Analysis of epidemiological characteristics and fatal risk factors in 534 patients with multiple injuries
Wu Xiaoqing1, Lei Guihua1, Shen Hejuan2
1 Department of Emergency Trauma Surgery, Lishui People′s Hospital, Lishui 323000, China;
2 Department of General Surgery, Lishui People′s Hospital, Lishui 323000, China
Objective To investigate the epidemiological characteristics and fatal risk factors of 534 patients with multiple injuries, and to provide theoretical references for formulating clinical emergency plans and rational use of medical resources. Methods Five hundred and thirtyfour cases of patients with multiple injuries admitted in our hospital from January 2017 to December 2019 were selected as the subjects of this study.The epidemiological characteristics of patients with multiple injuries were investigated and multifactor logistic regression analysis model was used toanalyze the fatal risk factors of patients with multiple injuries. Results The patients with multiple injuries were more common in men (63.11%) and <60 years old (57.68%). The incidence was high in summer, and the main causes of injuries were traffic injuries and fall injuries from heights. The univariate analysis showed that there was a close correlation between the death of patients with multiple injuries and age, the time from injury to admission, ISS score, shock, and the number of trauma (P<0.05). Multivariate logistic regression analysis showed that patients aged ≥60 years old, injury to admission to hospital for ≥3 h, ISS score ≥16 points, shock, and trauma number ≥4 were independent fatal risk factors for patients with multiple injuries (P<0.05). Conclusion The fatal risk factors for patients with multiple injuries are mainly age ≥60 years, the time from injury to hospital admission ≥3 h, ISS score ≥16 points, shock, and the number of traumas ≥4, etc. Therefore, it is necessary to formulate a targeted emergency treatment plan in order to improve the quality of life of patients with multiple injuries.
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