) 147 (1414) 1338 (5634) 1814 (3945) 958 (1545) 4341 (16119)
2% 10% 24% 46% 62% 27%
  1. Total numbers and percentages of each group are given with the total number of available datasets for each characteristic in parenthesis
  2. Total patient numbers may vary for each procedure and characteristic because of incomplete data transmission or transmission of basic datasets. Basic datasets do not include information on emergency/early surgery and chest tube placement
  3. Massive transfusion: ≥ 10 units of packed red blood cells
  4. Emergency surgery: immediate surgery requiring cessation of the implemented trauma resuscitation algorithm
  5. Early surgery: surgery performed prior to ICU admission
  6. *: The presence of thoracic trauma was significantly associated with the need for massive transfusion or emergency surgery in the indicated AIS groups; adjusted for relevant (AIS ≥ 3) trauma to the head, abdomen and extremities
  7. BP blood pressure, PRBC packed red blood cells, WB-MSCT whole-body multi-slice computed tomography