| چکیده انگلیسی مقاله |
Objective: We aimed to investigate the hypothesis that identical abbreviated injury scale (AIS) scores may lead to varying risks of in-hospital mortality and admission to the intensive care unit (ICU) depending on the specific body region affected. Methods: This study focused on hospitalized trauma patients with moderate to serious injuries (AIS=2, 3). The final sample was stratified based on the injured body regions. To determine the impact of these injuries on mortality and ICU admission, we conducted binary logistic regression after adjusting for confounding factors. Results: Overall, 16,040 trauma patients with moderate injury (AIS=2) and 1,338 trauma patients with serious injury (AIS=3) were included in this study. When comparing outcome of trauma patients in different body region, there was no significant difference in the odds of two main outcomes in various injury sites, except for extremities (P values>0.05). When the AIS=2 patients were controlled for confounding factors, the adjusted odds of mortality were significantly higher for head, face, and neck injuries, as well as spine/back, thoracic, and abdominal injuries, compared to extremity injuries (adjusted odds ratio (aOR)s=9.81,8.78, 8.11, and 3.96, respectively; P-values<0.05). Among those with AIS=3, the odds of mortality were significantly greater for abdominal (aOR=7.05, P-value=0.009) and head, face, and neck injuries (aOR=2.73, P-value=0.001) than for extremity injuries. Conclusion: Injuries with the same AIS (=2, 3) value almost indistinguishably confer the same mortality risk and ICU admission, except for extremities. The unique AIS value assigned to various body sites almost consistently indicate the same likelihood of negative outcomes |
| نویسندگان مقاله |
| Armin Khavandegar
Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.
| Seyed Amir Miratashi Yazdi
Department of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
| Payman Salamati
Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.
| Mohammadreza Zafarghandi
Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.
| Vafa Rahimi-Movaghar
Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.
| Esmaeil Fakharian
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| Seyed Houssein Saeed-Banadaky
Trauma Research Center, Rahnemoon Hospital, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| Vahid Hoseinpour
Department of Emergency Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
| Farideh Sadeghian
Center for Health-related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences Shahroud, Iran.
| Mehdi Nasr Isfahani
Department of Emergency Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| Vahid Rahmanian
Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
| Amir Ghadiphasha
Shahid Modarres Hospital, Saveh University of Medical Sciences, Tehran, Iran.
| Sobhan Pourmasjedi
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Rahim Aali
Department of Environmental Health, School of Health Research Center for Environmental Pollutants Qom University of Medical Sciences qom, Iran
| Mohamad Kogani
Research Center for Environmental Contaminants (RCEC), Abadan University of Medical Sciences, Abadan, Iran.
| Homayoun Sadeghi-Bazargani
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| Reza Farahmand Rad
Clinical Research Development Center, Imam Ali and Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran,
| Seyed Mohammad Piri
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Sara Mirzamohamadi
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Mahgol Sadat Hasanzadeh Tabatabaei
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Khatereh Naghdi
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
| Vali Baigi
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
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