Mortality in patients with loss of consciousness at the scene of trauma View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-06

AUTHORS

André Luciano Baitello, Francisco de Assis Cury, Paulo César Espada, Rogério Yukio Morioka, José Maria Pereira de Godoy

ABSTRACT

BACKGROUND AND AIM: The aim of this study was to evaluate if loss of consciousness at the scene of an accident in patients with thoracic trauma classified by the Abbreviated Injury Scale (AIS) as thorax >2 has a different outcome in respect to immediate hospital discharge, hospitalization, death and type of accident. METHODS: A prospective study was performed in the Regional Trauma Center of São José do Rio Preto. All patients with scores related to thoracic injury >/=2 were included in this study. Thus, 134 patients with penetrating and 231 with blunt thoracic injuries were evaluated. The chi-square, Fisher's exact and relative risk tests were utilized for statistical analysis with an alpha error greater than 5% (p < 0.05) being considered statistically significant. RESULTS: A significantly higher number of patients who lost consciousness (35-33.9%) died compared to those who did not lose consciousness (9-3.5%, Fisher's exact test: p < 0.0001) where the relative risk (RR) of death when an individual lost consciousness was 9.7 (95% CI: 4.8-19.4). In respect to the necessity of hospital treatment, those who lost consciousness were more commonly hospitalized (Fisher's exact test: p < 0.0001). CONCLUSION: The loss of consciousness at the time of trauma is a warning sign in patients with thoracic injuries whether associated with other types of injuries or not. More... »

PAGES

91-95

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12245-009-0154-3

DOI

http://dx.doi.org/10.1007/s12245-009-0154-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1015160514

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20606817


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