Anatomical Injury Clusters in Polytrauma Patients.
Anatomical Injury Clusters in Polytrauma Patients.
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DOI：
10.26502/jsr.10020270
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发表时间：
2022
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中科院分区：
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多发创伤是年轻人死亡的主要原因。该试验旨在确定相互关联的解剖区域集群，以改善急性情况下的战略操作规划。本回顾性队列研究共纳入2219例ISS（损伤严重程度评分）≥16、年龄≥16岁的多发创伤患者。在AIS（简略伤害量表）组之间进行Pearson相关性分析。采用ROC （Receiver Operating Curve）及其曲线下面积检验预测质量。采用二元logistic回归检验独立性，以AIS≥3为显著性损伤。采用IBM SPSS®24.0进行分析。胸、腹、骨盆和脊柱联合损伤的预测值最高（ROC：腹部为0.647，胸部为0.621，骨盆为0.608，骨盆为0.651，脊柱为0.617）。二元logistic回归显示，当某一特定损伤超过AIS≥3时，胸腔、腹部、骨盆和脊柱解剖区域是相互独立的突变预测因子。记录的簇状损伤在躯干创伤是至关重要的，以确定优先的多创伤管理。
Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ≥ 16 and an age ≥ 16 years was included into this retrospective cohort study. Pearson’s correlation was performed amongst the AIS (Abbreviated Injury Scale) groups. The predictive quality was tested by ROC (Receiver Operating Curve) and their area under the curve. Independency was tested by the binary logistic regression, AIS ≥3 was taken as a significant injury. The analysis was conducted using IBM SPSS® 24.0. The highest predictive value was reached in the combination of thorax, abdomen, pelvis and spine injuries (ROC: abdomen for thorax 0.647, thorax for abdomen 0.621, pelvis for thorax 0.608, pelvis for abdomen 0.651, spine for thorax 0.617). The binary logistic regression revealed the anatomical regions thorax, abdomen pelvis and spine as per-mutative independent predictors for each other when a particular injury exceeded the AIS ≥3. The documented clusters of injuries in truncal trauma are crucial to define priorities in the polytrauma management.