Factors affecting mortality of hospitalized chest trauma patients in United Arab Emirates

Essa M. AlEassa, Mariam J. Al-Marashda, Amgad Elsherif, Hani O. Eid, Fikri M. Abu-Zidan

Research output: Contribution to journalArticle

Abstract

Background: Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates.Methods: The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model.Results: 474 patients having a median (range) age of 35 (1-90) years were studied. 90% were males and 18% were UAE citizens. The main mechanism of injury was road traffic collisions (66%) followed by falls (23.4%). Penetrating trauma occurred in 4 patients (0.8%). 88 patients (18.6%) were admitted to the ICU. The median (range) ISS was 5 (1-43). 173 patients (36.5%) had isolated chest injury. Overall mortality rate was 7.2%. Mortality was significantly increased by low GCS (p <0.0001), high ISS (p = 0.025), and low systolic blood pressure on arrival (p = 0.027).Conclusion: Chest trauma is associated with a significant mortality in Al-Ain City. This was significantly related to the severity of head injury, injury severity score, and hypotension on arrival.

Original languageEnglish (US)
Article number57
JournalJournal of Cardiothoracic Surgery
Volume8
Issue number1
DOIs
StatePublished - Mar 30 2013
Externally publishedYes

Fingerprint

United Arab Emirates
Thorax
Mortality
Wounds and Injuries
Craniocerebral Trauma
Blood Pressure
Hypotension
Logistic Models
Thoracic Injuries
Injury Severity Score
Ethnic Groups
Registries

Keywords

  • Chest
  • Injury
  • Mortality
  • Thorax
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Factors affecting mortality of hospitalized chest trauma patients in United Arab Emirates. / AlEassa, Essa M.; Al-Marashda, Mariam J.; Elsherif, Amgad; Eid, Hani O.; Abu-Zidan, Fikri M.

In: Journal of Cardiothoracic Surgery, Vol. 8, No. 1, 57, 30.03.2013.

Research output: Contribution to journalArticle

AlEassa, Essa M. ; Al-Marashda, Mariam J. ; Elsherif, Amgad ; Eid, Hani O. ; Abu-Zidan, Fikri M. / Factors affecting mortality of hospitalized chest trauma patients in United Arab Emirates. In: Journal of Cardiothoracic Surgery. 2013 ; Vol. 8, No. 1.
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abstract = "Background: Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates.Methods: The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model.Results: 474 patients having a median (range) age of 35 (1-90) years were studied. 90{\%} were males and 18{\%} were UAE citizens. The main mechanism of injury was road traffic collisions (66{\%}) followed by falls (23.4{\%}). Penetrating trauma occurred in 4 patients (0.8{\%}). 88 patients (18.6{\%}) were admitted to the ICU. The median (range) ISS was 5 (1-43). 173 patients (36.5{\%}) had isolated chest injury. Overall mortality rate was 7.2{\%}. Mortality was significantly increased by low GCS (p <0.0001), high ISS (p = 0.025), and low systolic blood pressure on arrival (p = 0.027).Conclusion: Chest trauma is associated with a significant mortality in Al-Ain City. This was significantly related to the severity of head injury, injury severity score, and hypotension on arrival.",
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N2 - Background: Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates.Methods: The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model.Results: 474 patients having a median (range) age of 35 (1-90) years were studied. 90% were males and 18% were UAE citizens. The main mechanism of injury was road traffic collisions (66%) followed by falls (23.4%). Penetrating trauma occurred in 4 patients (0.8%). 88 patients (18.6%) were admitted to the ICU. The median (range) ISS was 5 (1-43). 173 patients (36.5%) had isolated chest injury. Overall mortality rate was 7.2%. Mortality was significantly increased by low GCS (p <0.0001), high ISS (p = 0.025), and low systolic blood pressure on arrival (p = 0.027).Conclusion: Chest trauma is associated with a significant mortality in Al-Ain City. This was significantly related to the severity of head injury, injury severity score, and hypotension on arrival.

AB - Background: Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates.Methods: The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model.Results: 474 patients having a median (range) age of 35 (1-90) years were studied. 90% were males and 18% were UAE citizens. The main mechanism of injury was road traffic collisions (66%) followed by falls (23.4%). Penetrating trauma occurred in 4 patients (0.8%). 88 patients (18.6%) were admitted to the ICU. The median (range) ISS was 5 (1-43). 173 patients (36.5%) had isolated chest injury. Overall mortality rate was 7.2%. Mortality was significantly increased by low GCS (p <0.0001), high ISS (p = 0.025), and low systolic blood pressure on arrival (p = 0.027).Conclusion: Chest trauma is associated with a significant mortality in Al-Ain City. This was significantly related to the severity of head injury, injury severity score, and hypotension on arrival.

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KW - Injury

KW - Mortality

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KW - Trauma

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