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Table 7 Outcome of multiple injured patients with severe thoracic trauma and concomitant serious lumbar spine trauma (AISLS = 3)

From: Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®

 

No Surgery (NSI) n = 114

Early Surgery (ESI) n = 239

Late Surgery (LSI) n = 126

P-value (ESI versus LSI)

Mean ISS

25.9

25.2

27.9

0.010

Days on ventilator

4.1 [0]

3.4 [1]

5.3 [1]

0.010

Days on ICU

8.5 [4]

8.4 [4]

12.7 [10]

< 0.001

Days in hospital

23.7 [17]

24.4 [21]

30.6 [25]

0.001

MOF

15.1 (14)

17.3 (39)

29.8 (34)

0.008

Lung failure (ARDS)

21.5 (20)

16.4 (37)

28.9 (33)

0.007

Sepsis

5.6 (5)

5.3 (12)

10.5 (12)

0.076

Blood transfusion

8.8 (10)

10.5 (25)

19.0 (24)

0.022

GOS 2

0.9 (1)

0 (0)

0.8 (1)

0.37

GOS 3

11.9 (13)

5.1 (12)

8.8 (11)

GOS 4

20.2 (22)

25.4 (60)

27.2 (34)

GOS 5

61.5 (67)

67.4 (159)

61.6 (77)

  1. For VT, ICUT and HT the mean [median] is listed. For MOF; lung failure; sepsis, blood transfusion and GOS percentages (patient numbers) are given. The p-values are derived comparing the ESI and LSI group. The NSI group is listed to display the complete dataset