The first hour of trauma reception is critical for patients with major thoracic trauma: A retrospective analysis from the TraumaRegister DGU
Authors' conclusion
In non-survivors with primarily major thoracic trauma, most deaths occurred immediately (<1h) or within the first 6 h after injury.
Study context
- Population
- Adults with major thoracic injury (Abbreviated Injury Scale (AIS) ≥3) admitted directly from the accident scene, TraumaRegister DGU; severe head injury (AIS ≥4) or more severe other injuries excludedmajor thoracic trauma
- Participants
- 24,332 adults
- Outcome
- Incidence and time distribution of mortality
Methodological detailsregistry-based
- Registry-based
Main finding
As reported in the abstract
Mortality
Mortality in major thoracic trauma
5.9%
Deaths
1437
Deaths within first hour after admission
25%
Deaths within first day
48%
Observational data: associations, not effects.
Further findings
Thoracic injuries and mortality among all adult major trauma cases
- Thoracic injuries
- 45%
- Overall mortality
- 9.3%
Characteristics and cause of death by time of death
- Highest incidences of hypoxia and shock, and most resuscitative interventions, in immediate (<1 h) and early (1 to 6 h) deaths
- Haemorrhage leading cause of death in these groups; organ failure leading cause in those surviving first 6 h
Original publication
The first hour of trauma reception is critical for patients with major thoracic trauma: A retrospective analysis from the TraumaRegister DGU. Eur J Anaesthesiol. Published 3 May 2023. doi:10.
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