Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?

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Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients? Publisher

Khavandegar A¹ ; Yazdi SAM² ; Salamati P¹ ; Zafarghandi M¹ ; Rahimimovaghar V¹ ; Fakharian E³ ; Saeedbanadaky SH⁴ ; Hoseinpour V⁵ ; Sadeghian F⁶ ; Isfahani MN^{7, 8} ; Rahmanian V⁹ ; Ghadiphasha A¹⁰ ; Pourmasjedi S¹¹ ; Aali R¹¹ Show All Authors

Khavandegar A¹
Yazdi SAM²
Salamati P¹
Zafarghandi M¹
Rahimimovaghar V¹
Fakharian E³
Saeedbanadaky SH⁴
Hoseinpour V⁵
Sadeghian F⁶
Isfahani MN^{7, 8}
Rahmanian V⁹
Ghadiphasha A¹⁰
Pourmasjedi S¹¹
Aali R¹¹
Kogani M¹²
Sadeghibazargani H¹³
Rad RF¹⁴
Piri SM¹
Mirzamohamadi S¹
Tabatabaei MSHZ¹
Naghdi K¹
Baigi V^{1, 15}

Source: Frontiers in Emergency Medicine Published:2024

Abstract

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 outcomes of trauma patients in different body regions, 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 indicates the same likelihood of negative outcomes. © 2024 Tehran University of Medical Sciences.

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Style	Citing Format
MLA	Khavandegar A, et al.. "Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?." Frontiers in Emergency Medicine, vol. 8, no. 2, 2024, pp. -.
APA	Khavandegar A, Yazdi SAM, Salamati P, Zafarghandi M, Rahimimovaghar V, Fakharian E, Saeedbanadaky SH, Hoseinpour V, Sadeghian F, Isfahani MN, Rahmanian V, Ghadiphasha A, Pourmasjedi S, Aali R, Kogani M, Sadeghibazargani H, Rad RF, Piri SM, Mirzamohamadi S, ... Baigi V (2024). Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?. Frontiers in Emergency Medicine, 8(2), -.
Chicago	Khavandegar A, Yazdi SAM, Salamati P, Zafarghandi M, Rahimimovaghar V, Fakharian E, Saeedbanadaky SH, et al.. "Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?." Frontiers in Emergency Medicine 8, no. 2 (2024): -.
Harvard	Khavandegar A et al. (2024) 'Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?', Frontiers in Emergency Medicine, 8(2), pp. -.
Vancouver	Khavandegar A, Yazdi SAM, Salamati P, Zafarghandi M, Rahimimovaghar V, Fakharian E, et al.. Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?. Frontiers in Emergency Medicine. 2024;8(2):-.
BibTex	@article{ author = {Khavandegar A and Yazdi SAM and Salamati P and Zafarghandi M and Rahimimovaghar V and Fakharian E and Saeedbanadaky SH and Hoseinpour V and Sadeghian F and Isfahani MN and Rahmanian V and Ghadiphasha A and Pourmasjedi S and Aali R and Kogani M and Sadeghibazargani H and Rad RF and Piri SM and Mirzamohamadi S and Tabatabaei MSHZ and Naghdi K and Baigi V}, title = {Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?}, journal = {Frontiers in Emergency Medicine}, volume = {8}, number = {2}, pages = {-}, year = {2024} }
RIS	TY - JOUR AU - Khavandegar A AU - Yazdi SAM AU - Salamati P AU - Zafarghandi M AU - Rahimimovaghar V AU - Fakharian E AU - Saeedbanadaky SH AU - Hoseinpour V AU - Sadeghian F AU - Isfahani MN AU - Rahmanian V AU - Ghadiphasha A AU - Pourmasjedi S AU - Aali R AU - Kogani M AU - Sadeghibazargani H AU - Rad RF AU - Piri SM AU - Mirzamohamadi S AU - Tabatabaei MSHZ AU - Naghdi K AU - Baigi V TI - Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients? JO - Frontiers in Emergency Medicine VL - 8 IS - 2 SP - EP - PY - 2024 ER -