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Study of Wutzler et al for the Effect of Comorbidity on In-Hospital Mortality in a Patient with Severe Trauma

Description

Wutzler et al evaluated the impact of comorbid conditions on in-hospital mortality for patients with severe trauma. This can help to identify patients who may benefit from more aggressive management. The authors are from the Trauma Registry of the German Society for Trauma Surgery.


 

An AIS >= 3 defined severe trauma.

 

The presence of Stage IV peripheral arterial occlusive disease increased mortality following trauma to all body sites with an odds ratio ranging from 3 to 4.

 

Additional comorbid risk factors:

Site with AIS >= 3

Liver Disease

Heart Disease

Obesity

Cancer

head

Yes

 

 

 

thorax

Yes

Yes

Yes

Yes

abdomen

 

Yes

 

Yes

extremities

 

 

 

 

 

The odds ratio for each risk factor ranged from 2 to 3. An exception is for the impact of cancer on abdominal trauma, which had an odds ratio of 12.

 


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Specialty

ICD-10